The Recognition and Management of Early Psychosis

by Edited by Patrick D. McGorry , Henry J. Jackson , Foreword by Carlo Perris

• ISBN13: 9780521553834
• ISBN10: 0521553830
• Format: Hardcover
• Copyright: 1999-07-28
• Publisher: Cambridge University Press

Summary

The treatment of early psychosis has been hindered by an entrenched pessimism that stems from the asylum era and the Kraepelinian model of schizophrenia. More recently, however, there has been a surge of interest in prevention-oriented treatment of patients showing the first signs of psychotic illness, with the realization that these illnesses are frequently highly responsive to early treatment. This is the first text to focus on the potential of early detection of psychosis, and the practicalities of treatment. Based on the pioneering experience and research of a now well-established prevention and intervention center, and with contributions from international authorities, this book outlines a framework for intervention, reviews the evidence available to guide clinical practice, and describes models of treatment. Incorporating many personal narratives and case histories, this volume is strong on theory, sensitive on practical issues, and will challenge, inform, and guide clinicians in the mental health fields.

Table of Contents

List of contributors	ix	(4)
Foreword	xiii	(4)
CARLO PERRIS
Preface	xvii	(10)
Acknowledgments	xxvii
Part I. Introduction	3	(24)
1. `A stitch in time'... The scope for preventive strategies in early psychosis.	3	(24)
PATRICK D. MCGORRY
Part II. Onset and detection of psychosis	27	(128)
2. The onset of psychotic disorder: clinical and research aspects.	27	(24)
ALISON R. YUNG
HENRY T. JACKSON
3. Pathways to care in early psychosis: clinical and consumer perspectives.	51	(30)
CLARE LINCOLN
PATRICK D. MCGORRY
4. Promoting access to care in early psychosis.	81	(34)
ALISON R. YUNG
LISA J. PHILLIPS
LORELLE T. DREW
5. Studies of biological variables in first-episode schizophrenia: a comprehensive review.	115	(40)
ANJAN CHATTERJEE
JEFFREY A. LIEBERMAN
Part III. Assessment and clinical management of early psychosis	155	(286)
6. Initial assessment of first-episode psychosis.	155	(29)
PADDY POWER
PATRICK D. MCGORRY
7. Initial treatment of first-episode psychosis.	184	(22)
JAYASHRI KULKARNI
PADDY POWER
8. Home-based treatment of first-episode psychosis.	206	(20)
JAYASHRI KULKARNI
9. Early intervention in psychosis: the critical period.	226	(39)
MAX BIRCHWOOD
10. Recovery from psychosis: psychological interventions.	265	(43)
HENRY J. JACKSON
JANE EDWARDS
CAROL HULBERT
PATRICK D. MCGORRY
11. Preventive case management in first-episode psychosis.	308	(30)
JANE EDWARDS
JOHN COCKS
JAMES BOTT
12. Suicide and early psychosis.	338	(25)
PADDY POWER
13. Early psychosis and substance abuse.	363	(13)
DONALD H. LINSZEN
MARIE E. LENIOR
14. Family intervention in early psychosis.	376	(31)
JOHN GLEES0N
HENRY J. JACKSON
HEATHER STAVELY
PETER BURNETT
15. The role of day programmes in recovery in early psychosis.	407	(34)
SHONA M. FRANCEY
Part IV. Conclusion	441	(30)
16. Sharpening the focus: early intervention in the real world.	441	(30)
PATRICK D. MCGORRY
JANE EDWARDS
KERRYN PENNELL
Appendix 1. A consensus statement on strategies for prevention in early psychosis	471	(4)
Appendix 2. International Early Psychosis Association	475	(2)
Index	477