Vancouver/Richmond EPI
Early Psychosis Intervention
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Barriers to Early Intervention
Despite the effectiveness of early intervention, the research indicates that, on average, individuals will have experienced psychosis for 52 - 114 weeks (Loebel et al., 1992; Larsen et al., 1996) prior to initial treatment. Reasons for this delay may include:
Social Aspects
- Stigma.
- Many people experiencing a first episode of psychosis are employed or in school and may fear disruption in these aspects of their lives.
- Poor recognition of illness by others.
Illness Variables
- Paranoia or other symptoms
- Poor insight
- Decline in cognitive functioning, including decreasing ability to concentrate and remember
- Impaired judgment.
Fear of the Unknown
- Fear of being admitted to a psychiatric facility.
- Perception that psychosis is a "life sentence."
System Failures
- Lack of resources.
- Poorly defined referral paths.
- "Wait and see" approach.
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