Early
Optimal Intervention
The ASC philosophy embodies the concept that "time is brain". The
analogy is simple as the literature supports early optimal intervention as a
means of limiting or eliminating lifetime disability.
At the heart of the
ASC paradigm is the premise that a SMI is a traumatic neurological event - like
an internal assault on the brain. One young person who has experienced psychosis
described it as his head 'exploding'. Yet the time lag between the onset of
psychotic symptoms and the start of treatment is often extensive. At the same
time, there is convincing evidence that the longer the duration of untreated
psychosis, the poorer the outcomes.
At ASC the goal of early optimal
intervention is to improve outcomes by promoting as full a recovery as possible
thereby reducing the long-term disability - both human and economic - associated
with a SMI. To achieve this, early intervention strategies are treatment loaded
and thereby designed to limit the duration of the illness and prevent
relapse.
Our experience tells us that with transitional age youth a
limited number of the variables predicting outcome appear modifiable — duration
of untreated psychosis (DUP), family atmosphere and substance
abuse.
Key Elements of the ASC Early Optimal Intervention
Model
In the initial phase the focus will be on a production of
acute illness through evidence-based pharmacotherapy, social skills training,
supportive psychotherapy and education.
Once an illness is defined,
careful and comprehensive assessment of the individual by the ASC team is the
next step this provides a significant opportunity for practitioners to begin to
develop a positive, honest, and mutually respectful relationship. "A therapeutic
alliance" with the client and their family. This alliance is viewed as key to
the formation of a productive treatment experience.
Family engagement and
support. Our programs are based on the premise that the family can play a
significant role in promoting the recovery of their family them. However, in
order to do so the family requires inclusion in the therapeutic process.
Whenever appropriate family members will be included in treatment planning and
therapy.
Finally, rapid reintegration is often an important concept
consider with transitional age youth. Specifically, when the initial phase’s
treatment and illness are resolved, individuals in our continuum will resume
their social life; begin working, and attending school.