The Role of the Adult Companion at the Onset of Psychosis in Adolescence

Background: It is widely proved that methods of intervention in cases of adolescent-onset psychosis should be timely and plurifocal, with the application of integrated forms of therapy, including pharmacological treatment and psychological and social rehabilitation, also with an involvement of family members. Research studies moreover indicate that offering adolescents treatment within social contexts besides at facilities which have the specific purpose of providing treatment, on either a hospital or out-patient basis, improves both the outcome and compliance to treatment. Aim: This work illustrates the function, role and operational methods of the adult companion, a professional figure who supports therapists and operates directly in close contact with adolescents in their habitual life environment. Methods: This is a narrative review of the Italian literature regarding the use and functions of the adult companion at the onset of psychosis with a specific focus on the experience of the authors. Conclusions: The intervention seems to be feasible and effective from a clinical point of view. Further RCTs and quantitative studies are needed to provide the effectiveness of this type of intervention.