Project STAR: Early Intervention With Preschool Children and Families for the Prevention of Substance Abuse.

Background and aims In many countries, early detection and diagnosis of autism spectrum disorder is largely dependent on parents’ initial concern with early symptoms of autism spectrum disorder. Previous research on parental perceptions of the autism spectrum disorder diagnostic process indicates that parental satisfaction may be due to either the timing of the diagnostic notification or the provision of post-diagnostic support. The objective of this research is to study the diagnostic notification process and its impact on parents who are informed of their young child’s diagnosis before they notice a problem and whose child undergoes early intervention therapy. Methods Eighty parents of preschool children diagnosed and undergoing early intervention for autism were surveyed to examine their experience of the diagnostic disclosure process. Results Of 68 respondents, 39 (58.2%) approved of the timing of diagnostic notification, while 10 of 13 dissatisfied respondents indicated that the diagnosis was communicated too late. However, there was no correlation between a higher degree of parental satisfaction with the diagnostic notification process and earlier timing of notification. Conclusions Although it is preferable to communicate a diagnosis of childhood autism as soon as possible, findings suggest that a highly individualized approach, allowing a degree of latitude in the timing of notification, may be permissible, depending on the individual case and parental readiness to receive the diagnosis. Implications Findings have clinical implications related to the concept of optimality of diagnostic disclosure as related to the diagnostic notification process, though later notification tends to lead to more dissatisfaction.

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Prevention and Early Intervention of Anxiety Disorders in Inhibited Preschool Children.

Journal of Consulting and Clinical Psychology ◽

10.1037/0022-006x.73.3.488 ◽

2005 ◽

Vol 73 (3) ◽

pp. 488-497 ◽

Cited By ~ 280

Author(s):

Ronald M. Rapee ◽

Susan Kennedy ◽

Michelle Ingram ◽

Susan Edwards ◽

Lynne Sweeney

Keyword(s):

Preschool Children ◽

Early Intervention ◽

Anxiety Disorders

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Patterns of Service Use in Preschool Children: Correlates, Consequences, and the Role of Early Intervention

Child Development ◽

10.1111/1467-8624.00186 ◽

2000 ◽

Vol 71 (3) ◽

pp. 802-819 ◽

Cited By ~ 22

Author(s):

Tama Leventhal ◽

Jeanne Brooks‐Gunn ◽

Marie C. McCormick ◽

Cecelia M. McCarton

Keyword(s):

Preschool Children ◽

Early Intervention ◽

Service Use

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Impulsivity in early psychosis: A complex link with violent behaviour and a target for intervention

European Psychiatry ◽

10.1016/j.eurpsy.2017.12.003 ◽

2018 ◽

Vol 49 ◽

pp. 30-36 ◽

Cited By ~ 11

Author(s):

V. Moulin ◽

P. Golay ◽

J. Palix ◽

P.S. Baumann ◽

M-M. Gholamrezaeec ◽

...

Keyword(s):

Substance Abuse ◽

Early Intervention ◽

Psychotic Disorders ◽

Interaction Analysis ◽

Early Psychosis ◽

First Episode ◽

Positive Symptoms ◽

Violent Behaviour ◽

Increased Risk ◽

Early Intervention In Psychosis

AbstractBackgroundViolent behaviour (VB) occurs in first episode of schizophrenia and can have devastating impact both on victims and patients themselves. A better knowledge of the underlying mechanisms of VB may pave the way to preventive treatments.Objectives1) To explore the nature of the link between impulsivity and VB in early psychosis (EP) patients; 2) To explore the interactions between impulsivity and substance abuse, insight, and positive symptoms, the main dynamic risk factors of VB described to date.Design and methodsPost hoc analysis of data acquired in the frame of a 36-months EP cohort study. A total of 265 EP patients, aged 18 to 35, treated at TIPP (Treatment and early Intervention in Psychosis Program), at the Department of Psychiatry in Lausanne, Switzerland, were included in the study. Logistic regression analyzes were performed as well as mediation analysis and interaction analysisResultsOur data suggest that impulsivity is a predictor of VB when analyzed independently and as part of a multi-factorial model. Impulsivity continues to differentiate violent patients from non-violent ones at the end of the program. In addition, the relationship between impulsivity and VB is not mediated by substance abuse. Finally, the effect of impulsivity on the probability of VB is potentiated by the interaction of different levels of insight and positive symptoms.ConclusionsEarly intervention strategies in psychotic disorders should include evaluation of impulsivity considering it is linked to increased risk of VB and may respond to treatment.

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