Premium
Recommendations for the optimal care of patients with recent‐onset psychosis in the A sia‐ P acific region
Author(s) -
Lo Tak Lam,
Warden Matthew,
He Yanling,
Si Tianmei,
Kalyanasundaram Seshadri,
Thirunavukarasu Manickam,
Amir Nurmiati,
Hatim Ahmad,
Bautista Tomas,
Lee Cheng,
Emsley Robin,
Olivares Jose,
Yang Yen Kuang,
Kongsakon Ronnachai,
Castle David
Publication year - 2016
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/appy.12234
Subject(s) - psychosocial , psychiatry , psychosis , medicine , psychological intervention , antipsychotic , consistency (knowledge bases) , relevance (law) , substance abuse , schizophrenia (object oriented programming) , set (abstract data type) , psychology , geometry , mathematics , political science , law , computer science , programming language
Providing optimal care to patients with recent‐onset psychosis can improve outcomes and reduce relapse. However, there is a lack of consistency of the implementation of guidelines for such patients across the A sia‐ P acific region. We determined a pragmatic set of recommendations for use on a day‐to‐day basis to help provide optimal care at this crucial stage of illness. The recommendations were developed over a series of meetings by an international faculty of 15 experts from the A sia‐ P acific region, E urope, and S outh A frica. A structured search of the PubMed database was conducted. This was further developed based on the faculty's clinical experience and knowledge of the literature into 10 key aspects of optimal care for patients during the first five years of a diagnosis of a psychotic disorder, with particular relevance to the A sia‐ P acific region. Several common principles emerged: adherence to antipsychotic medications is crucial; substance abuse, psychiatric and medical comorbidities should be addressed; psychosocial interventions play a pivotal role; and family members can play a vital role in overall patient care. By following these recommendations, clinicians may improve outcomes for patients with recent‐onset psychosis.