Abstract
Major psychotic disorders are one of the leading causes of disability worldwide. If these conditions are identified early and treatment promptly implemented, the prognosis is improved. This study examined the impact of a yearlong family aided community treatment (FACT) intervention upon psychiatric symptoms. Psychiatric symptom scores improved with the FACT intervention. Improved training on early recognition for mental health clinicians, implementation of a specific treatment model in community settings and policy around treatment funding allocation are implications of this study.
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References
Amador, X. (2007). I am not sick, I don’t need help. New York: Vida Press.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Auther, A. M., Smith, C. W., & Cornblatt, B. A. (2006). Global functioning: Social scale (GF: Social). Glen Oaks, NY: Zucker Hillside Hospital.
Brekke, B. J., & Barrio, C. (1997). Cross-ethnic symptom differences in schizophrenia: The influence of culture and minority status. Schizophrenia Bulletin, 23, 305–316.
Cook, J. A., Leff, H. S., Blyler, C. R., Gold, P. B., Goldberg, R. W., Mueser, K. T., & Burke-Miller, J. (2005). Results of a multisite randomized trial of supported employment interventions for individuals with severe mental illness. Archives of General Psychology, 62, 505–512. doi:10.1192/apt.bp.107.003509.
Cornblatt, B. A., Auther, A. M., Niendam, T., Smith, C. W., Zinberg, J., Bearden, C. E., & Cannon, T. (2007). Preliminary findings for two new measures of social and role functioning in the prodromal phase of schizophrenia. Schizophrenia Bulletin, 33, 688–702. doi:10.1093/schbul/sbm029.
Drake, R. J., Haley, C. J., Akhtar, S., & Lewis, S. W. (2000). Causes and consequences of duration of untreated psychosis in schizophrenia. British Journal of Psychiatry, 177, 511–515.
Edwards, J., & McGorry, P. D. (2002). Implementing early intervention in psychosis: A guide to establishing early psychosis services. London: Martin Dunitz Ltd.
Eli Lilly and Company. (2013). Terminology. Retrieved from http://www.lillytrials.com/docs/terminology.html
Hafner, H., Riecher-Rossler, A., An Der Heiden, W., Maurer, K., Fatkenheuer, B., & Loffler, W. (1993). Generating and testing a causal explanation of the gender difference in age at first onset of schizophrenia. Psychological Medicine, 23, 925–940. doi:10.1017/S0033291700026398.
Harrigan, S., McGorry, P., & Krstev, H. (2003). Does treatment delay in first-episode really matter? Psychological Medicine, 33, 97–110. doi:10.1017/S003329170200675X.
Harris, A. D., McGregor, J. C., Perencevich, E. N., Furuno, J. P., Zhu, J., Peterson, D. E., & Finkelstein, J. (2006). The use and interpretation of quasi-experimental studies in medical informatics. Journal of the American Medical Informatics Association, 13, 16–23. doi:10.1197/jamia.M1749.
Jacobson, N., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. doi:10.1037//0022-006X.59.1.12.
Kay, S. R., Flszbein, A., & Opfer, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.
Kay, S. R., & Opler, L. A. (1987). The positive-negative dimension in schizophrenia: Its validity and significance. Psychiatric Developments, 5, 79–103.
Kay, S. R., Opler, L. A., & Lindemayer, J. P. (1988). Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Research, 23, 99–110.
Lindenmayer, J. P., Kay, S. R., & Friedman, C. (1986). Negative and positive schizophrenic syndromes after the acute phase: A prospective follow-up. Comprehensive Psychiatry, 27, 276–286. doi:10.1016/0010-440X(86)90003-9.
Lindenmayer, J. P., Kay, S. R., & Opler, L. A. (1984). Positive and negative subtypes in acute schizophrenia. Comprehensive Psychiatry, 25, 455–464. doi:10.1016/0010-440X(84)90080-4.
