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Early Intervention in Mental Health for Adolescents and Young Adults

READ H; ROUSH S; DOWNING D
AM J OCCUP THER , 2018, vol. 72, n° 5, p. 7205190040 (8 p)
Doc n°: 188672
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2018.033118
Descripteurs : KB2 - ERGOTHERAPIE EN SANTE MENTALE

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.
CI - Copyright (c) 2018 by the American Occupational Therapy Association, Inc.
- Intervention précoce

Langue : ANGLAIS

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