The importance of early intervention in psychosis
The first psychotic episodes typically appear in young people between the ages of 15 and 30, a crucial stage of life for personal, family, educational, and professional development. Intervening in the initial phases of psychosis is essential , as early and comprehensive treatment improves not only the prognosis of the disorder but also the quality of life of the affected individual.
A key aspect in the treatment of first psychotic episodes is to link the person to health services early, offering them appropriate treatments to prevent the progression of symptoms, reduce the duration of untreated psychosis (UDP), and implement effective long-term treatments.
However, it is uncommon for young people to seek help through the usual channels for accessing mental health services, and the high rate of disengagement from the mental health network among adolescents and young adults is alarming. A 2014 systematic review of disengagement in first-episode psychotic programs confirmed that 30% of those treated disengage from treatment (Doyle et al.). This disengagement is particularly problematic (Tehrani, 1996) because it often occurs when treatment is still recommended and can lead to a worsening of symptoms and an increase in risky behaviors. It is also associated with a higher number of relapses and hospital admissions. In general, disengagement from clinical services in first-episode psychosis is related to poor medication adherence and low social, interpersonal, and occupational functioning, as well as increased mortality rates (Lecomte, 2008).
The high rate of disengagement of adolescents and young people from the mental health network is alarming.
Change in the care model for psychosis
These data highlight the need for a change in the mental health care model , in which the young and adolescent population is the target of preventive, diagnostic and treatment interventions.
In recent decades, early intervention programs for psychosis have been developed in several countries around the world, and the various studies conducted in this field have demonstrated their effectiveness. These programs have yielded positive health outcomes, as well as a reduction in associated overall costs.
A mental health care model specifically for young people
The model of care for psychosis involves offering accessible, community-based, flexible treatment tailored to the individual's needs . It requires an open approach that provides clear and accessible information, facilitates peer relationships, and improves communication between the affected person and professionals. This is all within a collaborative framework of shared decision-making, with greater participation from the affected person and their family throughout the entire care process.
An open approach that offers clear and accessible information and improves communication between the affected person and professionals.
From this new paradigm of a personalized treatment model that aims to engage young people, new technologies are seen as an essential communication tool in today's society. Through these channels, we can connect with adolescents using their everyday language and establish communication in a familiar, appealing, and comfortable environment, with faster, more efficient, and more effective access to information, professionals, and peers.
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