Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.
Department of Psychology, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA.
Child Adolesc Psychiatr Clin N Am. 2020 Jan;29(1):225-239. doi: 10.1016/j.chc.2019.08.012. Epub 2019 Oct 9.
Recovery-oriented treatment for youth with psychosis goes beyond a symptom and deficit-amelioration model, promoting engagement and functioning within the community. Given the challenges young people with psychosis face, early psychosis treatment programs often integrate rehabilitative components targeting functional outcomes. The current article reviews 4 community rehabilitation programs in early psychosis: care coordination, cognitive rehabilitation, supported education and employment, and peer support. For each of these rehabilitative intervention programs, we discuss challenges faced by youth with psychosis, clinical intervention practices, the current state of evidence, and clinical and/or research considerations.
面向青年精神病患者的康复治疗超越了症状和缺陷改善模式,促进了他们在社区中的参与和功能。鉴于精神病青年面临的挑战,早期精神病治疗计划通常整合了针对功能结果的康复成分。本文回顾了早期精神病中的 4 个社区康复计划:护理协调、认知康复、支持性教育和就业以及同伴支持。对于这些康复干预计划中的每一个,我们讨论了精神病青年面临的挑战、临床干预实践、当前证据状况以及临床和/或研究考虑因素。