Early Intervention in Psychosis A Guide to

The early recognition and treatment of psychosis--particularly in adolescents and young adults--is increasingly accepted as an important factor in the individual experience of mental illness, which can have major implications for mental health care and treatment. This book is one of the first books available on the treatment of psychosis.

Max Birchwood, Professor of Clinical Psychology and Director of Early Intervention Service, Northern Birmingham Mental Health Trust and Professor of Psychology University of Birmingham.

David Fowler, Lecturer in Clinical Psychology, University of East Anglia, Norwich.

Chris Jackson, Clinical Psychologist, Early Intervention Service, Northern Birmingham Mental Trust and Senior Research Fellow, University of Birmingham, UK.

About the Editors

vii

List of Contributors

viii

Preface

xi

PART I THE CONCEPT OF EARLY INTERVENTION

The Scope for Preventive Strategies in Early Psychosis: Logic, Evidence and Momentum

3

(25)

Patrick D. McGorry

The Critical Period for Early Intervention

28

(36)

Max Birchwood

Psychological Adjustment to Early Psychosis

64

(37)

Chris Jackson

Zaffer Iqbal

Psychological Formulation of Early Episodes of Psychosis: A Cognitive Model

101

(27)

David Fowler

The Early Development of Expressed Emotion and Burden in the Families of First Onset Psychosis

128

(15)

Elizabeth Kuipers

David Raune

PART II STRATEGIES FOR EARLY INTERVENTION

Can Duration of Untreated Illness be Reduced?

143

(23)

Tor K. Larsen

Jan Olav Johannessen

Thomas McGlashan

Marthe Horneland

Sigurd Mardal

Per Vaglum

Early Intervention in Psychosis: Pharmacotherapeutic Strategies

166

(19)

Paul Bebbington

Cognitive Behaviour Therapy in Early Psychosis

185

(28)

Val Drury

The Treatment of Secondary Morbidity in First-Episode Psychosis

213

(23)

Henry J. Jackson

Carol A. Hulbert

Lisa P. Henry

Relapse Prevention in Early Psychosis

236

(25)

Elizabeth Spencer

Eleanor Murray

James Plaistow

The Early Phase of Psychosis and Schizophrenia: a Critical Period for Patients, Families and the Profession

261

(20)

Don Linszen

Max Birchwood

PART III IMPLEMENTATION

Models of Early Intervention in Psychosis: an Analysis of Service Approaches

281

(34)

Jane Edwards

Patrick D. McGorry

Kerryn Pennell

The IRIS Programme

315

(12)

Fiona Macmillan

David Shiers

Creative Journeys of Recovery: a Survivor Perspective

327

(21)

Alison Reeves

Early Intervention: the Economic Issues

348

(15)

Nick Bosanquet

Index

363

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Early Intervention in Psychosis A Guide to Concepts, Evidence and Interventions

Summary

Author Biography

Table of Contents

Supplemental Materials