Early Episode Psychosis

Read about SAMHSA’s Block Grant Funding surrounding FEP

Serious Mental Illness: A New Block Grant Priority

Mental health treatment practitioners have, over the years, observed that most individuals who have a serious mental illness (such as bipolar disorder, major depression, and schizophrenia) typically experience the first signs of illness during adolescence or early adulthood. Yet there are often long intervals between the onset of symptoms and diagnosis, referral, and treatment. In response, Congress has directed SAMHSA to require that states set aside 10 percent of their Community Mental Health Services Block Grant to address these needs.

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First Episode Psychosis Project- Washington State Department of Social and Health Services

Visit Washington State Department of Social and Health Services

Specialized Treatment Early in Psychosis (STEP)

Specialized Treatment Early in Psychosis (STEP)

STEP is a clinic staffed by mental health providers in different fields – psychology, psychiatry, nursing, and social work. This "interdisciplinary" team seeks to provide comprehensive care for individuals who are early in the course of a psychotic illness in order to prevent symptoms from becoming disabling.

Visit Yale School of Medicine

First Episode Psychosis: An Information Guide

The purpose of this information guide is to provide information about a first episode of psychosis, its treatment and recovery. It has been written for people experiencing a first episode of psychosis and their family members, to help them gain a better understanding of this illness. Increased awareness of the signs, symptoms and treatment may improve the outcome for people with a first episode of psychosis.

Go to: First Episode Psychosis: An Information Guide

First Episode- Results from a 2011 NAMI Survey

 

 

Download the Results from 2011 NAMI Survey

RAISE Early Treatment Program Manuals and Program Resources

NAVIGATE is a Coordinated Specialty Care (CSC) treatment model developed by the RAISE Early Treatment Program  (ETP). See available NAVIGATE resources  on the ETP project site including Director Manual, Family Intervention Manual, Individual Resiliency Training (IRT) Complete Manual, Psychopharmacology Manual, Supported Employment and Education (SEE) Manual, and Team Guide Manual.

Components of Coordinated Specialty Care for First Episode Psychosis Webinars

Components of Coordinated Specialty Care for First Episode Psychosis Webinars

Webinars were created for state mental health program directors in order to provide further guidance related to the development of CSC programs for FEP. These webinars were held on:

May 2, 2014 

May 12, 2014 

Can We Prevent Disability from Serious Mental Illnesses? Examining Outcomes of New Youth Psychosis Treatments

http://www.thenationalcouncil.org/conference-365/wp-content/blogs.dir/7/files/2016/01/FEB_Blog.jpg

 

Read the blog post

Coordinated Specialty Care Fact Sheet and Checklist

Coordinated specialty care (CSC) is a general term used to describe recovery-oriented treatment programs for people with first episode psychosis (FEP). CSC uses a team of health professionals and specialists who work with the client to create a personal treatment plan based on the client’s life goals and preferences.

The team offers recovery-oriented psychotherapy, medication management geared to individuals with FEP, case management, employment and education support, and family education and support. The client and the team work together to make treatment decisions, involving family members as much as possible.

Compared to typical care for FEP, CSC has been shown to be more effective at reducing symptoms, improving quality of life and increasing involvement in work or school. There are many different programs that can be considered coordinated specialty care. In the United States, examples of CSC programs include (but are not limited to) NAVIGATE, the Connection Program, OnTrackNY, the Specialized Treatment Early in Psychosis (STEP) program, and the Early Assessment and Support Alliance (EASA). For help finding a CSC program in your area, visit the Patients and Families section of the RAISE webpage: http://www.nimh.nih.gov/raise.

Download the Coordinated Specialty Care Fact Sheet and Checklist

Recovery After an Initial Schizophrenia Episode (RAISE) Study

Recovery After an Initial Schizophrenia Episode (RAISE)

What is RAISE?

In 2008, the National Institute of Mental Health (NIMH) launched the Recovery After an Initial Schizophrenia Episode (RAISE) project. RAISE is a large-scale research initiative that began with two studies examining different aspects of coordinated specialty care (CSC) treatments for people who were experiencing first episode psychosis. One study focused on whether or not the treatment worked better than care typically available in community settings. The other project studied the best way for clinics to start using the treatment program. Read more.

What is Psychosis?

The word psychosis is used to describe conditions that affect the mind, where there has been some loss of contact with reality. When someone becomes ill in this way it is called a psychotic episode. Read more.

What is Coordinated Specialty Care (CSC)?

Coordinated specialty care (CSC) is a recovery-oriented treatment program for people with first episode psychosis (FEP). CSC promotes shared decision making and uses a team of specialists who work with the client to create a personal treatment plan. The specialists offer psychotherapy, medication management geared to individuals with FEP, family education and support, case management, and work or education support, depending on the individual’s needs and preferences. Read more.

Download the Recovery After an Initial Schizophrenic Episode (RAISE) Study

Breaking News Regarding Schizophrenia Treatment

BREAKING NEWS
A landmark schizophrenia study recommends lowering drug dosages and increasing therapy

Tuesday, October 20, 2015 12:03 AM EDT

More than two million people in the United States have a diagnosis of schizophrenia, and the treatment for most of them mainly involves strong doses of antipsychotic drugs that blunt hallucinations and delusions but can come with unbearable side effects, like severe weight gain or debilitating tremors.
Now, results of a landmark government-funded study call that approach into question. The findings, from by far the most rigorous trial to date conducted in the United States, concluded that schizophrenia patients who received smaller doses of antipsychotic medication and a bigger emphasis on one-on-one talk therapy and family support made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care.
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Reduction of Incidence of Hospitalizations for Psychotic Episodes Through Early Identification and Intervention

This study examined whether the incidence of hospitalization for psychosis was reduced by a communitywide system of early identification and intervention to prevent onset of psychosis.  Dr. McFarlane, Ms. Verdi, Ms. Lynch, and Ms. Williams are with the Maine Medical Center Research Institute, Portland

mcfarw@mmc.org

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Preventing a First Episode Psychosis: Meta-Analysis Article

Preventing a first episode of psychosis: Meta-analysis of randomized controlled prevention trials of 12 month and longer-term follow-ups

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