Early Intervention in Psychiatry最新文献

{"title":"From Silos to Synergy: Insights From Health Professionals on Integrating Youth Mental Health Care.","authors":"Vilas Sawrikar, Sarah Leung, Michael Hodgins, Catherine McHugh, Oliver Ardill-Young, Valsamma Eapen, Raghu Lingam, Jackie Curtis","doi":"10.1111/eip.70213","DOIUrl":"10.1111/eip.70213","url":null,"abstract":"<p><strong>Background: </strong>Over the last two decades, integrated mental health services for youth aged 12-25 have expanded globally to enable young people to access comprehensive age-appropriate care. This study examined the barriers and facilitators of integrated care from the perspective of health practitioners and service providers.</p><p><strong>Method: </strong>In total, 45 service managers and practitioners who work with young people aged 12-25 years participated in interviews investigating the barriers and enablers of integrated youth mental health care. Themes were identified through inductive analysis and organised by overarching themes.</p><p><strong>Results: </strong>Five overarching themes were identified: (i) continuity of care, referring to challenges associated with service fragmentation, navigation, and timely access to care; (ii) workforce, referring to challenges impacting staff ability to provide integrated care; (iii) information exchange, referring to areas to improve communication of patient information; (iv) financing, referring to supporting integrated care through core funding; and (v) leadership, referring to system- and service-level priorities impacting service delivery.</p><p><strong>Conclusion: </strong>Improving integrated youth mental health care entails a multi-level health system transformation. Strategies to achieve this are discussed in the context of the current results and emerging youth-specific frameworks for strengthening service integration and integrated care.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70213"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351084","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":"Protective Effect of Social Support Following Discrimination Varies by Group: Implications for Psychosis Risk Among Asian American, Latine, and White Young Adults.","authors":"Logan D Leathem, Mary Rshtouni, Mengtong Pan, Mohan Gupta, Anna S Lau, Katherine H Karlsgodt","doi":"10.1111/eip.70221","DOIUrl":"https://doi.org/10.1111/eip.70221","url":null,"abstract":"<p><strong>Introduction: </strong>Discrimination is a risk factor for psychotic symptoms among minoritised individuals. Social support has been shown to be a broad protective factor for stressors like discrimination and for psychosis outcomes. However, it is unclear whether social support equally benefits all groups.</p><p><strong>Methods: </strong>In this study, 134 young adults identifying as Asian American, Latine, or non-Hispanic White reported on recent experiences of discrimination, perceived social support, and subclinical psychotic and depressive symptoms.</p><p><strong>Results: </strong>Distinct moderation effects of social support on the association between discrimination and psychosis and depression were found in the NHW and Asian American groups. Above average social support mitigated the effects of discrimination in the NHW group. For Asian American young adults, social support was not sufficient to mitigate the effects of discrimination on psychosis or depression outcomes.</p><p><strong>Conclusions: </strong>Prevention of psychotic disorders among Asian and Asian American groups may require targeting distinct coping strategies to address disparities in illness outcomes.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70221"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351157","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":"Clinical High-Risk for Psychosis in Latinx Populations: Common Issues and Recommendations for Improving Care","authors":"Daylin Delgado,&nbsp;Sydney H. James,&nbsp;Gregory P. Strauss,&nbsp;Thania Galvan","doi":"10.1111/eip.70218","DOIUrl":"10.1111/eip.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Current estimates suggest that about 1.7% of the general population meets criteria for clinical high-risk for psychosis (CHR), but Latinx individuals are more likely to be at higher risk due to factors that could inflate rates of symptomatology. Disparities in screening, access to services, and intervention for Latinx individuals at CHR persist despite calls to action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Through the lens of service utilisation models, the present narrative review builds on prior calls to action by summarising the literature and providing culturally sensitive recommendations for clinicians and researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Disparities include challenges in the identification of need for services by individuals and their social networks, the lack of culturally appropriate tools and interventions across community and specialty settings, and barriers to service retention and engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In response, recommendations include disseminating psychoeducational materials and programs to Latinx communities, creating norms for Latinx individuals for standard screeners and clinical interviews, increasing specialised trainings for providers in different settings, and making psychosis-related research in Latinx populations more accessible through open science practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148359977","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":"Correction