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Taking care of the carers: support for families of persons with early psychosis

and support may have much to offer to first-episode consumers, even Bond et al note that its effect sizes for competitive employment are smaller in first-episode samples and are not significant for educational pursuits. A greater recognition and acknowledgement of the confusion and ambivalence of people who have recently experienced a first episode of psychosis, and a willingness to “meet the person where he or she is at” in order to instill hope and a sense of purpose for one’s future, while permitting time for recovery, may be critical to enhancing the successful uptake of supported employment and education services before the mounting pressures of applying for disability become too great, and countervailing financial disincentives to work become a reality. The questions posed in this commentary are not meant to be comprehensive. There are other important issues to be resolved in our understanding of optimal psychosocial treatment for first-episode psychosis, such as defining the role of peer providers, clarifying the necessary elements and ideal formats for family interventions, determining the need to include training in life skills as standard care, and resolving concerns about requisite intensity and duration of treatment to promote recovery. This is an exciting time to be supporting recovery in first episode and there is much to learn.