While the possibility of early intervention following the initial onset of
psychotic disorders such as schizophrenia is an exciting development, a clo
ser examination of the nature and content, as well as the timing, of treatm
ent is required for this new approach to be successful. Modification and in
tegration of diverse treatments need to be empirically investigated for the
ir potentially greater effectiveness inpatients who are, in general, much y
ounger, naive to the mental health system, and possibly capable of full int
egration into society. Reducing delay in treatment initiation may be comple
x, may involve adopting early identification strategies, and may pose signi
ficant systemic and conceptual challenges. The 2 aspects of early intervent
ion-integration of phase specific treatments and early case identification-
need to go hand in hand to ensure that another opportunity will not be miss
ed in our efforts to improve the outcomes of these most serious of all ment
al disorders.