The new edition of this popular handbook has been thoroughly updated to include the latest data concerning treatment of first-episode patients. Drawing from their experience, the authors discuss the presentation and assessment of the first psychotic episode and review the appropriate use of antipsychotic agents and psychosocial approaches in effective management.

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. There is a worse prognosis for psychosis and schizophrenia when onset is in childhood or adolescence, and this new NICE guideline puts much-needed emphasis on early recognition and assessment of possible psychotic symptoms. For the one-third of children and young people who go on to experience severe impairment as a result of psychosis or schizophrenia the guideline also 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.

This guide has been produced by the EPPIC National Support Program of the Orygen as a way to explain the Early Psychosis Prevention and Intervention Centre (EPPIC) model and to assist services when thinking about and planning for the implementation and provision of an ongoing EPPIC service.The philosophy, aims and comprehensiveness of the model, along with a detailed description of each of the core components is provided. In particular, there is discussion about the four critical factors that are essential not only for the successful implementation of an EPPIC service, but also for sustaining one.While each of the core components can be read separately it is important to note that the EPPIC model can only exist when all of the core components are provided. They also interrelate, so it is only when each of these core components are in place that an integrated and comprehensive service can be provided and achieve fidelity to the EPPIC model.Included in the discussion on each of the core components are the opportunities and factors that facilitate success, as well as the challenges and enablers that can help in meeting both the service level and clinical level issues that may arise.There is a section on scaling up of services, as this can be one option to assist after initial implementation.Clear detail is provided of all of the EPPIC standards, and these are divided into three groups. The first of these are the minimum essential or 'given' standards that will occur when implementing the model with the core components. The next are the secondary standards that need to be achieved, and the third are the guidelines that also incorporate the Australian Clinical Guidelines for Early Psychosis (2nd edition). By services taking note of and achieving these standards, fidelity to the model should be reached.