to 'Cannabis Use and Clinical Outcomes in First Episode Psychosis: Results From a 2-Year Follow-Up Study'.","authors":"","doi":"10.1111/eip.70224","DOIUrl":"10.1111/eip.70224","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70224"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13357927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430057","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":"Characterizing the Availability and Quality of CBT for Psychosis in the United States and Canada: Results From a Survey of Early Intervention for Psychosis Programs.","authors":"Katherine Eisen, Helen J Wood, Elizabeth Thompson, Sarah L Kopelovich, Tania Lecomte, Colleen Murphy, Samantha J Reznik, Daniel Shapiro, Harry Sivec, Kate V Hardy","doi":"10.1111/eip.70189","DOIUrl":"10.1111/eip.70189","url":null,"abstract":"<p><strong>Introduction: </strong>CBT for psychosis (CBTp) is an evidence-based care standard and a core element of Canadian and United States (US) early intervention for psychosis (EIP) programs. Outside of early intervention programs, fewer than 1% of Canadian and US individuals experiencing psychosis have access to this intervention. However, no empirical investigations of CBTp availability in EIP programs exist in the peer-reviewed literature.</p><p><strong>Methods: </strong>We investigated CBTp availability and quality among Canadian and US EIP programs using a structured questionnaire distributed to team leaders via listservs.</p><p><strong>Results: </strong>Across program respondents (Canada N = 28; US N = 48), all endorsed offering CBTp in some form (low-intensity, group-based and/or high intensity), yet few endorsed quality monitoring or ongoing supervision specific to CBTp. We report EIP program characteristics and determinants of clients being offered CBTp.</p><p><strong>Conclusion: </strong>Efforts and resources to enhance CBTp delivery, including quality assurance, are a vital part of enhancing access to CBTp in EIP programs.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70189"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360019","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":"A Qualitative Study of Family Experiences of the Peer Supported Family Intervention, Psychosis Recovery by Enabling Adult Carers at Home (Psychosis REACH), in an Early Psychosis Clinic.","authors":"Melanie Lean, Katie C Benitah, Diane E Wakeham, Daniel Virtheim, Sarah L Kopelovich, Kate Hardy","doi":"10.1111/eip.70210","DOIUrl":"https://doi.org/10.1111/eip.70210","url":null,"abstract":"<p><strong>Introduction: </strong>Family members play an important role in supporting their loved ones with first episode psychosis (FEP), but few have access to interventions demonstrated to support them in this endeavour. Psychosis REACH (Recovery by Enabling Adult Carers at Home; p-REACH) is a family intervention for psychosis (FIp), delivered directly to families by clinicians and peers, that provides both psychoeducation and Cognitive Behavioural Therapy for psychosis (CBT-p) informed skills to family carers. This study aimed to qualitatively explore family participants' experiences of receiving the p-REACH intervention and assess its feasibility and acceptability within an early psychosis service.</p><p><strong>Methods: </strong>Following the p-REACH intervention, all participants were invited to partake in qualitative interviews and analysed using a Reflexive Thematic Analysis approach.</p><p><strong>Results: </strong>Family carers reported positive experiences with the intervention. Key themes indicated that it helped build (1) internal resources, as participants valued increasing their knowledge and understanding of psychosis and learning skills to support themselves and their loved ones-leading to greater confidence and (2) external resources, as the group-based, peer-supported format enhanced their sense of connection with their loved ones and with other families.</p><p><strong>Conclusions: </strong>This study demonstrates that the intervention was both feasible and acceptable to participants in an early psychosis setting. It contributes to the growing body of evidence supporting the positive impact of family interventions in psychosis, specifically the teaching of CBTp skills to caregivers of those with early psychosis.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70210"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374846","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":"Effectiveness of Digital Tools in Supporting Young Caregivers: A Systematic Review.","authors":"Ravi Shankar, Amaevia Lim, Qian Xu","doi":"10.1111/eip.70215","DOIUrl":"https://doi.org/10.1111/eip.70215","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of digital interventions in supporting young caregivers' mental health, well-being, and caregiving experiences, and to assess implementation factors including adherence and acceptability.</p><p><strong>Method: </strong>We systematically searched six databases (MEDLINE, Embase, PsycINFO, CINAHL, Cochrane Central, and Scopus) and grey literature sources from inception to March 2025, identifying studies evaluating digital interventions for caregivers aged 25 years or younger. Study selection, data extraction, and risk of bias assessment were conducted independently by two reviewers. Due to substantial heterogeneity, narrative synthesis was performed following the Synthesis Without Meta-analysis (SWiM) reporting guidelines.