The psychosis response guide : how to help young people in psychiatric crises

180 Pages·01.744 MB·English

by  Carina A. Iati

W
THE PSYCHOSIS RESPONSE GUIDE
A I
F A
O T
How to Help Young People in Psychiatric Crises R I
D
CARINA A. IATI, PsyD · RACHEL N. WAFORD, PhD
T
The first book for nonspecialists on intervening and helping young H
T H E
persons who may be experiencing psychosis
E
“Approaching the issue of psychosis from a staged, public health approach has momentum
nationally. How to understand and intervene in the early stages is a compelling challenge. P
This book is a comprehensive, readable resource for teachers, physicians, and others to help S
them understand this important issue.”
Y
—Ken Duckworth, MD, Medical Director, National Alliance on Mental Illness C P S Y C H O S I S
In recent years, there has been increasing attention given to young people with H
emerging psychotic illness, both in media coverage of current events as well as in
O
policies and movements toward providing specialized services to this vulnerable
population. This concise, accessible guide for helping professionals without training in S
psychosis intervention is a quick reference for identifying and intervening with a person
I
experiencing a first psychotic episode. It guides helping professionals in how to identify S
R E S P O N S E
a possible psychotic episode, how to interact compassionately and effectively with the
individual, and how to make appropriate referrals toward proper treatment. R
E
Free of jargon and unfamiliar medical terminology, this how-to resource offers clear
guidelines for detecting possible psychosis, advice on how to provide immediate care S
for the at-risk individual, and specific actions to take depending on the severity of the P
crisis. With a focus on adolescents and young adults—the most “at-risk” population
for initial psychotic episodes—the book offers quick-access information for a wide O G U I D E
range of professionals in educational and community health settings, including school N
personnel, counselors, social workers, law enforcement professionals, and primary
care providers. Also included is a brief review of research supporting early intervention S
strategies. This guide is valuable as a reference for immediate access to information E
or can be read from start to finish to increase knowledge and preparedness for a

