Service Engagement in First-Episode Psychosis: Current Issues and Future Directions.

TitleService Engagement in First-Episode Psychosis: Current Issues and Future Directions.
Publication TypeJournal Article
Year of Publication2015
AuthorsLal S, Malla A
JournalCan J Psychiatry
Volume60
Issue8
Pagination341-5
Date Published2015 Aug
ISSN1497-0015
KeywordsAdolescent, Adult, Humans, Patient Compliance, Psychotic Disorders, Schizophrenia, Young Adult
Abstract

It has been reported that up to 50% of patients receiving mental health services disengage from treatment, with adolescents and young adults being particularly at high risk. Even in the context of specialized services in youth mental health, such as early intervention programs for psychosis, disengagement rates remain high. There is a need for extensive and innovative efforts to address the issue of service disengagement in first-episode psychosis (FEP). A multi-dimensional understanding of the phenomenon of engagement can help to inform the development of strategies to address this important clinical issue. In our paper, we propose a conceptual framework for understanding service engagement, provide an overview of the issues pertaining to service engagement in FEP, and suggest future directions for research and practice.

DOI10.1177/070674371506000802
Alternate JournalCan J Psychiatry
PubMed ID26454555
PubMed Central IDPMC4542513
Grant List / / Canadian Institutes of Health Research / Canada

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