The Recognition and Management of Early Psychosis: A Preventive Approach

by Edited by Henry J. Jackson , Patrick D. McGorry

• ISBN13: 9780521617314
• ISBN10: 0521617316
• Edition: 2nd
• Format: Paperback
• Copyright: 2009-03-16
• Publisher: Cambridge University Press

Summary

Psychotic illness is managed and treated with best results when it is recognized at the earliest stages of a person developing the disorder, or when that person is identified as being at high risk of doing so. Describing a stage-specific model highlighting the risk, the clinical and biological factors present during the development of the illness, and the best treatments available for each of these stages, this new edition will guide practitioners and researchers in the adoption of carefully planned management strategies fully integrating treatment with prevention. Issues such as resistance to drugs and vocational recovery are covered, with related topics such as service organization and community education. This will be essential reading for all those involved in the care of people with early psychotic illness, or those responsible for the organization of services.

Author Biography

Henry J. Jackson is a Professor at the Department of Psychology, School of Behavioural Science, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Australia. Patrick D. McGorry is Professor of Youth Mental Health at the University of Melbourne, and Executive Director of the Orygen Research Centre, Parkville, Australia.

Table of Contents

List of contributors	p. xi
Foreword	p. xvii
Acknowledgements	p. xix
Introduction	p. 1
Rationale for and overview of the second edition of The Recognition and Management of Early Psychosis	p. 3
Diagnosis and the staging model of psychosis	p. 17
Risk and vulnerability	p. 29
Genetic vulnerability	p. 31
Environmental vulnerability and genetic-environmental interactions	p. 47
Neurobiological endophenotypes of psychosis and schizophrenia: are there biological markers of illness onset?	p. 61
At-risk mental state	p. 81
At-risk mental state and prediction	p. 83
At-risk mental state: management	p. 107
Access and reducing delay to treatment: reducing the duration of untreated psychosis	p. 123
Duration of untreated psychosis: definition, measurement and association with outcome	p. 125
Improving the community's mental health literacy as a means of facilitating early intervention	p. 147
Pathways to care and reducing treatment delay in early psychosis	p. 161
The first episode	p. 175
Initial assessment and initial pharmacological treatment in the acute phase	p. 177
Complete and incomplete recovery from first-episode psychosis	p. 201
Preventive strategies in bipolar disorders: identifying targets for early intervention	p. 223
The critical period: other psychopathology and comorbidity	p. 241
Substance misuse in first-episode psychosis	p. 243
Suicide prevention in first-episode psychosis	p. 257
Emotional and personality dysfunctions in early psychosis	p. 283
The critical period: specific interventions	p. 303
Family intervention in early psychosis	p. 305
Enhancing work functioning in early psychosis	p. 331
Relapse prevention in early psychosis	p. 349
Treatment resistance in first-episode psychosis	p. 365
Service models	p. 383
Using research and evaluation to inform the development of early-psychosis service models: international examples	p. 385
Index	p. 405
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