PRACTICAL AND APPROPRIATE APPROACHES TO THE TREATMENT OF YOUTH WITH FIRST-EPISODE PSYCHOSIS AND SUBSTANCE USE DISORDERS

Abstract

Introduction:Many young adults with first-episode psychosis also have substance use disorders (SUDs). For this population, persistent SUDs negatively impact symptomatic and functional outcomes and problem management.This review aims to identify and synthesize the best therapeutic approaches for the treatment of young adults with co-occurring disorders (FPE and SUD) and to present practical and tailored approaches for the assessment and follow-up of these individuals.of individuals with concurrent FPE and SUD. Method: This review of the literature used the following databases: PubMed science direct psychinfo. We used the following Results:Several studies demonstrate the utility of early intervention services for psychosis (EIS) in managing substance use disorders, with a decrease of approximately half of substance use disorders during the first year of follow-up.To date, clinical guidelines suggest tailored and integrated treatment of psychosis and substance use disorders and recommend the use of a variety of approaches such as case management, comprehensive assessment and feedback on substance use disorders and psychosis and their interaction, risk reduction interventions, motivational interviewing, cognitive behavioral therapy, and pharmacotherapy.It is proposed here that treatment be proactively adjusted to take into account the severity of the disorder, its impact on the various dimensions of psychosis outcomes, the youths developmental stage, and his or her stage of change with respect to substance use. Conclusion: Some approaches appear to have the potential to improve the clinical evolution of youth living with such disorders, particularly if tailored to this population. In addition, research and innovation, which is relatively limited, in the management of co-occurring disorders, must continue to provide more appropriate care for young adults with early psychosis and substance use disorders. Objective: The purpose of this work was to identify and synthesize the best therapeutic approaches for the treatment of young adults with co-occurring disorders (First Psychosis Episodeandsubstance use disorders),and to present practical and tailored approaches for the assessment and follow-up of these individuals. of individuals with concurrent psychaiatric disorders.