Stigma of Treatment Stages for First-Episode Psychosis: A Conceptual Framework for Early Intervention Services.
Journal
Harvard review of psychiatry
ISSN: 1465-7309
Titre abrégé: Harv Rev Psychiatry
Pays: United States
ID NLM: 9312789
Informations de publication
Date de publication:
Historique:
entrez:
5
3
2021
pubmed:
6
3
2021
medline:
23
11
2021
Statut:
ppublish
Résumé
Early intervention services (EIS; in the United States, Coordinated Specialty Care) can lead to substantial improvements in psychiatric symptoms and social functioning for individuals with first-episode psychosis who engage in treatment. Nevertheless, stigma associated with early intervention services can limit their full potential benefits by preventing or reducing participation. Drawing from Corrigan's "why try" model positing relationships between public and self-stigma, engagement in treatment services, and the EIS treatment model, this article proposes a framework that delineates how distinct forms of stigma are linked to given stages of treatment engagement in first-episode psychosis. We identify three phases of engagement: (1) community outreach, which has associations with public stigma; (2) the referral and evaluation process, which primarily has associations with self-stigma; and (3) EIS, which have associations with self-stigma and its psychosocial consequences. For each phase, we describe evidence-based strategies typically provided by EIS programs, using OnTrackNY as an exemplary model, to illustrate potential linkages in our conceptual framework. By specifying how distinct forms of stigma are associated with EIS treatment stages, this framework is intended to guide EIS programs in explicitly addressing stigma to optimize recovery of individuals with first-episode psychosis.
Identifiants
pubmed: 33666396
doi: 10.1097/HRP.0000000000000288
pii: 00023727-202103000-00003
pmc: PMC9931450
mid: NIHMS1870013
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
131-141Subventions
Organisme : NIMH NIH HHS
ID : R01 MH096027
Pays : United States
Organisme : NHGRI NIH HHS
ID : R21 HG010420
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH103210
Pays : United States
Informations de copyright
Copyright © 2021 President and Fellows of Harvard College.
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