Early Intervention in Psychiatry最新文献

{"title":"Severity of Psychotic-Like Experiences in Help-Seeking German Adolescents: An Exploration of Psychosocial Predictors and Psychological Treatment Outcomes","authors":"Phuong Mi Nguyen,&nbsp;Sandra Abrantes-Diaz,&nbsp;Sören Friedrich,&nbsp;Karen Krause,&nbsp;Silvia Schneider,&nbsp;Mar Rus-Calafell","doi":"10.1111/eip.70084","DOIUrl":"https://doi.org/10.1111/eip.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychotic-like experiences (PLEs) occur transdiagnostically in young people and are linked to an increased risk of severe psychopathology in adulthood. However, the psychosocial factors influencing PLEs severity and their distribution across diagnoses remain under-researched. Updated knowledge of these aspects is crucial for clinical understanding and treatment. This study aims to expand existing research by investigating the prevalence and psychosocial factors associated with PLEs in help-seeking adolescents, examining differences in their severity across diagnoses and multimorbidity, and exploring preliminary changes following routine cognitive behavioural therapy (CBT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This observational, non-controlled study included 275 adolescents attending a routine mental health service for young people in Germany. Of the full sample, 161 participants completed a full course of CBT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At baseline, 87% reported at least one PLE, and 54.91% reported three or more. The most distressing experiences included thought broadcasting, paranoia, mind reading, and auditory hallucinations. The number of diagnoses did not affect PLEs severity, but the presence of self-reported childhood physical neglect and jumping to conclusions did. Among those who completed CBT, results showed reductions in PLEs severity over time across diagnostic groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights the high prevalence of transdiagnostic PLEs in help-seeking adolescents. Among psychosocial predictors, trauma and cognitive biases were particularly relevant and should be addressed in psychotherapy. The observed improvements in PLEs severity following CBT, irrespective of the primary presenting problem, suggest promising avenues for transdiagnostic therapeutic strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should headspace Centres Offer Early Intervention for Eating Disorders? Outlining a Key Role for Australia's National Youth Mental Health Foundation in the Roll out of Accessible Care","authors":"B. A. Hamilton,&nbsp;S. L. Berry,&nbsp;S. Barakat,&nbsp;S. Horsfield,&nbsp;R. Simeone,&nbsp;S. Maguire,&nbsp;A. L. Burton","doi":"10.1111/eip.70076","DOIUrl":"https://doi.org/10.1111/eip.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>headspace is Australia's National Youth Mental Health Foundation. There are over 165 youth-friendly multidisciplinary services located in every state and territory across Australia. Considerable Government funds are allocated to headspace centres with the aim of targeting mild-to-moderate mental health disorders for young people aged 12–25 years. Young people present for help for a wide range of concerns including mood disorders, anxiety disorders, peer difficulties and substance use issues. Recent research has demonstrated that a high percentage of young people accessing care at headspace centres are experiencing significant body image concerns and are engaging in disordered eating behaviours. These include dietary restriction, binge eating and purging behaviours such as self-induced vomiting. The headspace centre model includes both general practitioners and mental health clinicians as part of the clinical team. This multi-disciplinary model enables centres to have the basic staffing needed to provide effective interventions for emerging and mild-to-moderate eating disorder presentations. While offering early intervention for eating disorders is within the scope of headspace centres, full integration of eating disorders care into the core business of headspace centres is still ongoing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This paper aims to highlight the potential of headspace centres to support the early identification and treatment of eating disorders and outlines feasible strategies for embedding evidence-based care within their existing service framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We will argue that headspace centres are well placed with existing resources to provide effective and accessible early intervention for eating disorders to young Australians at risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When a Mental Health Policy Change Meets a Youth Early-Intervention Service: Reflections on the Role of Diagnosis","authors":"Gili Hoter Ishay,&nbsp;Michal Mashiach-Eizenberg,&nbsp;David Roe","doi":"10.1111/eip.70081","DOIUrl":"https://doi.org/10.1111/eip.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychiatric diagnosis often generates controversy regarding its necessity, validity and utility. While it can help determine service eligibility and guide clinical decision-making, a formal diagnosis can also reinforce negative stereotypes and self-stigma, particularly among adolescents and young adults in critical stages of identity formation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In this article, we argue that a policy shift from a national, free-to-all funding to HMO-based coverage—with mandatory diagnostic documentation—might contradict the principles of early-intervention services for youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Between 2016 and 2018, we collected routine data for an evaluation study of youth early-intervention services in Israel. During this period, eligibility changed from open access to a requirement of receiving a formal DSM diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our secondary analysis shows no significant differences in demographic characteristics, psychological distress or social and occupational functioning before and after the policy change. However, clinicians reported a significantly higher proportion of youth meeting full diagnostic