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Audit of early intervention in psychosis service development in England in 2005

  • Vanessa Pinfold (a1), Jo Smith (a2) and David Shiers (a3)
Abstract
Aims and Method

This study provides an overview of the development of early intervention services for psychosis across England in February 2005. A bespoke self-report audit tool was completed by key informants across the eight regional development centres of the National Institute for Mental Health in England.

Results

Out of 117 teams identified, 86 have funding, of which 63 are operational with case-managed patients (as of February 2005). Only 3 teams meet all 10 audited early intervention fidelity requirements and there are variations in service model, delivery setting and resources across teams.

Clinical Implications

Current inequity of access and the early, fragile nature of service development means that early intervention in England has reached a critical phase requiring consolidation.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Birchwood, M., Todd, P. & Jackson, C. (1998) Early intervention in psychosis. The critical period hypothesis. British Journal of Psychiatry, 172 (suppl. 33), 5359.
Commission for Healthcare Audit and Inspection (2005) State of Healthcare Report 2005. Healthcare Commission. http://www.healthcarecommission.org.uk/NationalFindings/StateOfHealthcare/fs/en?CONTENT_ID=4006361&chk=sNVkqk
Craig, T. K. J., Garety, P., Power, P.E.T., et al (2004) The Lambeth Early Onset (LEO) team: randomised controlled trial of the effectiveness of specialised care for early psychosis. BMJ, 329, 10671070.
Department of Health (2000b) Mental Health Policy Implementation Guide. Department of Health.
Department of Health (2002) Improvement, Expansion and Reform – The Next 3 Years: Priorities and Planning Framework 2003–2006. Department of Health. http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4008430&chk=lXp8vH
Edwards, J., Harris, M. & Bapat, S. (2005) Developing services for first-episode psychosis and the critical period. British Journal of Psychiatry, 187 (suppl. 48), 9197.
Marshall, M., Lockwood, A., Lewis, S., et al (2004) Essential elements of an early intervention service for psychosis: the opinions of expert clinicians. BMC Psychiatry, 4, 17.
National Institute for Mental Health in England (2003) Counting Community Teams: Issues in Fidelity and Flexibility. NIMHE.
Nordentoft, M., Jeppsen, P., Kassow, P., et al (2002) OPUS project: a randomized controlled trial of integrated psychiatric treatment in first episode psychosis – clinical outcome improved. Schizophrenia Research, 53 (suppl.), 51.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Audit of early intervention in psychosis service development in England in 2005

  • Vanessa Pinfold (a1), Jo Smith (a2) and David Shiers (a3)
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