Podcast
Questions and Answers
What percentage of individuals achieve recovery, defined as good functioning and few symptoms for two years, after a first episode of psychosis?
What percentage of individuals achieve recovery, defined as good functioning and few symptoms for two years, after a first episode of psychosis?
Which statement regarding the prognosis of first episode psychosis is true?
Which statement regarding the prognosis of first episode psychosis is true?
What is the estimated percentage of individuals with bipolar disorder who are chronically unwell?
What is the estimated percentage of individuals with bipolar disorder who are chronically unwell?
Why has little progress been made in improving mental health outcomes?
Why has little progress been made in improving mental health outcomes?
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What is one of the key challenges highlighted in implementing psychosocial interventions?
What is one of the key challenges highlighted in implementing psychosocial interventions?
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What is a notable finding regarding recovery rates in the context of psychosis and schizophrenia?
What is a notable finding regarding recovery rates in the context of psychosis and schizophrenia?
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Which statement best describes the current understanding of the course of bipolar disorder?
Which statement best describes the current understanding of the course of bipolar disorder?
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What is a current limitation in the effectiveness of psychosocial interventions?
What is a current limitation in the effectiveness of psychosocial interventions?
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What is identified as a social determinant that complicates mental health outcomes?
What is identified as a social determinant that complicates mental health outcomes?
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What aspect of the prognosis for first-episode psychosis has changed compared to the 20th century?
What aspect of the prognosis for first-episode psychosis has changed compared to the 20th century?
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What percentage of individuals experience remission after their first episode of psychosis?
What percentage of individuals experience remission after their first episode of psychosis?
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What is a noted characteristic of the recovery rate for bipolar disorder?
What is a noted characteristic of the recovery rate for bipolar disorder?
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What is one of the reasons cited for the slow progress in implementing psychosocial interventions?
What is one of the reasons cited for the slow progress in implementing psychosocial interventions?
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Which factor complicates the implementation of effective psychosocial interventions?
Which factor complicates the implementation of effective psychosocial interventions?
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What is the average time frame for individuals with bipolar disorder to experience illness according to the recent stage model discussed?
What is the average time frame for individuals with bipolar disorder to experience illness according to the recent stage model discussed?
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What is a significant challenge in improving outcomes for individuals with psychosis and bipolar disorder?
What is a significant challenge in improving outcomes for individuals with psychosis and bipolar disorder?
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What factor has contributed to the disparities in recovery rates between different regions for individuals with psychosis?
What factor has contributed to the disparities in recovery rates between different regions for individuals with psychosis?
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What does the stage model of bipolar disorder suggest about the course of the condition?
What does the stage model of bipolar disorder suggest about the course of the condition?
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Which of the following is identified as a social determinant that complicates mental health outcomes?
Which of the following is identified as a social determinant that complicates mental health outcomes?
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What observation has been made regarding the annual remission rate for psychosis over time?
What observation has been made regarding the annual remission rate for psychosis over time?
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Which statement best describes the relationship between the prognosis of first episode psychosis and socioeconomic factors?
Which statement best describes the relationship between the prognosis of first episode psychosis and socioeconomic factors?
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What is one primary reason cited for the challenges in improving mental health outcomes?
What is one primary reason cited for the challenges in improving mental health outcomes?
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What notable trend has been observed regarding the annual remission rates for psychosis?
What notable trend has been observed regarding the annual remission rates for psychosis?
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How does the current understanding of bipolar disorder's course contrast with prior beliefs?
How does the current understanding of bipolar disorder's course contrast with prior beliefs?
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Which factor is identified as a significant barrier to implementing psychosocial interventions in mental health care?
Which factor is identified as a significant barrier to implementing psychosocial interventions in mental health care?
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Study Notes
Psychosocial Interventions in Psychosis & Bipolar
- Research focuses on difficulties in the lives of individuals with psychosis/bipolar, improving prognosis, recovery, social participation, and quality of life.
Course of Psychosis/Schizophrenia
- Lally et al (2017) review of psychosis outcome after first onset:
- Remission (improvement after initial episode) rate is 58%.
- Recovery (2 years of good functioning and few symptoms) rate is 38%.
- Higher recovery rates in the USA, lower rates in Europe.
- Lower/middle-income countries show better outcomes.
- Huxley et al (2021) found prognosis for first episode psychosis is better than in the 20th century, but annual remission rates are declining.
Course of Bipolar
- Research on bipolar course is limited due to diagnostic challenges.
- Most individuals have a relapsing/remitting course, meaning episodes throughout life.
- A stage model is emerging:
- 15% chronically unwell.
- 16% in remission for five years.
- Median time unwell (20%-44%).
Challenges
- Limited evidence of substantial progress since antipsychotic development.
- Interventions need to target clinical populations, not just trial participants.
Causes of Slow Progress
- Neuroscience/pharmacology: Still waiting for breakthroughs.
- Psychology: Interventions show small benefits but struggle to be implemented.
- Innovative service models show benefits (e.g., EI) but primarily short-term.
- Implementation gap: Results from research struggle to reach clinical practice.
- Social determinants: Impacts of austerity/inequality are hard to mitigate.
- Social injustice and lack of compassion are problematic.
- Stigma remains.
Improving Outcomes
- Implementing existing knowledge is crucial.
- Current mental health care lacks consistent implementation of evidence-based interventions.
- Implementation failures hinder progress.
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Description
Explore the challenges faced by individuals with psychosis and bipolar disorders. This quiz covers research findings on their prognosis, recovery, and quality of life through psychosocial interventions. Gain insights into the course of these mental health conditions and their outcomes across different regions.
