Early Intervention in Psychosis
Early Intervention in Psychosis focuses on shortening the duration of untreated psychosis and protecting education, work, and relationships from first-episode fallout. This page turns evidence into coordinated steps your team can deploy now: detection pathways from schools, primary care, and ED; rapid assessment that separates prodrome from frank psychosis; and time-bound care plans that blend medication, CBT for psychosis, family work, and social recovery services. If you’re scanning options like a psychosis conference, you’ll find scripts for non-stigmatizing engagement, practical guidance on LAIs vs orals, and pathways that stabilize sleep and circadian routines—because rhythm repair often brings the first functional wins. We emphasize parity policies, transportation help, and tele-visits so access is real, not theoretical.
Implementation lives or dies on speed, continuity, and hope. We outline “single front door” navigation, warm handoffs to peer specialists, and school/work accommodations that prevent life-course derailment. Medication choices prioritize safety, metabolic risk, and shared decisions; CBTp targets distressing beliefs without confrontation; and family sessions build calm communication and relapse plans. Measurement includes symptoms, functioning, and quality of life, not just scales. For staging, relapse signatures, and prodromal care, see Early Psychosis and Prodrome, which complements this page with pre-onset identification and stepped prevention.
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Rapid detection and triage
- Train referrers to spot attenuated and first-episode signs early.
- Route same-week assessments with clear safety scripts.
Medication and safety planning
- Start low, go slow; consider LAIs when adherence is fragile.
- Build crisis plans and means safety from day one.
CBTp and family work
- Target distressing appraisals and reduce expressed emotion.
- Practice communication, problem-solving, and relapse signatures.
Role recovery and routines
- Protect school/work with accommodations and graded exposure.
- Repair sleep and social rhythms to reduce relapse risk.
Service Models, Equity, and Outcomes
Single front door
A central intake with peer navigation and warm handoffs.
Measurement-based care
Track function, QoL, and symptoms; pivot quickly on nonresponse.
Youth-friendly design
Confidential pathways, digital check-ins, and flexible hours.
Equity and language access
Interpreters, travel vouchers, and culturally attuned materials.
Physical health integration
Metabolic screening, smoking cessation, and activity plans.
Transitions and continuity
Structured step-down and alumni groups to prevent drift.
Legal and education interfaces
IEPs/504s, workplace protections, and rights education.
Research and learning loops
Registry-based improvement and shared protocols across sites.
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