title: Associations between number of different type of care meetings with social network and improvement in mental well-being in adolescents at risk of first-episode psychosis.
abstract: OBJECTIVE
  As research in the care of people at risk of developing first-episode psychosis has mostly focused on cognitive behavioural therapy and antipsychotic medication, little is known about associations between changes in mental well-being and effect of people participating in the care.
  
  
  METHODS
  Multiprofessional early intervention team met with adolescents who are at risk of psychosis, including coworkers and their families. Correlations were calculated between change scores in prepsychotic, functioning ability, quality of life (QoL), depression and anxiety scales, and number of family, coworker and adolescent-participating social network meetings, and total number of social network meetings during the care.
  
  
  RESULTS
  Larger change scores in functioning ability were positively associated with the number of social network meetings with participating coworker (P = 0.041), but not with other types of participant meetings. Larger change scores in prepsychotic symptoms were positively associated with the number of meetings where the adolescent was participating (P = 0.001), the number of network meetings where the coworker was participating (P = 0.007) and the number of all meetings (P = 0.001). The number of any other type of meetings did not associate with change scores in QoL, depression and anxiety.
  
  
  CONCLUSIONS
  According to the present results, adolescents at risk of psychosis seem to benefit from the inclusion of coworkers from the adolescents' natural surroundings in care; this could help to increase functioning ability. Different combinations of meetings, such as larger number of total meetings, larger number of meetings with the adolescent and larger number of meetings with coworkers from the adolescents' natural surroundings, seem to associate with stronger decrease in pre-psychotic symptoms.
authors.affiliation: Department of Psychiatry, Helsinki University Central Hospital, Jorvi Hospital, Turuntie, Espoo, Finland. niklas.grano@hus.fi
authors.forename: Niklas
authors.initials: N
authors.lastname: Granö
authors.forename: Marjaana
authors.initials: M
authors.lastname: Karjalainen
authors.forename: Jukka
authors.initials: J
authors.lastname: Anto
authors.forename: Arja
authors.initials: A
authors.lastname: Itkonen
authors.forename: Virve
authors.initials: V
authors.lastname: Edlund
authors.forename: Mikko
authors.initials: M
authors.lastname: Roine
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000517:prevention & control / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology; D012944:Social Support