[article] 
inAmerican Journal of Occupational Therapy > Vol. 72/5 (Septembre-Octobre 2018) . - p. 7205190040p1-7205190040p8

Titre :	Early Intervention in Mental Health for Adolescents and Young Adults: A Systematic Review
Type de document :	texte imprimé
Auteurs :	Halley Read ; Sean Roush ; Donna Downing
Année de publication :	2018
Article en page(s) :	p. 7205190040p1-7205190040p8
Note générale :	https://doi.org/10.5014/ajot.2018.033118
Langues :	Anglais (eng)
Résumé :	OBJECTIVE. The purpose of this systematic review was to describe the evidence for the effectiveness of early intervention to improve and maintain performance in occupations for youths with or at risk for serious mental illness (SMI). METHOD. Titles and abstracts of 670 articles were reviewed, 234 were retrieved for full review, and 30 met inclusion criteria. RESULTS. Moderate to strong evidence supports cognitive remediation (CR) and mixed evidence supports cognitive–behavioral therapy (CBT) as an adjunct modality to improve general functioning. Moderate to strong evidence supports use of supported employment and supported education (SE/E) to improve social and occupational outcomes in employment and academics. Strong evidence supports family psychoeducation (FPE) to prevent relapse and rehospitalization and improve problem-solving skills and general functioning. CONCLUSION. Occupational therapy practitioners should integrate CR, SE/E, and FPE into early intervention with youth with or at risk for SMI. In addition, CBT is an effective modality for use with this population.
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[article] Early Intervention in Mental Health for Adolescents and Young Adults: A Systematic Review [texte imprimé] / Halley Read ; Sean Roush ; Donna Downing . - 2018 . - p. 7205190040p1-7205190040p8.
https://doi.org/10.5014/ajot.2018.033118
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 72/5 (Septembre-Octobre 2018) . - p. 7205190040p1-7205190040p8

Résumé :

OBJECTIVE. The purpose of this systematic review was to describe the evidence for the effectiveness of early intervention to improve and maintain performance in occupations for youths with or at risk for serious mental illness (SMI). METHOD. Titles and abstracts of 670 articles were reviewed, 234 were retrieved for full review, and 30 met inclusion criteria. RESULTS. Moderate to strong evidence supports cognitive remediation (CR) and mixed evidence supports cognitive–behavioral therapy (CBT) as an adjunct modality to improve general functioning. Moderate to strong evidence supports use of supported employment and supported education (SE/E) to improve social and occupational outcomes in employment and academics. Strong evidence supports family psychoeducation (FPE) to prevent relapse and rehospitalization and improve problem-solving skills and general functioning. CONCLUSION. Occupational therapy practitioners should integrate CR, SE/E, and FPE into early intervention with youth with or at risk for SMI. In addition, CBT is an effective modality for use with this population.

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