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Intervening Early in Psychosis

A Team Approach

Edited by Kate V. Hardy, Clin.Psych.D., Jacob S. Ballon, M.D., M.P.H., Douglas L. Noordsy, M.D., and Steven Adelsheim, M.D.

  • ISBN 978-1-61537-175-4
  • Item #37175

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A growing body of both research and clinical experience confirms that intervening early in the progression of psychotic symptoms may delay or even prevent the movement toward more serious psychiatric illness. Young people at clinical high risk of developing psychosis, or those with a recent onset of psychosis, can benefit from a range of tailored interventions each emphasizing recovery and return to functioning.

Achieving recovery and remission for people experiencing psychosis requires a multifaceted, team-based response, and it is precisely this sort of a holistic approach Intervening Early in Psychosis: A Team Approach provides. With expert guidance on tailoring care to the needs of young people experiencing a first-episode psychosis, this book—the first of its kind to focus on the U.S. health care environment—begins with an overview of the history of early psychosis services in the United States and the development of coordinated specialty care (CSC) services.

Clinical case examples then illustrate the application of a range of evidence-based interventions, from the psychological and psychosocial—including cognitive-behavioral therapy for psychosis and supported employment and education—to peer, family, lifestyle, and technological interventions. All of these interventions are examined in individual detail, but it is the effectiveness of the interplay between them that the authors of Intervening Early in Psychosis emphasize. The collaboration of multidisciplinary stakeholders, including licensed therapists, medical providers, employment and education specialists, and peer specialists, is central to the success of the multimodal care model outlined in the guide and is examined at length.

This interdisciplinary approach is underpinned by recovery-oriented language that focuses on healing and recovery rather than disability and illness management. The book also provides an individual and family perspective on the lived experience of psychosis that underscores the importance of engaging clients and their support network in a philosophy of shared decision making.

With additional chapters that discuss advocacy issues and policy considerations when establishing CSC services and the importance of reducing the duration of untreated psychosis to optimize clinical and functional outcomes, this is the most comprehensive resource for clinicians, case workers, peer and vocational specialists, family members, and anyone else interested in expanding their knowledge of the early identification and treatment of individuals with psychotic disorders.


  • Preface
  • Chapter 1. Introduction: Early Intervention in Psychosis—Beachhead for Transformational Reform in Mental Health Care
  • Chapter 2. Growth of Early Intervention in Psychosis in the United States
  • Chapter 3. Early Detection of Schizophrenia: A Population Health Approach
  • Chapter 4. Early Intervention and Policy
  • Chapter 5. First-Person Accounts of Psychosis and Advocacy Work
  • Chapter 6. Engaging Families and Individuals in Care
  • Chapter 7. Assessment of People in the Early Stages of Psychosis
  • Chapter 8. Assessment and Targeted Intervention in Individuals at Clinical High Risk for Psychosis
  • Chapter 9. Medical Workup for First-Episode Psychosis
  • Chapter 10. Assessing and Treating Trauma in Team-Based Early Psychosis Care
  • Chapter 11. Intervening Early: A Team-Based Approach
  • Chapter 12. Psychopharmacology for People in Early Psychosis
  • Chapter 13. Psychotherapeutic Interventions for Early Psychosis
  • Chapter 14. Substance Use and Early Psychosis
  • Chapter 15. Role of Aerobic Exercise in the Treatment of Early Psychosis
  • Chapter 16. Supported Employment and Education for People in Early Psychosis
  • Chapter 17. Implementing Peer Support in Early Psychosis Programs
  • Chapter 18. Family Intervention and Support in Early Psychosis
  • Chapter 19. Suicide Risk, Assessment, and Intervention in Early Psychosis
  • Chapter 20. Using Technology to Advance Early Psychosis Intervention
  • Chapter 21. Inpatient Care for Early Psychosis: A Recovery-Oriented Perspective
  • Chapter 22. Working With Adolescents at Risk for or Experiencing First Episode of Psychosis
  • Chapter 23. Special Populations: College and University Students
  • Index


