PIENSA: Development of an Early Intervention Program for Adolescents With Early-Onset Psychosis and Their Families
Ana Ruiz-Sancho, Ana Calvo, Marta Rapado-Castro, Miguel Moreno, Carmen Moreno, Teresa Sanchez-Gutierrez, Cecilia Tapia, Guadalupe Chiclana, Pamela Rodriguez, Patricia Fernandez, Celso Arango and Maria Mayoral
Affiliation: Child and Adolescent Psychiatry Department, Centro de Investigacion Biomedica en Red de Salud Mental, (CIBERSAM), Instituto de Investigacion Sanitaria Gregorio Maranon, IISGM. Hospital General Universitario Gregorio Maranon, C/ Ibiza 43, 28009 Madrid, Spain.
Keywords: Adolescents, family intervention, group therapy, psychoeducational, psychosis, treatment.
Interest in the effectiveness of psychological interventions in patients with psychosis has increased in the last 2
decades, and early intervention programs are increasingly common. PIENSA (Programa de Intervención en Psicosis
Adolescente; Intervention Program for Adolescent Psychosis) is a clinical program and pilot study based on previous
research into the efficacy of early intervention in preventing relapse and improving outcome in patients with first-episode
We describe a psychoeducational intervention designed for adolescents with early-onset psychosis and their parents. The
intervention is adapted from McFarlane’s Multiple Family Therapy model to our setting and population (adolescents
treated in the Spanish public health system). It consists of 2 stages: an individual stage comprising 3 sessions and a
subsequent group stage comprising 12 sessions. The total program lasts for 1 academic year (9 months).
We present the design of our program and our preliminary experience in a Child and Adolescent Unit in Spain.
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