Treatment Adherence in Youth with First-Episode Psychosis: Impact of Family Support and Telehealth Delivery

Issues in Mental Health Nursing
Marion AlstonHaresh Rochani

Abstract

Mental health-care delivery to young people with first-episode schizophrenia presents significant challenges especially in underserved areas. This chart review reveals the importance of family support as a predictor for medication and treatment adherence with this vulnerable group. An unexpected disengagement rate of 47% was discovered. It was further discovered that receiving care with telehealth delivery was a significant predictor of lost to follow-up or treatment nonadherence. Recommendations include psychoeducation for families during the initial crisis, initiation of long-acting injectable antipsychotics early in care, a hybrid telehealth intervention with in-home medication delivery, and collaboration with educational, vocational county agencies for employment support. A system of care must be developed to support young people with this severe illness for optimum outcome and protection of long-term cognitive functioning.

References

Apr 9, 2010·Psychiatric Rehabilitation Journal·Richard W Goldberg, Sandra G Resnick
Jun 24, 2010·Culture, Medicine and Psychiatry·Neely Laurenzo Myers
Dec 6, 2012·Schizophrenia Research and Treatment·Amy L BarnesMelisa V Rempfer
May 27, 2014·Journal of Psychiatric Research·Joshua BreslauRyan A Brown
Sep 25, 2014·The British Journal of Psychiatry : the Journal of Mental Science·Matti PenttiläJouko Miettunen
Feb 7, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Wing Chung ChangEric Yu Hai Chen
May 27, 2015·Rehabilitation Psychology·Julie ChronisterKurt Silver
Mar 5, 2016·Neuropsychiatric Disease and Treatment·Huey Yi ChongNathorn Chaiyakunapruk
Apr 26, 2016·Issues in Mental Health Nursing·Irma H MahoneDiane E Snow
May 3, 2016·The Journal of Clinical Psychiatry·Martin CloutierEric Wu
Nov 28, 2016·Archives of Psychiatric Nursing·Perihan Sagut, Zekiye Çetinkaya Duman
Apr 4, 2017·Psychiatric Rehabilitation Journal·Susan R McGurkHeather Deutsch
May 10, 2017·Social Psychiatry and Psychiatric Epidemiology·Philippe ConusMartin Lambert
Jun 22, 2017·Case Reports in Psychiatry·Alireza AmirsadriCynthia L Arfken
Nov 21, 2018·Archives of Psychiatric Nursing·Joy MaddiganCarole-Lynne Le Navenec
Jun 30, 2018·International Journal of Nursing Sciences·Isabela Dos Santos MartinSueli Aparecida Frari Galera

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here

© 2021 Meta ULC. All rights reserved