Early intervention unit. The building up and clinical experience of a community-based unit for early intervention

Journal title PSICOBIETTIVO
Author/s Renato M. Menichincheri
Publishing Year 2018 Issue 2018/1
Language Italian Pages 19 P. 89-107 File size 131 KB
DOI 10.3280/PSOB2018-001006
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The ten-year experience of Early Intervention is presented in the early stages of psychosis, implemented in the Mental Health Department of the ASL Roma 3. In it, a synthesis was sought between the competences already present in the Department and the scientific and organizational innovations coming from the Literature and from the international experiences (intervention models, neuro and cognitive partner rehabilitation, tutoring, etc.). The challenge is to provide a timely, intensive, pro-active intervention, in which the various components are activated simultaneously (drugs, psychological support, family intervention, maintenance of social roles - school, work, free time). The goal is to achieve not only a clinical recovery but also a functional one, by activating personal and family skills to allow a lasting change and re-adaptation, respectful of the needs and aspirations of the patient and his context, but also to help recognize and accept limits and difficulties.

Keywords: Multidimensional Assessment; Pro-Active Attitude; Family Involvement; Early Interventions; Simultaneity.

  1. Addington D.E., Norman R., Bond G.R., Sale T., Melton R., McKenzie E., Wang J. (2016) “Development and Testing of the First-Episode”, Psychosis Services Fidelity Scale Psychiatric Services, 67, 9.
  2. Addington J., Penn D., Woods S.W., Addington D., Perkins D. (2008) “Facial affect recognition in individuals at clinical high risk for psychosis”, B. J. Psych., 192: 67-68.
  3. Addington J., Saeedi H., Addington D. (2006) “Facial affect recognition: a mediator between cognitive and social functioning in psychosis?”, Schizophr. Res., 85, 1-3: 142-150.
  4. Balbi A., Chiaia E., Menichincheri R.M., Morosini P. (a cura di) (2006a) Percorsi Innovativi in Salute Mentale, Alpes, Roma
  5. Balbi A., Chiaia E., Sistopaoli P. (2007) “Narrazione e psicopatologia: L’Anamnesi Stati Psicotici all’Esordio (SPEs)”, Riv. Psichiatr., 42(1): 59-68. DOI: 10.1708/241.286
  6. Balbi A., Vinci G., Menichincheri R. (2006) “REIPP Roman Project for Early Intervention in Psychosis – an Italian Experience”, Schizophrenia Research, 86, Supplement: S42. DOI: 10.1016/S0920-9964(06)70128-
  7. Barbato A. (2008) “La riabilitazione in psichiatria: cosa è cambiato e cosa dovrebbe cambiare”, Psichiatria di Comunità, VII, 4
  8. Baron-Cohen S., Jolliffe T., Mortimore C., Robertson M. (1997) “Another Advanced Test of Theory of Mind: Evidence from Very High Functioning Adults with Autism or Asperger Syndrome”, Journal of Child Psychology and Psychiatry, 38, 7: 813-822.
  9. Baron-Cohen S., Wheelwright S., Hill J., Raste Y., Plumb I. (2001) “The ‘Reading the Mind in the Eyes’ Test Revised Version: A Study with Normal Adults, and Adults with Asperger Syndrome or High-functioning Autism”, Journal of Child Psychology and Psychiatry, 42, 2: 241-251. DOI: 10.1017/S002196300100664
  10. Baron-Cohen S., Wheelwright S. (2004) “The Empathy Quotient: An Investigation of Adults with Asperger Syndrome or High Functioning Autism, and Normal Sex Differences”, Journal of Autism and Developmental Disorders, 34, 2. DOI: 10.1023/B:JADD.0000022607.1983
  11. Birchwood M., Fiorillo A. (2000) “The critical period for Early Intervention”, Psychiatric Rehabilitation Skills, 4, 2: 182-198. DOI: 10.1080/1097343000840840
  12. Borriello A., Balbi A., Iannucci C., Recchioni P., Vincenzoni P., Mirabella F. (2010) “Studio di efficacia nella pratica di un intervento di valutazione e riabilitazione delle funzioni cognitive in soggetti psicotici”, Rivista di Psichiatria, 45(5): 326-333. DOI: 10.1708/530.632
  13. Borriello A., Balbi A., Menichincheri R.M., Mirabella F. (2015) “Valutazione di efficacia del training cognitivo IPT di Brenner nell’esordio psicotico. Uno studio pilota”, Rivista di Psichiatria, 50(3): 127-133. DOI: 10.1708/1910.2079
