MSc Early Intervnetion in Psychosis

The implementation of early intervention represents the cornerstone of a new reform in mental health, as large-scale epidemiological studies show that this intervention model is effective. Furthermore, immediate and multi-level intervention at the first manifestation of severe psychotic symptoms has been shown to have lower long-term costs for national health systems. In Greece, it is estimated that up to 3,500 young individuals annually will experience a psychotic disorder for the first time in their lives, including severe disorders that form the core of psychiatry: schizophrenia, bipolar disorder, psychotic disorders due to the use of psychoactive substances, and more.

Common symptoms in young patients during the acute early phase include:

• Unfounded beliefs of surveillance or persecution, and the sense that others are plotting harm against them.
• Hallucinations, such as hearing whispers or voices speaking directly to them when they are alone.
• Delusional thoughts, such as believing that others can read their minds, that they possess unique supernatural powers, or that the world and the news contain hidden messages about them.

Simultaneously, these patients may experience:

• Disorganized sleep patterns.
• Speech that becomes incoherent or excessively rapid.
• Difficulties in concentration or expressing themselves clearly.
• Social withdrawal, avoidance of school and friends, and self-isolation.
• In some cases, neglect of personal hygiene.

There is a wide variation in the symptoms and behaviors exhibited by these young patients.

Early intervention in psychosis is the fastest-growing model of community psychiatry in the Western world.

The Need for Specialized Education in Greece

Over the coming years, the need for specialized training in Early Intervention in Psychosis is expected to increase. In Greece, the first Early Intervention Services in Psychosis were institutionalized in December 2020, marking an important step forward.

In particularly challenging social contexts, such as those shaped by economic crises and refugee crises, studying general and specific populations and implementing early intervention policies become essential and critical. These efforts are vital for strengthening and protecting mental health, both at the individual level and in the broader public health context.