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Attitudes of Mental Health Workers Towards Early Interventions in Psychiatry: A National Survey

Ghio, Lucio MD; Respino, Matteo MD; Murri, Martino Belvederi MD; Cocchi, Angelo MD; Meneghelli, Anna B Psych; Amore, Mario MD; Natta, Werner MD

The Journal of Nervous and Mental Disease: October 2015 - Volume 203 - Issue 10 - p 756–761
doi: 10.1097/NMD.0000000000000363
Original Articles

Early intervention (EI) is an effective strategy to improve outcomes of psychiatric disorders, but there is little evidence on mental health professionals’ opinions on this approach. Hence, during conferences on this topic, we surveyed participants on the benefits, aims, and barriers to implementation of EI. Participants reported that the most important outcomes of EI were decreasing the risk of long-term social consequences, of severe psychopathological conditions, and chronicization. EI would primarily need to be implemented in the care of psychotic, eating, and mood disorders, whereas the main barriers to EI implementation were the lack of funding and of a prevention-oriented culture. Although these results might be biased by a generic attitude favoring EI, participants showed a very positive attitude towards EI and stated the need of a culture shift towards a more prevention-oriented model in a mental health setting.

*Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, Section of Psychiatry, University of Genoa, Genoa; and †Department of Mental Health, Center for Early Detection and Intervention in Psychosis—Programma 2000, Niguarda Ca’Granda Hospital, Milan, Italy.

Send reprint requests to Lucio Ghio, MD, Department of Neuroscience, Ophthalmology and Genetics, Section of Psychiatry, University of Genoa, Largo Rosanna Benzi 10, 16100 Genoa, Italy. E-mail:

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