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Service innovations: early intervention in psychosis as a core task for general psychiatry

  • David Whitwell (a1)
Extract

Early intervention in psychosis is a strategy for which there is increasing theoretical and pragmatic justification. Many studies have been published describing the benefits of early intervention as carried out by specialised and innovative projects. The present paper describes how a generic community mental health team (CMHT), covering a population of 50 000, introduced strategies for early intervention with no extra funding. The team worked together to change old attitudes and practices. A style of intervention was developed to engage with and keep in contact with people with recent onset psychosis. This appears to be achievable – and this model may be an alternative to the setting up of specialised teams.

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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, J. M., Todd, P. & Jackson, C. (1998) Early intervention in psychosis: the critical-period hypothesis. International Clinical Psychopharmacology, 13(Suppl. 1), 3140.
Coulter, A. (1999) Paternalism or Partnership? British Medical Journal, 319, 719720.
McGlashen, T. (1988) A selective review of North American long term follow-up studies of schizophrenia. Schizophrenia Bulletin, 14, 515542.
Mason, P., Harrison, G., Glazebrook, C., et al (1996) Characteristics of outcome in schizophrenia at 13 years. British Journal of Psychiatry, 167, 596603.
Singh, S. P., Croudace, T., Amin, S., et al (2000) Three-year outcome of first-episode psychoses in an established community psychiatric service. British Journal of Psychiatry, 176, 210216.
Thornicroft, G., Becker, T., Holloway, S., et al (1999) Community mental health teams: evidence or belief? British Journal of Psychiatry, 175, 508513.
Warner, R. (1994) Recovery from Schizophrenia: Psychiatric and Political Economy London. Routledge.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Service innovations: early intervention in psychosis as a core task for general psychiatry

  • David Whitwell (a1)
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