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Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

Published online by Cambridge University Press:  06 October 2014

Jane Edwards ,
Shona M. Francey ,
Patrick D. McGorry  and
Henry J. Jackson
Jane Edwards*
Affiliation:
Early Psychosis Prevention and Intervention Centre, Department of Health and Community Services Victoria, andUniversity of Melbourne
Shona M. Francey
Affiliation:
Early Psychosis Prevention and Intervention Centre, Department of Health and Community Services Victoria, andUniversity of Melbourne
Patrick D. McGorry
Affiliation:
Early Psychosis Prevention and Intervention Centre, Department of Health and Community Services Victoria, andUniversity of Melbourne
Henry J. Jackson
Affiliation:
Early Psychosis Prevention and Intervention Centre, Department of Health and Community Services Victoria, andUniversity of Melbourne
*
Early Psychosis Prevention and Intervention Centre, Parkville Centre, 35 Poplar Road, Parkville, Melbourne VIC 3052, Australia
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Abstract

This article describes the Early Psychosis Prevention and Intervention Centre (EPPIC) — an innovative and comprehensive service that attempts to address the needs of older adolescents and young adults experiencing their first episode of psychosis. Some of the key theoretical concepts and philosophical tenets which underpin the service delivery model are adumbrated. Furthermore, the historical antecedents of the current service, and the “successive approximations” approach taken in developing the same, are delineated. Given the evolutionary nature of the program, the perceived future needs and developments are stipulated.

Type
Special Issue: Behaviour Therapy and Schizophrenia — Part One
Information
Behaviour Change , Volume 11 , Issue 4: Special Issue: Behaviour Therapy and Schizophrenia – Part One , December 1994 , pp. 223 - 233
Copyright
Copyright © The Author(s) 1994

