TY - JOUR
T1 - Treatment Adherence in Youth with First-Episode Psychosis
T2 - Impact of Family Support and Telehealth Delivery
AU - Alston, Marion
AU - Bennett, Carole Frances
AU - Rochani, Haresh
N1 - Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.
PY - 2019/11/2
Y1 - 2019/11/2
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85070488762&partnerID=8YFLogxK
U2 - 10.1080/01612840.2019.1630532
DO - 10.1080/01612840.2019.1630532
M3 - Article
C2 - 31381462
AN - SCOPUS:85070488762
SN - 0161-2840
VL - 40
SP - 951
EP - 956
JO - Issues in Mental Health Nursing
JF - Issues in Mental Health Nursing
IS - 11
ER -