  14. Borriello A., Dionisi A., Iannucci C., Balbi A. (2002a) “Criteri operativi di misurazione dei deficit cognitivi nel paziente schizofrenico in un contesto psichiatrico pubblico”, Rivista di Psichiatria, 37(1): 20-28
  15. Borriello A., Iannucci C., Dionisi A., Balbi A. (2002b) “Applicazione di un protocollo diagnostico neuropsicologico. Evidenze di deficit cognitivi in un gruppo di pazienti psichiatrici dei Centri Diurni del DSM della ASL Roma D”, Rivista di Psichiatria, 37(2): 61-68
  16. Brenner H.D., Roder V., Hodel B., Kienzle N., Reed D., Liberman R.P. (1994) Integrated psychological therapy for schizophrenic patients (IPT), Hogrefe & Huber Publishers, Ashland, OH
  17. Brothers L. (1990) “The social brain: A project for integrating primate behavior and neurophysiology in a new domain”, Concepts in Neuroscience, 1: 27-51
  18. Chiaia E., Pacifico G., Andronico F., Carnevale S., Corasaniti V., Piccirilli E., Menichincheri R., Sistopaoli P., Vinci G., Balbi A. (2010) Il Database del Nucleo Interventi Precoci della ASL RM/D: risultati di 3 anni di attività, EABCT 2010 XL Congress Milano, 9 Ottobre, 2010 AIPP CONFERENCE Atti
  19. De Francisci A., Piersanti T. (2014) “Alla conquista della genitorialità: gruppo per genitori di pazienti all’esordio del disturbo psicotico (The conquest of parenthood: group for parents of patients at the onset of psychotic disorder)”, Rivista di Psicoterapia Relazionale, 40: 5-19. DOI: 10.3280/PR2014-04000
  20. Di Berardino C. (2002) La conoscenza di sé e la conduzione dei gruppi riabilitativi, FrancoAngeli, Milano
  21. Edwards J., McGorry P. (2002) Implementing Early Intervention in Psychosis. A guide to Estabilishing Early Psychosis Services, Martin Dunitz an imprint of Taylor & Francis Book Ltd (trad. it.: Intervento precoce nelle psicosi, Centro Scientifico Editore, Torino, 2004)
  22. Fusar-Poli P., Yung A., McGorry P., Van Os J. (2014) “Lessons learned from the psychosis high-risk state: Towards a general staging model of prodromal intervention”, Psychological Medicine, 44(1): 17-24. DOI: 10.1017/S003329171300018
  23. George C., Kaplan N., Main M. (1996) Adult Attachment Interview, Unpublished manuscript, Department of Psychology, University of California, Berlkeley (third edition) [aallanshore.com]
  24. Gibson C.M., Penn D.L., Prinstein M.J., Perkins D.O., Belger A. (2010) “Social skill and social cognition in adolescents at genetic risk for psychosis”, Schizophr. Res., 122, 1-3: 179-184.
  25. Gross G., Huber G., Klosterkötter J., Linz M. (1987) BSABS Bonner Skala für Beurteilung von Basissymptommen, Springer-Verlag, Berlin, Heidelberg (trad. it.: Scala di Bonn per la valutazione dei sintomi di base (BSABS), ETS Editrice, Pisa, 1992)
  26. Horan W.P., Kern R.S., Shokat-Fadai K., Sergi M.J., Wynn J.K., Green M.F. (2009) “Social Cognitive Training in schizophrenia: an initial efficacy study of stabilized outpatients”, Schizophr. Res., 107 (1): 47-54.
  27. Kohler C.G., Turner T.H., Bilker W.B., Brensinger C.M., Siegel S.J., Kanes S.J., Gur R.E. (2003) “Facial Emotion Recognition in Schizophrenia: Intensity Effects and Error Pattern”, Am. J. Psychiatry, 160: 1768-1774.
  28. Koutsouleris N., Davatzikos C., Bottlender R. et al. (2012) “Early recognition and disease prediction in the at-risk mental states for psychosis using neurocognitive pattern classification”, Schizophr. Bull., 38: 1200-15.
  29. Lee J., Zaki J., Harvey P., Ochsner K., Green M. (2011) “Schizophrenia patients are impaired in empathic accuracy”, Psychological Medicine, 41(11): 2297-2304. DOI: 10.1017/S003329171100061
  30. Lora A., Bai G., Bianchi S., Bolongaro G., Civenti G., Erlicher A., Maresca G., Monzani E., Panetta B., Von Morgen D., Rossi F., Torriand V., Morosini P.L. (2001) “La versione Italiana della Honos (“Health Of The Nation Outcome Scales”) una scala per la valutazione della gravità e dell’esito nei servizi di salute mentale”, Epidemiologia e Psichiatria Sociale, 10, 3: 198-212.