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References

REFERENCES

American Psychiatric Association. (1987). DSM-111-R: Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
Anthony, W.A., & Liberman, R.P. (1986). The practice of psychiatric rehabilitation: Historical, conceptual, and research base. Schizophrenia Bulletin, 12, 542–559.Google Scholar
Arieti, S. (1962). Hallucinations, delusions, and ideas of reference treated with psychotherapy. American Journal of Psychotherapy, 16, 52–60.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics. (1991). Census of population and housing expanded community profile. Canberra: Author.Google Scholar
Biedel, D.C., Bellack, A.S., Turner, S.M., Hersen, S.M., & Luber, R.F. (1981). Social skills training for chronic psychiatric patients: A treatment manual. Catalogue of Selected Documents in Psychology, 11, 35 (MS. 2257).Google Scholar
Birchwood, M., & Macmillan, F. (1993). Early intervention in schizophrenia. Australian and New Zealand Journal of Psychiatry, 27, 374–378.CrossRefGoogle ScholarPubMed
Birchwood, M., Macmillan, F., & Smith, J. (1992). Early intervention. In Birchwood, M. and Tarrier, N. (Eds.), Innovations in the psychological management of schizophrenia. Chichester, West Sussex: Wiley.Google Scholar
Carpenter, W.T., & Strauss, J.S. (1991). The prediction of outcome in schizophrenia IV: Eleven-year follow-up of the Washington IPSS cohort. Journal of Nervous and Mental Disease, 179, 517–525.Google Scholar
Chadwick, P., & Birchwood, M. (1994). The omnipotence of voices: A cognitive approach to auditory hallucinations. British Journal of Psychiatry, 164, 190–201.Google Scholar
Copolov, D. (Ed.). (1991). Australian psychiatry and the tradition of Aubrey Lewis. Victoria: NHMRC Schizophrenia Unit, Mental Health Research Institute of Victoria, and Monash University.Google Scholar
Copolov, D.L., McGorry, P.D., Keks, N., Minas, I.H., Herman, H.E., & Singh, B.S. (1989). Origins and establishment of the schizophrenia research programme at Royal Park Psychiatric Hospital. Australian and New Zealand Journal of Psychiatry, 23, 443–451.Google Scholar
Coursey, R.D. (1989). Psychotherapy with persons suffering from schizophrenia: The need for a new agenda. Schizophrenia Bulletin, 15, 349–353.Google Scholar
Crow, T.J., Macmillan, J.F., Johnson, A.L., & Johnstone, E.C. (1986). A randomised controlled trial of prophylactic neuroleptic treatment. British Journal of Psychiatry, 148, 120–127.Google Scholar
Early Psychosis Prevention and Intervention Centre (1993). Service plan. Unpublished manuscript.Google Scholar
Early Psychosis Prevention and Intervention Centre (1994a). Redevelopment proposal. Unpublished manuscript.Google Scholar
Early Psychosis Prevention and Intervention Centre (1994b). Outpatient case management: Principles of practices statement. Unpublished manuscript.Google Scholar
Early Psychosis Research Centre (1993). Early psychosis study. Unpublished manuscript.Google Scholar
Falloon, I.R.H., Boyd, J.L., & McGill, C. (1984). Family care of schizophrenia. New York: Guilford.Google Scholar
Goldstein, M.J. (1981). New developments in interventions with families of schizophrenics. San Francisco: Josey-Bass.Google Scholar
Hoge, M.A., Farrell, S.P., Munchel, M.E., & Strauss, J.S. (1988). Therapeutic factors in partial hospitalisation. Psychiatry, 51, 199–210.Google Scholar
Hogg, B., Jackson, H.J., Rudd, R.P., & Edwards, J. (1990). Diagnosing personality disorders in recent-onset schizophrenia. Journal of Nervous and Mental Diseases, 178, 194–199.Google Scholar
Jackson, H.J., & Edwards, J. (1992). Social networks and social support in schizophrenia: Correlates and assessment. In Kavanagh, D. (Ed.), Schizophrenia: An overview and practical handbook. London: Chapman & Hall.Google Scholar
Jackson, H.J., McGorry, P.D., Edwards, J., & Hulbert, C. (1994). Cognitively-oriented psychotherapy for first-episode psychotic patients. Unpublished manuscript.Google Scholar
Kingdon, D.G., & Turkington, D. (1994). Cognitive-behavioural therapy of schizophrenia. New York: Guilford.Google Scholar
Kosky, R., & Hardy, J. (1992). Mental health: Is early intervention the key? Medical Journal of Australia, 256, 147–148.Google Scholar
Kulkarni, J., Copolov, D., & Keks, N. (1991). Laboratory investigation in psychiatry. In Kosky, R., Eskevari, H., & Carr, V. (Eds.), Mental health and illness: A textbook for health science students. London: Butterworths.Google Scholar
Lieberman, J.A. (1993). Prediction of outcome in first-episode schizophrenia. Journal of Clinical Psychiatry, 54, 13–17.Google ScholarPubMed
Lieberman, J.A., Jody, D., Alvir, J.M., Ashtari, M., Levy, D.L., Bogerts, B., Degreet, G., Mayerhoff, D.I., & Cooper, T. (1993). Brain morphology, dopamine, and eye-tracking abnormalities in first-episode schizophrenia: Prevalence and clinical correlates. Archives of General Psychiatry, 50, 357–368.Google Scholar
Lieberman, J., Jody, D., Geisler, S., Alvir, J., Loebel, A., Szymanski, S., Woerner, M., & Borenstein, M. (1993). Time course and biological correlates of treatment response to first-episode schizophrenia. Archives of General Psychiatry, 50, 369–376.Google Scholar
Loebel, A., Lieberman, J.A., Alvir, J.M., Mayerhoff, D.I., Geisler, S.H., & Szymanski, S.R. (1992). Duration of psychosis and outcome in first-episode schizophrenia. American Journal of Psychiatry, 149, 1183–1188.Google Scholar
McGorry, P.D. (1992). The concept of recovery and secondary prevention in psychotic disorders. Australian and New Zealand Journal of Psychiatry, 26, 3–17.CrossRefGoogle ScholarPubMed
McGorry, P.D. (1993). Early psychosis prevention and intervention centre. Australasian Psychiatry, 1, 32–34.Google Scholar
McGorry, P.D. (1994a). A treatment-relevant classification of psychotic disorders. Manuscript submitted for publication.Google Scholar
McGorry, P.D. (1994b). Psychoeducation in early psychosis: A therapeutic process. Manuscript submitted for publication.Google Scholar
McGorry, P.D., Chanen, A., McCarthy, E., Van Riel, R., McKenzie, D., & Singh, B.S. (1991). Posttraumatic stress disorder following recent-onset psychosis: An unrecognised postpsychotic syndrome. Journal of Nervous and Mental Disease, 179, 253–258.CrossRefGoogle Scholar
McGorry, P.D., Copolov, D.L., & Singh, B.S. (1990). Current concepts in functional psychosis: The case for a loosening of associations. Schizophrenia Research, 3, 221–234.Google Scholar
McGorry, P.D., & Kulkarni, J. (1994a). Prevention and preventively oriented clinical care in psychotic disorders. Australian Journal of Psychopharmacology, 7, 62–69.Google Scholar
McGorry, P.D., & Kulkarni, J. (1994b). Early psychosis: A preventive approach to management. Manuscript submitted for publication.Google Scholar
Moscarelli, M., Capri, S., & Neri, L. (1991). Cost evaluation of chronic schizophrenic patients during the first 3 years after the first contact. Schizophrenia Bulletin, 17, 421–426.CrossRefGoogle ScholarPubMed
Pica, S., Edwards, J., Jackson, H.J., Bell, R.C., Bates, G.W., & Rudd, R.P. (1990). Personality disorders in recent-onset bipolar disorder. Comprehensive Psychiatry, 31, 499–510.Google Scholar
Rabiner, C.J., Wegner, J.T., & Kane, J.M. (1986). Outcome of first-episode psychosis: I. Relapse rates after 1 year. American Journal of Psychiatry, 143, 1155–1158.Google Scholar
Strakowski, S.M., Tohen, M., Stoll, A.L., Faedda, G.L., Mayer, P.V., Kolbrener, M.L., & Goodwin, D.C. (1993). Comorbidity in psychosis at first hospitalisation. American Journal of Psychiatry, 150, 752–757.Google Scholar
Strauss, J.S. (1986). Discussion: What does rehabilitation accomplish? Schizophrenia Bulletin, 12, 120–123.CrossRefGoogle Scholar
Strauss, J.S., Harding, C.M., Hafez, H., & Lieberman, P. (1987). The role of the patient in recovery from psychosis. In Strauss, J.S., Böker, W., & Brenner, H.D. (Eds.), Psychosocial treatment of schizophrenia: Multidimensional concepts, psychological, family and self-help perspectives. Toronto: Hans Huber.Google Scholar
Tarrier, N. (1992). Psychological treatment of positive psychotic schizophrenic symptoms. In Kavanagh, D.J. (Ed.), Schizophrenia: An overview and practical handbook. London: Chapman & Hall.Google Scholar
Tarrier, N., & Barrowclough, C. (1986). Providing information to relatives about schizophrenia. British Journal of Psychiatry, 149, 458–463.CrossRefGoogle ScholarPubMed
Yalom, I.D. (1983). Inpatient group psychotherapy. New York: Basic Books.Google Scholar