TITLE

Essential elements of an early intervention service for psychosis: the opinions of expert clinicians

AUTHOR(S)
Marshall, Max; Lockwood, Austin; Lewis, Shôn; Fiander, