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 Psychiatric Annals. Show all posts
Showing posts with label Psychiatric Annals. Show all posts
Monday, December 5, 2016
Saturday, November 5, 2016
Article Review: Early Intervention for Psychosis
Early Intervention for Psychosis: The Recovery After an Initial Schizophrenia Episode Project, Susan T. Arzin, Amy B. Goldstein, Robert K. Heinssen, Psychiatric Annals, November 2015.
The contention of this article and this study is, "The best chance for improving outcomes in schizophrenia and related disorders is to intervene close to the onset of psychosis." Schizophrenia affects about 1 percent of the U.S. population, over 3.2 million adults. Over 100,000 youth experience first episode psychosis yearly. Schizophrenia is an illness that shortens life (about eleven years), 5 percent commit suicide, usually in the early stages. Part of the difficulty is that young people who develop this illness often tend to self isolate rather than seek treatment. Those who participate in early treatment with a multidisciplinary focus seem to do better. The Recovery After Intervention- Early Intervention Project (RAISE-IEP) seems to have achieved significant success. This project included resiliency-focused individual therapy, family psychoeducation and support, supported education and employment, and personalized medication management. Those participants in this type of treatment reported better results, stayed in treatment longer, show improvement in symptoms, increased involvement in work and better overall quality of life.
The contention of this article and this study is, "The best chance for improving outcomes in schizophrenia and related disorders is to intervene close to the onset of psychosis." Schizophrenia affects about 1 percent of the U.S. population, over 3.2 million adults. Over 100,000 youth experience first episode psychosis yearly. Schizophrenia is an illness that shortens life (about eleven years), 5 percent commit suicide, usually in the early stages. Part of the difficulty is that young people who develop this illness often tend to self isolate rather than seek treatment. Those who participate in early treatment with a multidisciplinary focus seem to do better. The Recovery After Intervention- Early Intervention Project (RAISE-IEP) seems to have achieved significant success. This project included resiliency-focused individual therapy, family psychoeducation and support, supported education and employment, and personalized medication management. Those participants in this type of treatment reported better results, stayed in treatment longer, show improvement in symptoms, increased involvement in work and better overall quality of life.
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