  31. Magliano L., Fiorillo A., Malangone C., Aletti A., Belotti G., Bevilacqua P., Delle Femine A.L., Fontana G.M., Maucioni F., Travi M., Zanus P., Rossi A., Maj M. (1998) “Family burden in schizophrenia: effects of socio-environmental and clinical variables and family intervention”, Epidemiologia e Psichiatria Sociale, 7, 3: 178-187. DOI: 10.1017/S1121189X0000737
  32. Maj M. (2009) “Prefazione”, Noos, 15, 3
  33. Maone A., D’Avanzo B. (2015) Recovery, Raffaello Cortina, Milano
  34. Maurer K., Hoerrmann F., Schmidt G. et al. (2004) “The early recognition inventory ERIraos: two-step procedure for detection of ‘at-risk mental states’’’, Schizophrenia Research, 70 (suppl.), s76. [© K. Maurer, R. Könnecke, D. Weber & H. Häfner – Versione Italiana Programma 2000 Azienda Ospedaliera Ospedale Niguarda Ca’ Granda]
  35. Maurer K., Hoerman F., Haefner H. (2006) “Evaluation of psychosis risk by the schedule ERIraos. Results Based on 1 Year transition rates in the german schizophrenia network study”, Schizophrenia Research, 86 Supplement: S19
  36. Meyer M.B., Kurtz M.M. (2009) “Elementary neurocognitive function, facial affect recognition and social-skills in schizophrenia”, Schizophr. Res., 110, 1: 173-179.
  37. Morosini P.L., Casacchia M. (1995) “Traduzione italiana della Brief Psychiatric Ratings Scale, versione 4.0 ampliata (BPRS 4.0)”, Rivista di Riabilitazione Psichiatrica e Psicosociale, III: 199-228
  38. Ottavi P., D’Alia D., Lysaker P., Kent J., Popolo R., Salvatore G., Dimaggio G. (2014) “Metacognition-Oriented Social Skills Training for Individuals with Long-Term Schizophrenia: Methodology and Clinical Illustration”, Clinical Psychology & Psychotherapy, 21: 465-473.
  39. Ottavi P., Menichincheri R.M. (2013) “Social cognition, metacognizione e psicosi agli esordi: valutazione e trattamento”, in Popolo R., Balbi A., Vinci G. (a cura di), Interventi precoci nelle psicosi, Alpes, Roma
  40. Penn D.L., Corrigan P.W., Bentall R.P., Racenstein J.M., Newman L. (1997) “Social cognition in schizophrenia”, Psychol. Bull., 121: 114-132
  41. Penttilä M., Jääskeläinen E., Hirvonen N., Isohanni M., Miettunen J. (2014) “Duration of untreated psychosis as predictor of long-term outcome in schizophrenia: systematic review and meta-analysis”, The British Journal of Psychiatry, 205(2): 88-94.
  42. Rössler W. (2006) “Psychiatric rehabilitation today: an overview”, World Psychiatry, 5(3): 151-157. PMCID: PMC1636112
  43. Sistopaoli P. (2013) “La costruzione della relazione terapeutica con il paziente all’esordio psicotico”, in Armaro M., Bartolomei G. (a cura di), Il lavoro psicoanalitico nelle istituzioni, Editore Pioda Imaging, Roma
  44. Süllwold L. (1991) Manual zum Frankfurter Beschwerde-Fragebogen (FBF), Springer-Verlag, Berlin Heidelberg.
  45. Questionario dei Sintomi-Base. Manuale, Giunti O.S., Firenze, (1991)
  46. Ventura J., Green M.F., Shaner A., Liberman R.P. (1993) “Training and quality assurance with the Brief Psychiatric Rating Scale: ‘The drift busters’”, International Journal of Methods in Psychiatric Research, 3(4): 221-244
  47. Vinci G., Borriello A., Popolo R., Faia V., Balbi A. (2006) “Cognitive function, social funcioning and quality of life in first episode psychosis”, Schizophr. Res., 86, Supplement. DOI: 10.1016/S0920-9964(06)70079-
  48. Visani E., De Francisci A., Menichincheri R.M., Piersanti T., Recchioni P. (2014) “Stili di funzionamento delle famiglie con una persona a rischio di psicosi”, in Visani E., Di Nuovo S., Loriedo C. (a cura di), Il FACES IV Il modello circonflesso di Olson nella clinica e nella ricerca, FrancoAngeli, Milano
  49. Wing J.K., Curtis, Beevor A.S., Cutis R.h., Haden S., Burns A. (1998) “Health of the Nation Outcome Scales (HoNOS). Research and development”, The British Journal of Psychiatry, 172(1): 11-18.
  50. World Health Organization (1988) Psychiatric Disability Assessment Schedule (WHO-DAS) with a guide to it’s use, WHO, Geneve. Versione italiana: Servizio di psicologia medica dell’Università degli studi di Verona, 1993

Renato M. Menichincheri, Il nucleo interventi precoci. Un’esperienza clinica d’intervento negli stati psicotici all’esordio in "PSICOBIETTIVO" 1/2018, pp 89-107, DOI: 10.3280/PSOB2018-001006