Early Intervention in Psychiatry: EI of Nearly Everything for Better Mental Health

Early intervention (EI) is the single most important advance in mental health care in recent decades, representing a key shift in both theoretical standpoint and service delivery. Early Intervention in Psychiatry clearly describes best practice for extending this approach to all psychiatric disorders. Beginning with the rationale for EI, it informs interventions in people from all age groups across the lifespan, from perinatal to old age. It addresses EI in specific settings, such as primary health care, community health, the general hospital, non-government agencies, and in social movements, and for specific disorders including depression and anxiety, alcohol and substance use, childhood disorders, psychoses, bipolar disorders, eating disorders and borderline personality disorders. Early Intervention in Psychiatry is an essential guide for all psychiatrists, general practitioners, family physicians and public health doctors. It is also a valuable resource for mental health professionals and primary care colleagues, including nurses, social workers, psychologists, occupational therapists, vocational rehabilitation specialists, peer and support workers and for mental health commissioners and policy-makers.

Table of Contents:
List of Contributors ix Foreword xiii Part I The Rationale for Early Intervention in Nearly Everything 1 Introduction 3 Peter Byrne and Alan Rosen 2 How Early Intervention Can Turn Things Upside Down and Turn a Patient Into a Psychiatrist 10 Nick Meinhold 3 Involving the Family in Early Interventions 20 Gr´ainne Fadden 4 Do Early Intervention Services for Psychosis Represent Value for Money? 33 Paul McCrone and Martin Knapp Part II Early Intervention Across the Lifespan 5 Perinatal Preventive Interventions in Psychiatry: A Clinical Perspective 45 Martin St-Andr´e, Hannah Schwartz and Keiko Yoshida 6 Psychiatry and Intervention in Infancy and Early Childhood 57 Jane Barlow 7 Early Intervention for Young People with Mental Illness 68 Tom Callaly 8 Transiting Out of Child and Adolescent Mental Health Services – Influences on Continuities and Discontinuities in Mental Health Care 79 Linda Dowdney and Helen Bruce 9 Adults of Working Age 92 Karl Marlowe 10 Early Intervention in Older Adults – A Focus on Alzheimer’s Dementia 103 Brian Lawlor and Celia O’Hare Part III Early Intervention in Specific Settings 11 Primary Prevention of Mental Disorders 119 Inge Petersen, Arvin Bhana, Crick Lund and Helen Herrman 12 Early Intervention in Mental Health Problems: The Role of the Voluntary Sector 134 Andrew McCulloch, Isabella Goldie and Sophie Bridger 13 Why Primary Care Matters for Early Intervention in Psychiatry 147 David Shiers and Helen Lester 14 Early Intervention in the General Hospital 160 Peter Byrne and Iyas Assalman 15 Early Intervention Services versus Generic Community Mental Health Services: A Paradigm Shift 169 Marco Armando, Franco De Crescenzo and Maximilian Birchwood Part IV Early Intervention in Specific Disorders 16 Prevention and Early Intervention in Depression and Anxiety Disorders 187 Irwin Nazareth and Tony Kendrick 17 Alcohol and Substance Use Prevention and Early Intervention 201 Nicola C. Newton, Mark Deady and Maree Teesson 18 Early Intervention in Childhood Disorders 218 Rajeev Jairam and Garry Walter 19 Early Intervention for Delirium 234 David Meagher and Walter Cullen 20 Early Intervention for Self-Harm and Suicidality 255 Sarah Steeg, Jayne Cooper and Nav Kapur 21 Early Intervention in Bipolar Disorder 267 Paddy Power, Philippe Conus, Craig Macneil and Jan Scott 22 Early Intervention in Eating Disorders 288 Leora Pinhas, Jennifer Wong and D. Blake Woodside 23 Early Intervention to Reduce Violence and Offending Outcomes in Young People with Mental Disorders 305 Rick Fraser, Rosemary Purcell and Danny Sullivan 24 Early Intervention for Borderline Personality Disorder 318 Andrew M. Chanen and Louise McCutcheon Part V Conclusions 25 Early Intervention and the Power of Social Movements: UK Development of Early Intervention in Psychosis as a Social Movement and its Implications for Leadership 337 David Shiers and Jo Smith 26 Challenging Stigma 358 Amy C. Watson, Patrick Corrigan and Kristin Kosyluk 27 Conclusion: Towards Standards for Early Prevention and Intervention of Nearly Everything for Better Mental Health Services 373 Alan Rosen and Peter Byrne Afterword for Early Intervention of Nearly Everything for Better Mental Health Services 396 Patrick McGorry Index 400