</p><p><strong>Results: </strong>From 752 records, six studies met inclusion criteria, comprising three randomized controlled trials, one feasibility study, and two development/adaptation studies. Interventions included web-based platforms, mobile applications, audio-conferencing systems, and e-learning platforms. Digital tools showed limited effectiveness for mental health outcomes but demonstrated promise for quality-of-life improvements, with one trial showing statistically significant results (Wilks' λ = 0.95, F(4, 418) = 2.74, p = 0.03). Adherence varied dramatically between self-guided platforms (26%) and structured programs (93%). All RCTs demonstrated a high risk of bias.</p><p><strong>Discussion: </strong>These findings reveal a 'digital paradox' whereby the theoretical advantages of accessibility failed to translate into engagement without human facilitation. Digital interventions for young caregivers require hybrid models combining technological convenience with relational support, structured flexibility, and continuous co-design with young caregivers to optimize engagement and effectiveness. The limited number of included studies and uniformly high risk of bias across RCTs underscore the need for pragmatic trials with robust implementation evaluations.</p><p><strong>Prospero registration: </strong>CRD42024604175.</p>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":"e70215"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148367315","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":"Jumping to Conclusions in First-Episode Psychosis and Bipolar Disorder","authors":"Ezgi Cesim,&nbsp;Muhammed Demir,&nbsp;Merve Sümeyye Eyüboğlu,&nbsp;Cemal Demirlek,&nbsp;Burcu Verim,&nbsp;Simge Uzman Özbek,&nbsp;Ekin Süt,&nbsp;Aybüke Küçükakdağ,&nbsp;Yaren Ecesu Turan,&nbsp;Özge İlhan,&nbsp;Berna Yalınçetin,&nbsp;Emre Bora","doi":"10.1111/eip.70212","DOIUrl":"10.1111/eip.70212","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Jumping to conclusions (JTC) bias, which is frequently observed in psychosis, is the tendency to make decisions based on inadequate information. This study explored JTC bias in individuals with first-episode bipolar disorder (FEBD, <i>n</i> = 52), first-episode psychosis (FEP, <i>n</i> = 61) and healthy controls (HCs, <i>n</i> = 38).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>JTC bias was assessed using the Bead Task, in which participants were asked to draw as many beads as they wanted and make conclusions about their source.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>The results showed that both the FEBD and FEP groups exhibited a significantly longer response time and higher tendency to make decisions after drawing a single bead compared to HCs, indicating a subtle tendency towards hastier decision-making in these patient groups. No significant correlations were found between JTC bias and clinical measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study highlights that JTC bias is present in both FEP and FEBD, pointing to potential vulnerabilities in decision-making early in these disorders. These findings highlight the need for further research to determine whether addressing reasoning biases could ultimately benefit decision-making processes in these populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344291","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":"Reply to Hayati and Colleagues—From Goodwill to Structure: Rethinking Collaboration Between Early Psychosis Services and Primary Care","authors":"Joshua C. Wiener,&nbsp;Rebecca Rodrigues,&nbsp;Kelly K. Anderson","doi":"10.1111/eip.70216","DOIUrl":"https://doi.org/10.1111/eip.70216","url":null,"abstract":"","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148386948","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":"Documentation of Psychosis Risk Screening in Same-Day Adolescent Behavioural Health Consultations","authors":"Julia A. Plumb,&nbsp;Kelsey A. Johnson,&nbsp;Cailin Ryrie,&nbsp;Kristen A. Woodberry,&nbsp;Lydia A. Shrier","doi":"10.1111/eip.70214","DOIUrl":"10.1111/eip.70214","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early detection of psychosis is associated with improved outcomes for patients with serious mental illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Psychosis screening items were added to an electronic medical record template used for same-day consultations by behavioural health clinicians in an adolescent/young adult medical clinic. We conducted a retrospective chart review to characterise psychosis prevalence and documentation of psychosis screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Documentation of any responses to psychosis screening items was present in 28% of consultations (<i>n</i> = 116). Among consultations where providers directly inquired about psychosis (14%; <i>n</i> = 59), 20% (<i>n</i> = 12) documented ≥ 1 psychosis risk item, representing 10 unique patients. For three of these patients, this was an initial identification of psychosis concern.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite inclusion of psychosis screening items on a consultation template, most behavioural health consultations did not include documentation of psychosis risk assessment. Documented direct clinician inquiry into psychosis risk was associated with the discovery of previously unidentified psychosis risk factors and symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 7","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148344273","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}