Early Intervention in Psychiatry : EI of Nearly Everything for Better Mental Health

Early intervention (EI) is the single most important advance in mental health care in recent decades, representing a key shift in both theoretical standpoint and service delivery. __Early Intervention in Psychiatry__ clearly describes best practice for extending this approach to all psychiatric disorders. Beginning with the rationale for EI, it informs interventions in people from all age groups across the lifespan, from perinatal to old age. It addresses EI in specific settings, such as primary health care, community health, the general hospital, non-government agencies, and in social movements, and for specific disorders including depression and anxiety, alcohol and substance use, childhood disorders, psychoses, bipolar disorders, eating disorders and borderline personality disorders. __Early Intervention in Psychiatry__ is an essential guide for all psychiatrists, general practitioners, family physicians and public health doctors. It is also a valuable resource for mental health professionals and primary care colleagues, including nurses, social workers, psychologists, occupational therapists, vocational rehabilitation specialists, peer and support workers and for mental health commissioners and policy-makers. Machine generated contents note: List of contributors Foreword Part I: The Rationale for Early Intervention in Nearly Everything 1 Introduction 2 How Early Intervention can turn things upside down and turn a patient into a psychiatrist 3 Involving the Family in Early Interventions 4 Do Early Intervention Services for Psychosis Represent Value for Money? Part II: Early Intervention across the Lifespan 5 Perinatal preventive interventions in psychiatry: A clinical perspective 6 Psychiatry and Intervention in Infancy and Early Childhood 7 Early Intervention for young people with mental illness 8 Transiting out of Child and Adolescent Mental Health Services 9 Adults of working age 10 Early Intervention in Older Adults - A focus on Alzheimer's Dementia Part III: Early Intervention in Specific Settings 11 Primary prevention of mental disorders 12 Early intervention in mental health problems: the role of the voluntary sector 13 Why primary care matters for early intervention in psychiatry 14 General hospitals 15 Early Intervention Services: Background, rationale and development Part IV: Early Intervention in Specific Disorders 16 Prevention and early intervention in depression and anxiety disorders 17 Alcohol and substance use prevention and early intervention 18 Early intervention in childhood disorders 19 Early intervention for Delirium 20 Early intervention for Self-harm 21 Early intervention in Bipolar disorder 22 Early intervention in Eating disorders 23 Early intervention to reduce violence and offending outcomes in young people with mental disorders 24 Early intervention for Borderline Personality Disorder Part V: Conclusions 25 Early intervention and The Power of Social Movements: UK development of early intervention in psychosis as a social movement and its implications for leadership 26 Challenging stigma 27 Conclusions including standards Afterword. "The early recognition and treatment of psychiatric disorders constitutes secondary prevention: to date, the best evidence and best practice has been in EI for psychosis in young people. This new title will inform interventions in people from all age groups, building on the core components of excellent services: holistic, more engaging, low impact, culture- and age-sensitive practices, robust crisis interventions, assertive case management, flexible home visiting, family consulting, and in- and out-of-hours active response services. EI Teams have a low threshold to identify cases, reduce stigma in patients and their local community, engage users and carers in services even if treatment is not indicated or not available, and vigorously treat the first signs of the disorder in the first three years ("the critical period"). In managing a complex mix of possible noncases and cases, medication is only one option and part of phase-specific psychosocial interventions: education, family work, cognitive behavioural therapy, assertive community treatment, substance misuse and vocational interventions, amongst others"--Provided by publisher.