criteria for DSM diagnosis and expressed greater certainty in their assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings underscore the potential influence of policy on clinical judgement—or at least its documentation—demonstrating a paradox: a system intended to broaden early intervention may inadvertently hinge on a stigmatising label, potentially deterring help-seeking among youth. Financial and policy structures can challenge the low-barrier, youth-friendly framework that characterises early intervention in psychiatry. Further investigation is needed to understand the fragile dynamics of mental health coverage policy and the principles youth-oriented early-intervention services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Tribute to Professor Rosemary Purcell, Founding Managing Editor of Early Intervention in Psychiatry","authors":"Patrick McGorry","doi":"10.1111/eip.70071","DOIUrl":"https://doi.org/10.1111/eip.70071","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Spirituality and Religiosity in the Maintenance and Recovery of Psychosis: A Systematic Review","authors":"Megan Westhead,&nbsp;Anna Georgiades","doi":"10.1111/eip.70061","DOIUrl":"https://doi.org/10.1111/eip.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Many individuals with psychosis consider themselves religious or spiritual and report using religion as a means of coping with their illness. However, research exploring the impact of religiosity and spirituality on the experience of psychosis is sparse, with most studies focusing on delusions or hallucinations with religious content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review examined the evidence regarding the role of religiosity/spirituality in the maintenance and recovery of psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 35 studies were eligible for inclusion. In terms of maintenance, religiosity and spirituality were positively correlated with positive symptoms of psychosis. Individualised religious practice was associated with more severe delusions, while high intrinsic religiosity was associated with an increased severity of auditory and visual hallucinations. In terms of recovery, Positive Religious Coping (PRC) was found to improve wellbeing, quality of life, treatment expectancy, and medication adherence, while Negative Religious Coping (NRC) increased suicidality, positive symptom severity, and illness duration, and reduced social functioning. Holding religious/spiritual explanatory models was correlated with increased psychosis symptom severity and delayed recovery, while holding a bio-psychosocial explanatory model assisted with recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Religiosity/spirituality appears to play a significant role in the maintenance and recovery of positive symptoms of psychosis. CBTp could be enhanced by integrating religiosity and spirituality into assessment, formulation, and the development of targeted interventions. This approach would promote more culturally adapted CBTp and improved engagement with clients from diverse cultural backgrounds in Early Intervention Services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 7","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Focused Treatment in Psychosis: A Systematic Review","authors":"I. Hellen,&nbsp;S. G. Døsvig,&nbsp;B. E. Liseth,&nbsp;N. Mørkved,&nbsp;J. O. Johannessen,&nbsp;E.-M. Løberg","doi":"10.1111/eip.70064","DOIUrl":"https://doi.org/10.1111/eip.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A majority of patients with psychosis have experienced trauma, but trauma-focused (TF) treatment is not routinely offered. The current systematic review set out to examine the effect of TF treatments in patients with a psychotic disorder and comorbid trauma symptoms on symptoms of (1) trauma, (2) psychosis and (3) anxiety, depression and psychosocial functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search following the PRISMA guideline yielded 17 studies reported in 19 records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, results indicated positive effects of TF treatment on trauma symptoms (87.5% of the studies), especially for TF CBT, EMDR and PE for psychosis, with indications of improvements to be stable over time. Positive outcomes were also reported for psychosis symptoms (72.2% of the studies). Results were inconclusive for depression (56% of the studies), anxiety (44.4% of the studies) and functioning (66.7% of the studies), which also were less frequently reported as outcomes in the included studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The present findings give preliminary support for the effect of TF treatment on trauma and psychosis symptoms, but there is more uncertainty for anxiety, depression and psychosocial functioning, which need more research. Support was found for treatments delivered both individually and by group. The current evidence base on TF treatment in psychosis is, however, still at an early stage and is challenged by methodological issues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 7","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emphasising Collaborative and Psychoeducational Approaches for Unusual Sensory Experiences: A Commentary on Hamilton et al. (2025)","authors":"Ying-Tzu Chen,&nbsp;Lien-Chung Wei","doi":"10.1111/eip.70067","DOIUrl":"https://doi.org/10.1111/eip.70067","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descriptive Characteristics of Psychiatric Medication Discontinuation Among Perinatal Women With Depressive Symptoms","authors":"Clevanne Julce,&nbsp;Julie Flahive,&nbsp;Taber Lightbourne,&nbsp;Sriya Podila,&nbsp;Allexis Mahanna,&nbsp;Martha Zimmermann,&nbsp;Radley Christopher Sheldrick,&nbsp;Tiffany A. Moore Simas,&nbsp;Nancy Byatt","doi":"10.1111/eip.70070","DOIUrl":"https://doi.org/10.1111/eip.