Services for people with complex psychosis: towards a new understanding
نویسندگان
چکیده
This paper describes the need for commissioners and service providers to consider the development of a whole-system approach to providing rehabilitation services for patients with complex psychosis, in the context of the current economic pressures and emergence of a competitive market in this area of mental health. The practical and organisational arrangements for the management of risk with such services are described, taking into account the varying provision of rehabilitation services across the UK and considering how these can be developed against the care clustering system and interfaces with other mental health services.
منابع مشابه
What do people with psychosis think caused their psychosis? A Q methodology study.
BACKGROUND A key component of cognitive therapy for psychosis is the development of a meaningful and shared formulation of the onset of the psychosis. Therapists bring an understanding of the development of psychotic symptoms based on theoretical models and try to marry these with the person's own experience and explanations. However, an important question is whether this understanding is compa...
متن کاملChallenges in the early detection and intervention of the psychosis-risk syndrome
The concept of a clinical high-risk state for psychosis has been used to describe individuals who have prodromal symptoms of psychosis and, thus, are at high-risk of developing psychosis. This high-risk concept promotes a more detailed developmental understanding of the evolution of psychosis and provides a theoretical basis for providing necessary mental health services to people at clinically...
متن کاملPsychosis and help-seeking behavior in rural KwaZulu Natal: unearthing local insights
BACKGROUND Growing interest in strategies regarding early intervention for psychosis has led to a parallel interest in understanding help-seeking behavior, especially in low- and middle-income countries (LMICs). Nevertheless, few LMIC studies have examined individuals with psychosis in non-urban, non-hospital settings. Using the perspective of formal and informal community service providers, we...
متن کاملIntercultural Relations between Southern Iran and the Oxus Civilization. The Strange Case of Bifacial Seal NMI 1660.
New archaeological evidences of the so-called "Bactrian-Margiana Archaeological Complex" (= BMAC) has invited a change in our knowledge of the cultural relations between Oxus civilization and south-eastern Iran during the III-II millennium B.C. transition period. The new archaeological projects in southern and western Turkmenistan, as well as attested at Gonur Depe, have showed a wider and more...
متن کاملDesign of the BiRmingham Early Detection In untREated psyChosis Trial (REDIRECT): cluster randomised controlled trial of general practitioner education in detection of first episode psychosis [ISRCTN87898421]
BACKGROUND Treatment delay in first episode psychosis is common. As general practitioners are the first point of contact for many individuals with first episode psychosis, they are well placed to detect the early symptoms and make urgent referrals to specialist secondary care services. However, early psychosis is often difficult to detect. The primary objective of the Redirect trial is to estim...
متن کامل