At the heart of an early psychosis centre: the core components of the 2014 Early Psychosis Prevention and Intervention Centre model for Australian communities
At the heart of an early psychosis centre: the core components of the 2014 Early Psychosis Prevention and Intervention Centre model for Australian communities
复制标题
DOI：
10.1177/1039856214530479
复制
发表时间：
2014-06-01
影响因子：
1.8
通讯作者：
McGorry, Patrick
中科院分区：
文献类型：
--
作者：
Hughes, Frank;Stavely, Heather;McGorry, Patrick
目的：描述早期精神病预防和干预中心服务模式的核心组成部分，作为与澳大利亚联邦政府商定的全国推广模式。早期精神病预防和干预中心的早期干预模式有两个主要目标：缩短精神病发作和开始治疗之间的时间，并尽早使症状康复和恢复正常的发展轨迹。早期精神病预防和干预中心包括为首次出现精神病症状的青少年提供三项服务。精神病：（i）及早发现;（ii）危机期间和危机后的紧急护理;（iii）以康复为重点的持续护理，包括多模式干预，使青少年能够在精神病发作后的关键头2-5年内保持或恢复其社会、学术和/或职业轨迹。它通过16个核心组成部分的组合来做到这一点，这些组成部分提供灵活、全面和综合的服务，能够迅速、适当和一致地满足年轻人及其家庭的个人需求。创新的服务改革，如早期精神病预防和干预中心，认识到早期干预的价值，对于减少严重精神疾病对年轻人及其家庭的影响至关重要，并最终影响我们的社会。
Objective: To describe the core components of the Early Psychosis Prevention and Intervention Centre service model as the template agreed with the Australian Federal Government for national upscaling. The Early Psychosis Prevention and Intervention Centre model of early intervention has two main goals: to reduce the period of time between the onset of psychosis and the commencement of treatment and to bring about symptomatic recovery and restore the normal developmental trajectory as early as possible.Conclusions: The Early Psychosis Prevention and Intervention Centre comprises three elements of service provision for young people experiencing a first episode of psychosis: (i) early detection; (ii) acute care during and immediately following a crisis; (iii) recovery-focused continuing care, featuring multimodal interventions to enable the young person to maintain or regain their social, academic and/or career trajectory during the critical first 2-5 years following the onset of a psychotic illness. It does this via a combination of 16 core components, which provide a flexible, comprehensive, integrated service that is able to respond quickly, appropriately and consistently to the individual needs of the young person and their family. Innovative service reforms, such as Early Psychosis Prevention and Intervention Centre, that recognise the value of early intervention are crucial to reducing the impact of serious mental illness on young people and their families and, ultimately, on our society.