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The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management.
These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions.The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery.This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment.
This book highlights the field of youth mental health and why it is a specialty distinct from both child and adolescent and adult mental health. Youth Mental Health: Approaches to Emerging Mental Ill-Health in Young People examines issues such as mental health literacy, e-Health, family, psychological, vocational and pharmacological interventions. The authors also discuss issues that are particularly pertinent to young people, such as suicidality, substance abuse, gender identity and sexuality, attention deficit disorder and eating disorders. Taking a preventative focus, this book presents evidence for youth mental health as an important and growing field, makes the case for the reform of existing service structures to better serve this group and outlines the latest specialised approaches to treatment. Drawing on the knowledge and expertise of leading thinkers in youth mental health, this book is instrumental for mental health professionals who wish to design new specialised mental health systems for young people.
This practical guide outlines the latest advances in understanding and treating psychotic symptoms and disorders, articulating step-by-step the clinical skills and knowledge required to effectively treat this patient population. A Clinical Introduction to Psychosis takes an evidence-based approach that encourages a wider perspective on clinical practice, with chapters covering stigma and bias, cultural factors, the importance of social functioning, physical health, sleep, and more. A broad array of treatment modalities are discussed, including cognitive behavioral therapy, cognitive remediation, psychosocial interventions, trauma-informed therapies, and recovery-oriented practice. The book also provides a concise overview of the latest advances regarding cognitive profiles in people with psychotic disorders, the developmental progression of cognitive abilities, and the clinical relevance of cognitive dysfunction. The book additionally familiarizes readers with issues and controversies surrounding diagnostic classification, transdiagnostic expression, and dimensional assessment of symptoms in psychosis. - Provides treatment and assessment methods for psychotic symptoms and disorders - Looks at how psychosis develops and the impact of stigma on clinicians and clients - Studies the links between trauma, PTSD, and psychosis, as well as sleep and psychosis - Covers digital technologies for treating and assessing psychosis - Outlines strategies for treating visual and auditory hallucinations - Examines how to incorporate consumer and clinician perspectives in clinical practice
This guide has been produced by the EPPIC National Support Program of the Orygen as a way to explain the Early Psychosis Prevention and Intervention Centre (EPPIC) model and to assist services when thinking about and planning for the implementation and provision of an ongoing EPPIC service.The philosophy, aims and comprehensiveness of the model, along with a detailed description of each of the core components is provided. In particular, there is discussion about the four critical factors that are essential not only for the successful implementation of an EPPIC service, but also for sustaining one.While each of the core components can be read separately it is important to note that the EPPIC model can only exist when all of the core components are provided. They also interrelate, so it is only when each of these core components are in place that an integrated and comprehensive service can be provided and achieve fidelity to the EPPIC model.Included in the discussion on each of the core components are the opportunities and factors that facilitate success, as well as the challenges and enablers that can help in meeting both the service level and clinical level issues that may arise.There is a section on scaling up of services, as this can be one option to assist after initial implementation.Clear detail is provided of all of the EPPIC standards, and these are divided into three groups. The first of these are the minimum essential or 'given' standards that will occur when implementing the model with the core components. The next are the secondary standards that need to be achieved, and the third are the guidelines that also incorporate the Australian Clinical Guidelines for Early Psychosis (2nd edition). By services taking note of and achieving these standards, fidelity to the model should be reached.
The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.