Individual Resilience Training: An Early Intervention Approach to Enhance Well-Being in People with First Episode Psychosis, Piper S. Meyer Phd, Jennifer D. Gortlieb Phd, David Penn Phd, Kim Mueser Phd, and Susan Gingerich MSW. Psychiatric Annals November 2015.
IRT is the treatment model for early intervention. It draws from stress vulnerability, recovery, psychiatric rehabilitation and cognitive-behavioral therapy. It also draws form motivational enhancement, shared decision-making, and psychoeducation. It also includes illness management ideas.
Clients meet with therapists in a regular one-hour weekly session. These sessions are strength-based, and provide training as based on an individualized plan to help the patient increase resiliency and awareness. There are seven core treatment session, orientation, assessment and goal setting, education and psychosis, relapse prevention planning, processing the episode, developing resiliency and building a bridge to your goals. Other areas of focus include dealing with negative feelings, coping with symptoms, substance use, having fun and developing good relationships, making choices about smoking and nutrition.
Initial studies show some support for the feasibility of this model to increase resiliency and thus prevent relapse.
Showing posts with label first-episode psychosis. Show all posts
Showing posts with label first-episode psychosis. Show all posts
Monday, December 5, 2016
Wednesday, December 9, 2015
**Early Patient Engagement Tied to Psychosis Outcomes
Early patient engagement tied to psychosis outcomes by Whitney McKnight Clinical Psychiatry News Nov 2015; from the American Journal of Psychiatry
This article concludes Integrated, patient-centered treatment delivered earlier in people with first-episode psychosis leads to better outcomes than standard community care. Dr. Thomas R. Insel outgoing director of the National Institute of Mental health said, “These results demonstrate the importance of early detection, early engagement, and integrated care following the onset of psychosis.” This is based on a study by RAISE, Recovery After an Initial Schizophrenia Episode. Key clinical point is that early integrated treatment for firs-episode psychosis delivered in a community setting can help patients stay functional and productive. Also quality of life is improved as demonstrated by Positive and Negative Syndrome Scale for Shizophrenia.
There is hope, but early intervention is vital. This seems a common theme for many illnesses.
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