Intervention Programmes for First-Episode Psychosis: A Scoping Review
The aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reduc...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Nursing Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-4403/15/1/16 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587786591404032 |
|---|---|
| author | Marta Gouveia Tânia Morgado Tiago Costa Francisco Sampaio Amorim Rosa Carlos Sequeira |
| author_facet | Marta Gouveia Tânia Morgado Tiago Costa Francisco Sampaio Amorim Rosa Carlos Sequeira |
| author_sort | Marta Gouveia |
| collection | DOAJ |
| description | The aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reducing the duration of untreated psychosis (DUP). Despite the expansion of these programmes, there are still some significant variations and barriers to access that need to be addressed. In line with the Joanna Briggs Institute (JBI) methodology and the Participants, Concept, and Context (PCC) framework, this review encompasses studies focusing on individuals grappling with early-stage psychosis and their caregivers across a range of settings, including hospital and community environments. The review identified 47 studies from 2002 to 2023, which revealed a great deal of diversity in programme characteristics and implementation contexts. This reflects a global perspective. The results showed that there is a great deal of variety in the characteristics of the programmes, with interventions ranging from single-component strategies, such as cognitive–behavioural therapy (CBT) and cognitive remediation therapy (CRT), to multicomponent programmes that integrate a number of different approaches, including psychosocial, pharmacological, and family-focused strategies. The objectives included attempts to improve cognitive functioning; enhance coping skills; reduce caregiver burden; and address symptoms such as anxiety, depression, and hallucinations. It is notable that there was considerable variation in the frequency, duration, and follow-up periods of the interventions, with some lasting just three sessions over one month and others spanning five years and 48 sessions. The majority of the programmes were delivered in community or outpatient settings, although there were also examples of hospital- and home-based interventions. These findings highlight the value of early interventions and provide a useful resource for adapting programmes to different social and cultural contexts. It would be beneficial for future research to explore how these interventions can be tailored to diverse settings. |
| format | Article |
| id | doaj-art-1dc007bd961d4b0ab5e7e23acd42be72 |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-1dc007bd961d4b0ab5e7e23acd42be722025-01-24T13:44:29ZengMDPI AGNursing Reports2039-439X2039-44032025-01-011511610.3390/nursrep15010016Intervention Programmes for First-Episode Psychosis: A Scoping ReviewMarta Gouveia0Tânia Morgado1Tiago Costa2Francisco Sampaio3Amorim Rosa4Carlos Sequeira5Local Health Unit of Viseu Dão-Lafões, 3504-509 Viseu, PortugalRISE-Health, Nursing School of Porto, 4200-450 Porto, PortugalRISE-Health, Nursing School of Porto, 4200-450 Porto, PortugalRISE-Health, Nursing School of Porto, 4200-450 Porto, PortugalHealth Sciences Research Unit—Nursing (UICISA: E), Nursing School of Coimbra, 3000-232 Coimbra, PortugalRISE-Health, Nursing School of Porto, 4200-450 Porto, PortugalThe aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reducing the duration of untreated psychosis (DUP). Despite the expansion of these programmes, there are still some significant variations and barriers to access that need to be addressed. In line with the Joanna Briggs Institute (JBI) methodology and the Participants, Concept, and Context (PCC) framework, this review encompasses studies focusing on individuals grappling with early-stage psychosis and their caregivers across a range of settings, including hospital and community environments. The review identified 47 studies from 2002 to 2023, which revealed a great deal of diversity in programme characteristics and implementation contexts. This reflects a global perspective. The results showed that there is a great deal of variety in the characteristics of the programmes, with interventions ranging from single-component strategies, such as cognitive–behavioural therapy (CBT) and cognitive remediation therapy (CRT), to multicomponent programmes that integrate a number of different approaches, including psychosocial, pharmacological, and family-focused strategies. The objectives included attempts to improve cognitive functioning; enhance coping skills; reduce caregiver burden; and address symptoms such as anxiety, depression, and hallucinations. It is notable that there was considerable variation in the frequency, duration, and follow-up periods of the interventions, with some lasting just three sessions over one month and others spanning five years and 48 sessions. The majority of the programmes were delivered in community or outpatient settings, although there were also examples of hospital- and home-based interventions. These findings highlight the value of early interventions and provide a useful resource for adapting programmes to different social and cultural contexts. It would be beneficial for future research to explore how these interventions can be tailored to diverse settings.https://www.mdpi.com/2039-4403/15/1/16psychosisearly interventionmental healthpsychotic disordersreview |
| spellingShingle | Marta Gouveia Tânia Morgado Tiago Costa Francisco Sampaio Amorim Rosa Carlos Sequeira Intervention Programmes for First-Episode Psychosis: A Scoping Review Nursing Reports psychosis early intervention mental health psychotic disorders review |
| title | Intervention Programmes for First-Episode Psychosis: A Scoping Review |
| title_full | Intervention Programmes for First-Episode Psychosis: A Scoping Review |
| title_fullStr | Intervention Programmes for First-Episode Psychosis: A Scoping Review |
| title_full_unstemmed | Intervention Programmes for First-Episode Psychosis: A Scoping Review |
| title_short | Intervention Programmes for First-Episode Psychosis: A Scoping Review |
| title_sort | intervention programmes for first episode psychosis a scoping review |
| topic | psychosis early intervention mental health psychotic disorders review |
| url | https://www.mdpi.com/2039-4403/15/1/16 |
| work_keys_str_mv | AT martagouveia interventionprogrammesforfirstepisodepsychosisascopingreview AT taniamorgado interventionprogrammesforfirstepisodepsychosisascopingreview AT tiagocosta interventionprogrammesforfirstepisodepsychosisascopingreview AT franciscosampaio interventionprogrammesforfirstepisodepsychosisascopingreview AT amorimrosa interventionprogrammesforfirstepisodepsychosisascopingreview AT carlossequeira interventionprogrammesforfirstepisodepsychosisascopingreview |