variety of situations. G
U
Key Features:
• Addresses a critical need for early identification of young people who are I
experiencing a first psychotic episode and describes how to help them D
How to Help Young People in Psychiatric Crises
• Presents information clearly, succinctly, and accessibly for nonspecialists E
• Stresses the need to make appropriate referrals to qualified individuals
• Written for a wide range of helping and other professionals in educational and
community settings
• Authored by clinicians highly experienced in
working with individuals with psychosis ISBN 978-0-8261-2437-1
C A R I N A A . I A T I
R A C H E L N . W A F O R D
11 W. 42nd Street
New York, NY 10036-8002
www.springerpub.com 9 780826 124371
The Psychosis
Response Guide
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Carina A. Iati, PsyD, is a licensed clinical psychologist in Boston,
Massachusetts, where she provides psychological services to adolescents
and young adults experiencing psychotic disorders in the Prevention and
Recovery in Early Psychosis (PREP) Program at Massachusetts Mental
Health Center. Dr. Iati provides individual, group, family, and multi-
family therapy to assist young adults and their families in recovering from
psychotic illnesses. She is an instructor in psychology in the Department
of Psychiatry at Harvard Medical School and supervises psychology
graduate students completing training in early psychosis treatment.
Dr. Iati’s research interests include early markers of schizophrenia
spectrum disorders and personality assessment using the Minnesota
Multiphasic Personality Inventory-2 (MMPI-2) and she has published
several articles on these topics. She also teaches undergraduate courses
in introductory psychology and abnormal psychology at Bunker Hill
Community College, where she hopes to inspire the next generation of
psychologists.
Rachel N. Waford, PhD, is a licensed clinical psychologist in Atlanta,
Georgia. She is currently a supervising psychologist in the Department
of Psychiatry at Emory University and a research assistant professor in
Emory University’s Rollins School of Public Health. Dr. Waford also has
a part-time private practice specializing in individual and family treat-
ment for severe mental illness, with an emphasis on early intervention for
adolescents and young adults with psychosis. She is also involved with a
number of community organizations in the Atlanta area to promote early
intervention and recovery. A proponent of recovery in all forms, at all
stages of the illness, Dr. Waford assists patients and families toward this
goal.
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The Psychosis
Response Guide
How to Help Young People
in Psychiatric Crises
Carina A. Iati, PsyD
Rachel N. Waford, PhD
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www.springerpub.com
Acquisitions Editor: Nancy S. Hale
Composition: Newgen KnowledgeWorks
ISBN: 978-0-8261-2437-1
e-book ISBN: 978-0-8261-2438-8
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The author and the publisher of this Work have made every effort to use sources believed to
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Library of Congress Cataloging-in-Publication Data
Names: Iati, Carina A., author. | Waford, Rachel N., author.
Title: The psychosis response guide : how to help young people in psychiatric crises /
Carina A. Iati, Rachel N. Waford.
Description: New York, NY: Springer Publishing Company, LLC, [2016] |
Includes bibliographical references and index.
Identifi ers: LCCN 2015037356| ISBN 9780826124371 | ISBN 9780826124388 (e-book)
Subjects: | MESH: Adolescent. | Psychotic Disorders—therapy. |
Schizophrenia—therapy. | Young Adult. | Crisis Intervention.
Classifi cation: LCC RJ503 | NLM WS 463 | DDC 616.8900835—dc23
LC record available at http://lccn.loc.gov/2015037356
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This book is dedicated to all of the incredible young people
we have had the pleasure to know and serve. It is inspired
by the stories of recovery you embody. We hope that you
will be proud of what we have created from the things
you have taught us.
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Contents
Foreword by Elaine F. Walker, PhD ix
Preface xi
Acknowledgments xiii
Share The Psychosis Response Guide: How to Help Young
People in Psychiatric Crises
Introduction: Mission and Purpose of This Book 1
1. What Do We Know About Schizophrenia Spectrum
Disorders and Treatment Options? 5
2. What Does a First Psychotic Episode Look Like? 31
3. How Can You Engage an Individual Identifi ed as
Needing Assistance? 61
4. How Can You Intervene? 91
5. Follow-Up and Outcomes 139
6. National Resources 155
Index 159
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Foreword
This excellent book, The Psychosis Response Guide: How to Help Young People
in Psychiatric Crises, fi lls an unmet need in the fi eld of mental health treat-
ment. There is now overwhelming evidence that the early detection and
treatment of psychotic disorders are critical for optimizing prognosis.
Yet, to date, there have been relatively few reference sources to assist pro-
fessionals, friends, and families in navigating the road to diagnosis and
early intervention. Moreover, among the books that are available, none is
devoted to offering guidance primarily to those who are not in the fi eld of
mental health, yet are in a position to assist youth who are experiencing an
initial episode of psychosis. There is no doubt that it is uniquely challeng-
ing to be confronted with the task of supporting and encouraging patients
who are experiencing psychotic symptoms for the fi rst time in their lives.
In this volume, Drs. Carina A. Iati and Rachel N. Waford offer expert
and compassionate advice on recognizing the fi rst signs of psychosis, as
well as the strategies that professionals and friends and families can use
to enhance the patient’s entry into the treatment system. They offer solu-
tions to the problems that are likely to emerge at each of the critical stages:
engagement, intervention, and follow-up. The authors provide a thor-
ough road map that addresses the characteristic features of these stages
and the unique challenges that patients are likely to encounter in the jour-
ney to treatment and recovery. The authors’ knowledge of our current sci-
entifi c understanding of psychotic disorders, coupled with their clinical
experience and sensitivity, makes this an extremely useful resource.
As the authors clearly document, there are unfortunate but signif-
icant differences between psychiatric and other medical disorders with
respect to how their detection and treatment are conceptualized. Although
there have been major advances in public education about mental health,
social stigma and bias against those with psychiatric disorders remain.
In fact, stigma is often the fi rst barrier that individuals confront when
they experience the onset of an initial psychotic episode. Seeking help
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