    Jacob S. Ballon, M.D.
    Deborah R. Becker, M.Ed.
    Iruma Bello, Ph.D.
    Dror Ben-Zeev, Ph.D.
    Mary F. Brunette, M.D.
    Benjamin Buck, Ph.D.
    Kristin Cadenhead, M.D.
    John D. Cahill, M.D.
    Nybelle Caruso
    Mehak Chopra, D.O.
    Lisa Dixon, M.D.
    Robert E. Drake, M.D., Ph.D.
    Maria Ferrara, M.D.
    Chantel Garrett
    Tresha A. Gibbs, M.D.
    Shirley M. Glynn, Ph.D.
    Howard H. Goldman
    Michael Haines
    Jill Harkavy-Friedman, Ph.D.
    Debra R. Hrouda, Ph.D.
    Agnieszka Kalinowski, M.D., Ph.D.
    Rebecca Jaynes, LCP
    Skylar Kelsven
    Hyun Jung Kim, M.D.
    David Kimhy, Ph.D.
    Yulia Landa, Psy.D.
    Carlos Larrauri
    Rhoshel K. Lenroot, M.D.
    Ally Linfoot
    Rachel L. Loewy, Ph.D.
    Sarah Lynch, LCSW
    Nyamuon Nguany Machar
    Walter Mathis, M.D.
    Patrick D. McGorry, A.O., M.D., Ph.D.
    Ryan Melton, Ph.D.
    Piper Meyer-Kalos, Ph.D.
    Kim T. Mueser, Ph.D.
    Tara Niendam, Ph.D.
    Luz H. Ospina, Ph.D.
    Jessica Pollard, Ph.D.
    Zheala Qayyum, M.D.
    Jeffrey D. Reed, D.O.
    Abram Rosenblatt, Ph.D.
    Megan Sage
    Tamara Sale
    Kristen Sayles, M.S., R.N.
    Vinod H. Srihari, M.D.
    Lucia Valmaggia, Ph.D.
    Gerrit van Schalkwyk, M.B., Ch.B.
    Paula Wadell, M.D.
    Barbara C. Walsh, Ph.D.
    Jian-Ping Zhang, M.D., Ph.D.

About the Authors

Kate V. Hardy, Clin.Psych.D.,is Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Jacob S. Ballon, M.D., is Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Douglas L. Noordsy, M.D., is Professor in the Department of Psychiatry at the Geisel School of Medicine at Dartmouth, and Clinical Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Steven Adelsheim, M.D., is Clinical Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine in Stanford, California.

Grounded in research but illustrated with clinical experience and the voice of the consumer; this book brings to life the treatment of a first episode psychosis. The book takes a broad and detailed approach from policy and public health to individual and family engagement and treatment. The theme of the book is recovery, and the focus on improving outcomes permeates the various chapters. This book makes a significant contribution to the field of early intervention.—Donald Addington, Professor, Department of Psychiatry, University of Calgary, Member, Mathison Centre for Mental Health Research and Education

Based on a wealth of clinical and research experience this book is an invaluable resource for clinicians and agencies who are all working towards early intervention in psychosis with transitional age youth. The authors offer a comprehensive understanding of all aspects of early intervention including both young people who may be at serious risk of developing psychosis as well as those who are experiencing a first episode. This highly user-friendly text offers case descriptions, often step-by step instructions for assessments and interventions and excellent guidelines for a team-based approach to early intervention for psychosis.—Jean Addington, Ph.D., Professor of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta Canada

The publication is very comprehensive with an impressively long list of chapters and contributors. It covers policy and practice developments in the US and Is written in an accessible engaging style. It provides an excellent' how to' guide in relation to a broad range of aspects of EIP Pactice with practice examples, reserach evidence and a wealth of experience from EIP practitioners, researchers and peer workers from services across the US. It is great to see the fruits of US investment in EIP services being reflected in an up to date publication that has resonance with and offers new learning for both the US and international EIP community of practice.—Jo Smith, Professor of EIP and Psychosis, University of Worcester, Worcester, UK

I have read various books that include a chapter or two on first-episode psychosis, but this is the first book that I have come across that covers so many of its facets. The chapters review specific topics in detail that is not found outside of this book. Those who have a particular interest in this topic will find this book helpful, but those who are not deeply involved with those with first episode psychosis will not require such a level of detail.—Aaron Plattner, M.D., Doody Reviews

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