IEPA 2012

Title Poster First Author Abstract or summary Type
Managing disclosure in recent-onset psychosis: utilizing the individual placement and support model Luana R Turner

Individual Placement and Support is the most studied evidence-based approach to supported employment for severe mental illness, including recent-onset psychosis. Furthermore, employment and education are viewed as integral aspects of treatment and recovery. Yet, there is little discourse or empirical work regarding the management of mental illness disclosure to employers or educators when utilizing the Individual Placement and Support model.

Conference Presentations
The long-term outcome of early detection for psychosis, data from the outreach and support in south London service Lucia Valmaggia

An increasing number of new clinical services are being set up to identify and manage people during the ‘at-risk’ phase of the illness, before the first episode of psychosis develops. Previous studies have shown that intervening in the at risk phase can reduce prodromal symptoms and prevent transition to psychosis within two years from referral. Less definitive are the data regarding the medium and long term outcomes of those at risk and the outcome in those who go on to develop a psychotic episode.

Conference Presentations
Identifying men at ultra high risk of psychosis in a prison population Manuela Jarret

Background: Previous research has shown a high of psychotic disorders among prisoners compared to the general population. We sought to investigate the prevalence of men who have a very high risk of developing psychosis in a prison population. Methods: The Prodromal Questionnaire — Brief Version (Loewy, Pearson, Vinogradov, Bearden and Cannon, 2011), was used to screen newly-arrived prisoners in a London prison for features associated with an increased risk of psychosis. Concurrent validity was evaluated using the Comprehensive Assessment for At Risk Mental State (Yung et al., 2005).

Conference Presentations
The Association Between Working Alliance, Compliance, Self-Efficacy And Social Function In A Cohort Of 400 Patients With First-Episode Psychosis Marianne Melau

Background: Working alliance (WA) defined as the treatment relationship between client and primary professional contact. WA focus in: task agreement, how to achieve the goals, and development of personal bond. In the field of psychotherapy the link between a strong therapeutic alliance and positive outcomes is well documented.

Conference Presentations
On The Horyzon: Moderated Online Social Therapy For Long-Term Recovery In First Episode Psychosis Mario Alvarez-­Jimenez

Background: Early intervention services have demonstrated improved outcomes in first episode psychosis (FEP); however, recent evidence shows that treatment benefits may not be sustainable over time. These findings have resulted in repeated recommendations for the implementation of longer-term treatment programs. An Internet-based intervention specifically designed for FEP patients may provide a cost-effective alternative to prevent loss of treatment benefits from early intervention.

Conference Presentations
Risk Factors For And Rates Of Relapse In First Episode Psychosis: A Systematic Review And Meta-Analysis Mario Alvarez-Jimenez

Preventing relapse is an essential element of early intervention in psychosis, however relevant risk factors and precise relapse rates remain to be clarified. The aim of this study was to systematically compile and analyze risk factors for and rates of relapse in first episode psychosis (FEP). To this end, we systematically reviewed and meta-analysed FEP longitudinal studies with a minimum 12-month follow-up that reported on risk factors for relapse. Twenty-nine articles were included.

Conference Presentations
Employment Outcome Over 12 Years In A First Episode Psychosis Cohort Niall Turner

Background: Research of employment outcomes of people with schizophrenia has been hampered by methodological issues (Marwaha & Johnson, 2004). Furthermore, studies that specifically examine the employment outcome of first episode psychosis (FEP) cohorts are rare. Methodology Following ethics approval, a cohort (n = 171) who had been incepted into a FEP study 12 years earlier were traced and, where possible, reassessed on two occasions: once to determine clinical outcome and, if agreeable, once to establish occupational outcome.

Conference Presentations
Developing a university based early psychosis program; overview of epicenter Nicholas Breitborde

To date, university medical centers have served as the primary setting for early psychosis programs within the United States. The Early Psychosis Intervention Center (EPICENTER) at the University of Arizona is an example of such a university-based clinic. EPICENTER was established in February 2010 with funding from the Institute for Mental Health Research and the University of Arizona and provides care to 34 individuals with first-episode psychosis and 38 caregiving relatives.

Conference Presentations
Randomized controlled trial of antipsychotic and cognitive therapy in young people at ultra-high risk of psychosis Patrick McGorry

Background Cognitive therapy (CT) and/or low dose antipsychotic administered to Individuals deemed as being at Ultra High Risk (UHR) for psychotic disorder may prevent or delay the onset of full blown illness. However it is unclear which of these treatments are most effective. Method In order to examine these issues, we conducted a randomized controlled trial of CT plus risperidone (CT+Risp); CT plus placebo (CT+Plac); and supportive therapy plus placebo (Supp+Plac) in UHR young people. Results 12-month transition rates were: CT+Risp, 10.7%; CT+Plac, 9.6%; ST+Plac, 21.8%.

Conference Presentations
Diagnostic Reliability And Validity Of The Proposed Dsm-5 Attenuated Psychosis Syndrome Scott Woods

Data on diagnostic reliability and validity in routine community practice are needed as part of evaluating the appropriateness of the proposed Attenuated Psychosis Syndrome (APS) diagnosis for DSM-5. Methods. In an ongoing locally-funded study, 34 patients referred for research evaluation for suspected APS and eleven non-expert, “community” clinicians participated. Community clinicians were recruited via the Connecticut Psychiatric Society email listserv.

Conference Presentations

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