The Early Intervention Center for Psychosis (Centre d’Intervention Précoce pour Psychose, CIPP) is an inter-sector outpatient center located in La Chartreuse Hospital in Dijon since 2015. It offers an integrated therapy as early as possible, consisting of specialized advice, comprehensive assessments and rehabilitation therapies for young adults.
Today, a psychosis remains untreated between 1 and 2 years due to denial, lack of information, difficult access to treatment and even stigmatization.
Furthermore, cognitive impairments observed in the acute phase of the disease arise mainly during the first phase and keep spreading afterwards.
There is a 3-to-5-year critical period after disease onset during which a sustained treatment, consisting of a drug treatment and rehabilitation therapy, may slow the disease progression. Early treatment for young patients with a psychotic disorder is a real issue.
The CIPP receives patients between 18 and 35 with a psychotic disorder, who are referred by a public or private psychiatric hospital and the medico-social sector.
The CIPP’s mission is to offer a positive, pro-active and constructive treatment adapted to young patients with psychotic disorders, characterized by:
- early identification of the disease signs (i.e. at the very beginning of the psychotic episode, or even as soon as prodromes appear),
- multidisciplinary assessment: neuropsychological, psychological and functional assessment,
- participation in group or individual cognitive remediation programs,
- intensive follow-up in the environment and case management, particularly during the early phase of the disease,
- reinsertion support.
Early treatment requires a set of preventive and psychosocial rehabilitation measures which are meant to improve the disease’s functional outcomes and limit how traumatizing first psychotic episodes may be. It is a pro-active approach encouraging a therapeutic alliance with the patient. It is meant to:
- limit how traumatizing the first psychiatric symptoms may be,
- limit the duration of the untreated psychosis,
- improve the symptoms,
- rapidly create a psychotherapeutic relationship and prevent therapeutic break,
- offer psychoeducation on the disease,
- improve self-esteem and well-being,
- stimulate and facilitate quick and better reinsertion through group or individual cognitive remediation (to improve cognitive functioning),
- limit functional disability and improve quality of life,
- involve the family in the treatment from day one.
Many tools are used:
- multidisciplinary assessment, particularly a neuropsychological assessment,
- cognitive remediation:
- RECOS: cognitive remediation tool focused on the patient’s own cognitive impairments,
- Gaïa: cognitive remediation consisting in training the patient to process emotional information on people’s face,
- ToMRemed: cognitive remediation program set to improve the patient’s skills in the theory of mind so he can be better at social interactions,
- MCT: intended to improve metacognition,
- psychoeducation program adapted for young patients,
- social skills workshop,
- intensive follow-up in the environment.
Sector coordinator: Dr Serot Dominique
CIPP director: Dr Martin Juliette
Neuropsychologist: Mme Guinot Marine
Designated nurse: M. Paccoud Sebastien
Social Worker: M. Ronnat Marion
CIPP - CH La Chartreuse
1 boulevard Chanoine Kir
Juliette.martin at chlcdijon.fr