Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention it is argued that recovery from a first episode of psychosis (FEP) is comprised of 3 core elements: symptomatic, social and personal. Moreover, all 3 types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth focused approach.
Over the 12 chapters in the book, the authors, experienced clinicians and researchers from multi-professional background, demonstrate that long term recovery needs to replace short term remission as the key target of early psychosis services and that to achieve this we need a change in the way we deliver EIP: One that takes account of the different stages of psychosis and the ‘bespoke’ targeting of integrated medical, psychological and social treatments during the ‘critical period’.
Illustrated with a wealth of clinical examples, Recovering from a First Episode of Psychosis, will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.
"This extraordinary state-of-the-art book distils the accumulated clinical and practical experience from the UK’s pioneers of Early Intervention in Psychosis in Birmingham.
It is replete with varied and incisive case material covering all aspects of recovery; and does so combining science and evidence with compassion and amazing skill. This is a must-read for all practitioners working with psychosis."
"This book reminds readers of the central purpose of early intervention services… to secure meaning to the lives of people experiencing psychosis for the first time.
Concepts of recovery are explored in a well-constructed manual that successfully blends evidence-based practice with practice-based evidence, informed by the experience of this book’s authors in delivering these services over the last two decades."
"This excellent new book provides up-to-date evidence of how Early Intervention services have revolutionised the treatment of psychosis by providing a framework for the delivery of evidence-based interventions, embedded within a philosophy of hope and recovery. Moreover, this book challenges us to adjust our focus from early intervention to full, sustained, long-term recovery. It provides a compelling vision of an integrated system which engages effectively and enables rapid access to individualised treatment, without the need for compulsion. A vision worth pursuing."
1. The first episode of psychosis and how EIP services have evolved to optimise adaptation and recovery 2. Adapting, adjusting, and recovering from a first episode of psychosis: the need for integration 3. Biological and medical approaches to symptomatic recovery and adaptation 4. Psychosocial approaches to symptomatic recovery and adaptation 5. Social Recovery in first episode psychosis 6. Treatment approaches to social recovery in first episode psychosis 7. Optimising personal recovery and promoting psychological adaptation following first episode psychosis 8. When psychological adaptation and recovery goes wrong 9. Identifying and managing suicidality following a first episode of psychosis 10. Working with comorbidity and diagnostic uncertainty 11. Family adaptation and recovery following FEP 12.Integrating and operationalising symptomatic, social, and personal recovery: Managing EIP and pathways of care