Overview

There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, plus, one-third of the children and young people who have psychosis or schizophrenia, go on to experience severe impairment as a result. This guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms and offers comprehensive advice from assessment and treatment of the first episode through to promoting recovery. This guideline reviews the evidence for recognition and management of psychosis and schizophrenia in children and young people across the care pathway, encompassing access to and delivery of services, experience of care, recognition and management of at-risk mental states, psychological and pharmacological interventions, and improving cognition and enhancing engagement with education and employment. The guideline contains full details about the methods used and all the evidence on which the recommendations were based, including further data on a CD-ROM: [if !supportLists]* [endif]characteristics of included studies [if !supportLists]* [endif]profile tables that summarise both the quality of the evidence and the results of the evidence synthesis [if !supportLists]* [endif]all meta-analytical data presented as forest plots [if !supportLists]* [endif]detailed information about how to use and interpret forest plots. These guidelines from NICE set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions. The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches.

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9781908020604

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The National Collaborating Centre for Mental Health (NCCMH) was established in 2001 by the UK-based National Institute for Health and Clinical Excellence (NICE) to develop guidance on the appropriate treatment and care of people with mental health problems and then write the clinical guidelines. The NCCMH is a partnership between the Royal College of Psychiatrists and the British Psychological Society.

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