Recovering from a First Episode of Psychosis

An Integrated Approach to Early Intervention

Chris Jackson, Eleanor Baggott, Mark Bernard, Ruth Clutterbuck, Diane Ryles, Erin Turner

• Publisher: Routledge
• Year: 2019
• Print ISBN: 9781138669208
• eBook ISBN: 9781315460710
• Topic: Psychology
• Subtopic: Abnormal Psychology
• Index: Psychology

Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach.

Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the 'bespoke' targeting of integrated medical, psychological and social treatments during the 'critical period'.

Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Dedication
• Table of Contents
• List of figures
• List of tables
• Foreword: From psychosis to politics
• Foreword: A carer’s experience xviii
• List of abbreviations
• 1 The first episode of psychosis and how EIP services have evolved to optimise adaptation and recovery
• 2 Adapting, adjusting and recovering from a first episode of psychosis: the need for integration
• 3 Biological and medical approaches to symptomatic recovery and adaptation
• 4 Psychosocial approaches to symptomatic recovery and adaptation
• 5 Social recovery in first episode psychosis
• 6 Treatment approaches to social recovery in first episode psychosis
• 7 Optimising personal recovery and promoting psychological adaptation following first episode psychosis
• 8 When psychological adaptation and recovery go wrong
• 9 Identifying and managing suicidality following a first episode of psychosis
• 10 Working with comorbidity and diagnostic uncertainty
• 11 Family adaptation and recovery following FEP
• 12 Integrating and operationalising symptomatic, social and personal recovery: managing EIP and pathways of care
• Conclusion
• Appendix 1: Positive Cardiometabolic Health Resource
• Appendix 2: Assessment measures for recovery following FEP
• References
• Index