McFarlane, W. R. (2002). Multifamily groups in the treatment of severe psychiatric disorders. New York, NY: Guilford.
McFarlane, W. R., Cook, W. L., Downing, D., Verdi, M. B., Woodberry, K. A., & Ruff, A. (2010). Portland identification and early referral: A community-based system for identifying and treating youths at high risk of psychosis. Psychiatric Services, 61, 512–515. doi:10.1176/appi.ps.61.5.512.
McFarlane, W. R., Stastny, P., & Deakins, S. (1992). Family-aided assertive community treatment: A comprehensive rehabilitation and intensive case management approach for persons with schizophrenic disorders. New Directions in Mental Health Services, 53, 43–54. doi:10.1002/yd.23319925306.
McGlashan, T. H., Miller, T., Woods, S., Rosen, J., Hoffman, R., & Davidson, L. (2003). The structured interview for prodromal syndromes. New Haven, CT: PRIME Research Clinic.
Mihalopoulos, C., Harris, M., Henry, L., Harrigan, S., & McGorry, P. (2009). Is early intervention in psychosis cost-effective over the long term? Schizophrenia Bulletin, 35, 909–918. doi:10.1093/schbul/sbp054.
Miller, T. J., McGlashan, T. H., Rosen, J. L., Cadenhead, K., Ventura, J., McFarlane, W., et al. (2003). Prodromal assessment with the structured interview for prodromal syndromes and the scale of prodromal symptoms: Predictive validity, interrater reliability, and training to reliability. Schizophrenia Bulletin, 29, 703–715.
Miller, T. J., McGlashan, T. H., Rosen, J. L., Somjee, L., Marcovich, P. J., Stein, K., & Woods, S. W. (2002). Prospective diagnosis of the initial prodrome for schizophrenia based on the structured interview for prodromal syndromes: Preliminary evidence of interrater reliability and predictive validity. American Journal of Psychiatry, 159, 863–865. doi:10.1176/appi.ajp.159.5.863.
Miller, T. J., McGlashan, T. H., Woods, S. W., Stein, K., Driesen, N., Corcoran, C. M., & Davidson, L. (1999). Symptom assessment in schizophrenic prodromal states. Psychiatric Quarterly, 70, 273–287. doi:10.1023/A:1022034115078.
Niendam, T. A., Bearden, C. E., Johnson, J. K., & Cannon, T. D. (2006). Global functioning: Role scale (GF: Role). Los Angeles, CA: University of California, Los Angeles.
PANSS Institute. (2015). The PANSS and other scales. NY: Author. Retrieved from: http://www.panss.org/content/panss-and-other-scales
Robert Wood Johnson Foundation. (2014). Early detection and intervention for the prevention of psychosis in adolescents and young adults. Princeton, NJ: Author. Retrieved from http://www.rwjf.org/content/dam/farm/reports/program_results_reports/2014/rwjf408484
Sale, T., & Melton, R. (2010). Early psychosis intervention in Oregon: Building a positive future for this generation. Focal Point, 24, 25–28.
Substance Abuse and Mental Health Services Administration. (2008). Assertive community treatment (ACT) evidence-based practices (EBP) Kit. Rockville, MD: Author.
Swanson, S. J., & Becker, D. R. (2011). Updated and expanded supported employment: Applying the individual placement and support (IPS) model to help clients compete in the workforce. Center City, MN: Dartmouth PRC-Hazelden.
Van Os, J. (2003). Is there a continuum of psychotic experiences in the general population? Epidemiologia e Psichiatria Sociale, 12, 242–252. doi:10.1017/S1121189X00003067.
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Melton, R.P., Dykeman, C. Family Aided Community Treatment for the Treatment of Early Psychosis: A Proof of Concept Study. Community Ment Health J 52, 623–630 (2016). https://doi.org/10.1007/s10597-015-9984-z
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DOI: https://doi.org/10.1007/s10597-015-9984-z