Challenges to Recovery Following Early Psychosis: Implications of Recovery Rate and Timing

 
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Presentation First Author: 
W Joy Maddigan
Abstract: 

The early psychosis movement is founded on an indicated prevention framework that has early illness identification and timely recovery as its driving force. This study advances understanding of recovery by examining the recovery status of individuals who participated in a three-year early psychosis program. This prospective cohort study of 260 individuals is one strand of a mixed methods investigation that explored recovery outcomes and experiences over a nine-year period (2001-2009). Two operational measures were used to explore the rate and timing of recovery within the cohort:1. comprehensive recovery was measured by three criteria: a) symptom control; b) daily functioning; and, c) quality of life; and 2) partial recovery was comprised of two criteria: a) symptom control; and b) daily functioning. Survival analysis using the Kaplan-Meier statistic and Cox hazard regression examined the cohort's rate and timing for both measures. Fifty-nine (22.7%) individuals reached comprehensive recovery over three years, primarily in year two and three of treatment. Issues impacting quality of life delayed recovery for the majority of program participants. Partial recovery was attained by 174 individuals with most (70%) reaching the target within nine months. The study findings identify an overall plateau in improvement following the first year of treatment, indicating that individuals may require additional or varied opportunities to optimize recovery. The results suggest that sustained interventions aimed at personal skill development, which underpin improvements in quality of life are essential for comprehensive recovery. Strengthening interdisciplinary, family and community collaborations may help address the lag in recovery time.

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Kellie LeDrew - Kevin Hogan - Carole-Lynne LeNavenec
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