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Recommendations for the optimal care of patients with recent-onset psychosis in the Asia-Pacific region

Providing optimal care to patients with recent‐onset psychosis can improve outcomes and reduce relapse. However, there is a lack of consistency of the implementation of guidelines for such patients across the Asia‐Pacific region. We determined a pragmatic set of recommendations for use on a day‐to‐d...

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Published in:Asia-Pacific psychiatry 2016-06, Vol.8 (2), p.154-171
Main Authors: Lo, Tak Lam, Warden, Matthew, He, Yanling, Si, Tianmei, Kalyanasundaram, Seshadri, Thirunavukarasu, Manickam, Amir, Nurmiati, Hatim, Ahmad, Bautista, Tomas, Lee, Cheng, Emsley, Robin, Olivares, Jose, Yang, Yen Kuang, Kongsakon, Ronnachai, Castle, David
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container_end_page 171
container_issue 2
container_start_page 154
container_title Asia-Pacific psychiatry
container_volume 8
creator Lo, Tak Lam
Warden, Matthew
He, Yanling
Si, Tianmei
Kalyanasundaram, Seshadri
Thirunavukarasu, Manickam
Amir, Nurmiati
Hatim, Ahmad
Bautista, Tomas
Lee, Cheng
Emsley, Robin
Olivares, Jose
Yang, Yen Kuang
Kongsakon, Ronnachai
Castle, David
description Providing optimal care to patients with recent‐onset psychosis can improve outcomes and reduce relapse. However, there is a lack of consistency of the implementation of guidelines for such patients across the Asia‐Pacific region. We determined a pragmatic set of recommendations for use on a day‐to‐day basis to help provide optimal care at this crucial stage of illness. The recommendations were developed over a series of meetings by an international faculty of 15 experts from the Asia‐Pacific region, Europe, and South Africa. A structured search of the PubMed database was conducted. This was further developed based on the faculty's clinical experience and knowledge of the literature into 10 key aspects of optimal care for patients during the first five years of a diagnosis of a psychotic disorder, with particular relevance to the Asia‐Pacific region. Several common principles emerged: adherence to antipsychotic medications is crucial; substance abuse, psychiatric and medical comorbidities should be addressed; psychosocial interventions play a pivotal role; and family members can play a vital role in overall patient care. By following these recommendations, clinicians may improve outcomes for patients with recent‐onset psychosis.
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subjects adherence
Asia, Eastern
Asia, Southeastern
evidence-based practice
expert consensus
first-episode
Guidelines
Humans
Oceania
Practice Guidelines as Topic
Psychosis
Psychotic Disorders - therapy
schizophrenia
title Recommendations for the optimal care of patients with recent-onset psychosis in the Asia-Pacific region
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