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1 NPO

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3 early intervention Edwards At Risk Mental State At Risk Mental State ARMS Yung ARMS Ultra High Risk ARMS Edwards, J., McGorry, P. D Implementing Early Intervention is Psychosis, Martin Duriz Lid Edwards, J., McGorry, P. D. 2002, Implementing Early Intervention in Psychosis, Martin Duriz Lid. Yung, A. R., McGorry, P. D The prodromal phase of first-episode psychosis: past and current conceptualizations. Schizophr Bull 22, Yung, A. R., Phillips, I. J., McGorry, P. D Treating Schizophrenia in the Prodromal Phase. Taylor and Francis. London.

4 ARMS ARMS ARMS ARMS Eaton help seeking McGlashan, T. H., Addington, J., Cannon, T., et al 2007 Recruitment and treatment pratices for help seeking prodromal patient. Schizophr Bull 33,

5 Yung ARMS Duration of Untreated Psychosis Larson Duration of Untreated Psychosis DUP PANSS McGlashan DUP Crow DUP Eaton, W. W., Badawi, M., Melton, B Prodromes and precursors: epidemiologic data for primary prevention of disorders with slow onset. Am J Psychiatry 152, Yung, A. R., Phillips, I. J., McGorry, P. D Treating Schizophrenia in the Prodromal Phase. Taylor and Francis. London, 2004 Yung, A. R., McGorry, P. D The prodromal phase phase of first-episode psychosis: past and current conceptualizations. Schizophr Bull 22, Larsen, T. K., McGlashan, T. H., Moe, I. C First-episode schizophrenia: I. early course parameters. Schizophr Bull 22, McGlashan, T. H Duration of untreated psychosis in first-episode schizophrenia: marker or determinant of course? Biol Psychiatry 46,

6 DUP DUP Larson GAF DUP PANSS DUP DUP First-Episode Schizophrenia psychosis Psychotic-Like Experiences Psychotic-Like Experiences PLEs PLEs PLEs Crow, T. J., MacMillan, J. F., Johnson, A. L. et al 1986 A randomized controlled trial of prophylactic neuroleptic treatment. Br J Psychiatry 148, DUPShizophrenia Frontier Larsen, T. K., McGlashan, T. H., Moe L. C First-episode schizophrenia: I. early course parameters. Schizophr Bull 22, DUP early psychosis Birchwood, M., Todd, P., Jackson, C Early intervention in psychosis: the critical period hypothesis. Br J Psychiatry 172, 5359.

7 DUP DUP DUP NPO NPO

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15 FC TP FC TP TP FC TP

16 DUP WHO DUP Joa, I., Johannessen, J. O., Auestad. B., et al The key to reducing duration of untreated first psyhosis: Information campaigns. Schizophr Bull 34,

17 Jorm Jorm, A. F Mental health literacy: Public knowledge beliefs about mental disorders. British of

18 Psychiatry 177,

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20 early intervention

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22 Discussion of Early Intervention by Persons with Psychiatric Disabilities Sense of Incongruity Recognition of Disorders and Actions to Help Seeking during the Prodromal Phase Setsuko SAKAE Yuka SHIMIZU Contemporary mental health professionals emphasize the need for consultation, support, and intervention for persons with psychiatric disabilities at earlier possible opportunity. This is evident in the frequent use of the phrase early intervention. Group C, comprising persons with psychiatric disabilities, is engaged in an activity to encourage junior and senior high school students persons with psychiatric disabilities to express their own experiences of their illness. This article discusses the outcomes of interviews and discussion that have been conducted five times with a group of 11 persons with psychiatric disabilities who belong to Group C. The aims of the interviews and discussion were to clarify persons conditions when they suffered from mental disorders and when they consulted psychiatrists, as well as the types of support programs desired by the patients. In this study, focus was on the early stage of illness, as discussed by persons with psychiatric disabilities. The interviews revealed that they patients first recognized their mental disorders after experiencing changes in their social environment or after a long period of stressful incidents. As causes of prolonged Duration of Untreated Psychosis DUP, this article discusses the lack of knowledge of mental disorders on the part of patients, lack of mental health literacy on the part of their families, teachers, and peers, lack of appropriate medicalinformation, and the development of outstanding physical symptoms. In conclusion, the article sets fifth the need to build stress-management capacity on the part of junior and senior high school students, promote mental health and welfareeducation, prepare the means to encourage persons to help seeking support, reinforce the consultation functions and the gatekeeper functions of general pratitioners and mental health and welfare organizations, and promote public awareness about mental health and welfare.

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