Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Keshavan, MatcheriS ; Shrivastava, Amresh ; Gangadhar, BangaloreN (2010) Early intervention in psychotic disorders: Challenges and relevance in the Indian context Indian Journal of Psychiatry, 52 (7). p. 153. ISSN 0019-5545

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Official URL: http://doi.org/10.4103/0019-5545.69228

Related URL: http://dx.doi.org/10.4103/0019-5545.69228


Over the last two decades, there has been an increasing interest in the concept of early intervention (EI) in psychotic disorders, notably schizophrenia. Several lines of research underlie this emerging paradigm shift: (a) an increasingly well-established association between the duration of prolonged untreated illness and poor outcome; (b) evidence of progressive neurobiological changes in the early course of schizophrenia both in the pre-psychotic and psychotic phases, as evidenced by brain imaging studies in schizophrenia; and (c) emerging data, albeit preliminary, suggesting the efficacy and effectiveness of EI programs in improving the outcome in these patients. Mental health service systems across the globe, including Asian countries, have been incorporating specialized early intervention programs. However, literature on EI in the Indian setting is relatively sparse. In this article, we will review the rationale and approaches to EI and the application of these approaches to the Indian context, in light of the available literature. We also examine the constraints in the implementation of EI. Controlled data are needed to evaluate EI and the roadblocks to them, in order to implement EI in the resource-strapped mental health service settings in India.

Item Type:Article
Source:Copyright of this article belongs to Indian Psychiatric Society.
Keywords:Early Intervention; India; Neurobiology; Psychosis; Schizophrenia.
ID Code:119078
Deposited On:08 Jun 2021 04:36
Last Modified:08 Jun 2021 04:36

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