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study examined the prevalence of psychiatric medication discontinuation amongst perinatal women with depressive symptoms and describes characteristics of those who discontinued compared to those who continued medications in pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a cross-sectional analysis using baseline data from the PRogram In Support of Moms study. Amongst 98 women prescribed psychiatric medication, we descriptively assessed sociodemographic characteristics of participants who discontinued versus continued medications. A logistic regression model evaluated the association between depressive symptoms and medication discontinuation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Approximately 65% reported medication discontinuation in pregnancy (95% CI: 55%–74%). Those who discontinued had a median Edinburgh Postnatal Depression Scale (EPDS) score that was 1 point higher than those who continued (<i>p</i> = 0.12). Of those who discontinued medications, 27% were never married, 52% reported annual incomes &lt; $60 000, and 56% were Medicaid-insured.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Most participants prescribed psychiatric medications before pregnancy discontinued them in pregnancy. Adequately powered studies are needed to validate findings and to explore mediating factors.</p>\u0000 \u0000 <p><b>Trial Registration:</b> NCT02760004</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bipolar Early Intervention Using New Digital Technologies (BLEND): A Pilot Randomised Controlled Trial of a Novel Blended-Digital Early Intervention Model of Care for Youth With Bipolar Disorder I or II","authors":"Aswin Ratheesh,&nbsp;Jesse Gates,&nbsp;Dylan Hammond,&nbsp;Clare Shelton,&nbsp;Craig Macneil,&nbsp;Melissa Hasty M,&nbsp;Arup Dhar,&nbsp;Simon D'Alfonso,&nbsp;Lianne Schmaal,&nbsp;Lars V. Kessing,&nbsp;John F. Gleeson,&nbsp;Chris Davey,&nbsp;Andrew Chanen,&nbsp;Greg Murray,&nbsp;Sue M. Cotton,&nbsp;Patrick D. McGorry,&nbsp;Michael Berk,&nbsp;Mario Alvarez-Jimenez","doi":"10.1111/eip.70060","DOIUrl":"https://doi.org/10.1111/eip.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite evidence for early interventions for bipolar disorder (BD), there are relatively few accessible treatment models. We developed a digitally augmented model of care termed BLEND (BipoLar early interventions using New Digital technologies) which aims to improve mood symptoms in BD. BLEND includes: (a) guideline-concordant pharmacotherapy; (b) in-person psychological therapies blended with digital therapeutic content and (c) digital relapse monitoring. The aim of this study was twofold: (i) describe the acceptability, safety and feasibility of delivering BLEND and (ii) examine the feasibility of an efficacy trial of BLEND compared with enhanced standard care (ESC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We conducted a parallel-group, open-label, 2:1 randomised pilot trial within a youth mental-health outpatient service in Melbourne, Australia. We included youth aged 15–25 years with BD I or II, who had not previously accessed multidisciplinary care. All participants received similar background care. BLEND differed from ESC in having manualised blended digital and in-person psychological therapies and digital relapse monitoring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We randomised 21 young people over a 12-month recruitment period, predominantly female participants (71.4%) with BD Type II (85.7%). Both treatment models were acceptable and safe, but the BLEND group had greater reductions in suicidal ideation. Among components of BLEND, in-person psychological therapy and psychopharmacological interventions could be delivered with fidelity. Digital therapy engagement was high, but participants used digital relapse monitoring variably.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The BLEND model was safe and acceptable and may lead to improvements in suicidality compared with ESC. Concordant with the aims of a pilot study, there is scope for the content to be rationalised based on feedback to improve feasibility of the digital therapy. Relapse monitoring may usefully be extended to depressive symptoms. The next step is to confirm the efficacy of BLEND compared with standard care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Peer Worker Perspectives on the Critical Issues for Family Peer Support in Youth Mental Health Settings","authors":"Sarah Whitson,&nbsp;Zsofi de Haan,&nbsp;Susan Preece,&nbsp;Maureen Swinson,&nbsp;Sue Williams,&nbsp;Karen Smith,&nbsp;Jennifer Bité,&nbsp;Isabel Zbukvic,&nbsp;Magenta B. Simmons","doi":"10.1111/eip.70066","DOIUrl":"https://doi.org/10.1111/eip.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family peer workers form connections with family members of young people attending mental health services and can offer emotional support, relevant information, and referrals based on their own lived experience. Although an increasing number of family peer support programs exist in the youth mental health sector, they are rarely described or reported on. There is a need for greater documentation of the experiences of family peer workers operating in the sector to raise awareness of issues currently facing the workforce and support organisations to make positive changes. We present a detailed description of the factors that impact effective program implementation and delivery from the perspectives of four family peer workers and two supervisors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Organisations should encourage self-care and social connections between family peer workers to reduce the impacts of ongoing mental health challenges, work-related burnout, and isolation. Colleagues should be educated about the field of family peer support to improve role clarity and foster a positive team environment. Within the field, it is vital to develop comprehensive position descriptions, training programs, and onboarding procedures to ensure new employees are adequately equipped. To improve staff retention and compensate those with further education, experience, and skills, organisations may consider offering increased remuneration, negotiating longer-term contracts with a potential for a greater number of workdays, and should create senior lived experience positions. Further research is needed to formally investigate barriers and facilitating factors of program implementation in mental health settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}