Early Intervention in Psychiatry: EI of Nearly Everything for Better Mental Health

Early intervention (EI) is the single most important advance in mental health care of the past decade, representing a key shift in both theoretical standpoint and service delivery. Early Intervention in Psychiatry clearly describes best practice for extending this approach to all psychiatric disorders. Beginning with the rationale for EI, it informs interventions in people from all age groups across the lifespan, from perinatal to old age. It addresses EI in specific settings, such as primary health care, community health, the general hospital, non–government agencies, and in social movements, and for specific disorders including depression and anxiety, alcohol and substance use, childhood disorders, psychoses, bipolar disorders, eating disorders and borderline personality disorders. Early Intervention in Psychiatry is an essential guide for all psychiatrists, general practitioners, family physicians and public health doctors. It is also a valuable resource for mental health professionals and primary care colleagues, including nurses, social workers, psychologists, occupational therapists, vocational rehabilitation specialists, peer and support workers and for mental health commissioners and policy–makers.

List of contributors Foreword Part I: The Rationale for Early Intervention in Nearly Everything 1 Introduction 2 How Early Intervention can turn things upside down and turn a patient into a psychiatrist 3 Involving the Family in Early Interventions 4 Do Early Intervention Services for Psychosis Represent Value for Money? Part II: Early Intervention across the Lifespan 5 Perinatal preventive interventions in psychiatry: A clinical perspective 6 Psychiatry and Intervention in Infancy and Early Childhood 7 Early Intervention for young people with mental illness 8 Transiting out of Child and Adolescent Mental Health Services 9 Adults of working age 10 Early Intervention in Older Adults – A focus on Alzheimer’s Dementia Part III: Early Intervention in Specific Settings 11 Primary prevention of mental disorders 12 Early intervention in mental health problems: the role of the voluntary sector 13 Why primary care matters for early intervention in psychiatry 14 General hospitals 15 Early Intervention Services: Background, rationale and development Part IV: Early Intervention in Specific Disorders 16 Prevention and early intervention in depression and anxiety disorders 17 Alcohol and substance use prevention and early intervention 18 Early intervention in childhood disorders 19 Early intervention for Delirium 20 Early intervention for Self–harm 21 Early intervention in Bipolar disorder 22 Early intervention in Eating disorders 23 Early intervention to reduce violence and offending outcomes in young people with mental disorders 24 Early intervention for Borderline Personality Disorder Part V: Conclusions 25 Early intervention and The Power of Social Movements: UK development of early intervention in psychosis as a social movement and its implications for leadership 26 Challenging stigma 27 Conclusions including standards Afterword

Peter Byrne, Homerton University Hospital, London; Royal College of Psychiatrists, UK Alan Rosen, School of Public Health, University of Wollongong; Brain and Mind Research Institute, University of Sydney; Mental Health Commission of New South Wales, Australia