Recruitment and treatment practices for help-seeking "prodromal" patients.

TitleRecruitment and treatment practices for help-seeking "prodromal" patients.
Publication TypeJournal Article
Year of Publication2007
AuthorsMcGlashan, TH, Addington J, Cannon T, Heinimaa M, McGorry P, O'Brien M, Penn D, Perkins D, Salokangas RKR, Walsh B, Woods SW, Yung A
JournalSchizophrenia bulletin
Volume33
Issue3
Pagination715-26
Date Published2007 May
ISSN0586-7614
KeywordsCase Management, Clinical Trials as Topic, Combined Modality Therapy, Cross-Cultural Comparison, Early Diagnosis, Humans, Informed Consent, Outcome and Process Assessment (Health Care), Patient Acceptance of Health Care, Patient Selection, Risk Management, Schizophrenia, Schizophrenic Psychology, Schizotypal Personality Disorder
Abstract

The prodrome of psychosis has become a target for early identification and for treatments that address both symptoms and risk for future psychosis. Interest and activity in this realm is now worldwide. Clinical trials with rigorous methodology have only just begun, making treatment guidelines premature. Despite the sparse evidence base, treatments are currently applied to patients in the new prodromal clinics, usually treatments developed for established psychosis and modified for the prodromal phase. This communication will describe representative samplings of how treatment-seeking prodromal patients are currently recruited and treated in prodromal clinics worldwide. Recruitment includes how prodromal patients are sought, initially evaluated, apprised of their high-risk status, and informed of the risks and benefits of prodromal treatments and how their mental state is monitored over time. The treatment modalities offered (and described) include engagement, supportive therapy, case management, stress management, cognitive behavioral treatment, family-based treatment, antipsychotic pharmacotherapy, and non-antipsychotic pharmacotherapy. References for details are noted.

DOI10.1111/j.1751-7893.2008.00088.x
Alternate JournalSchizophr Bull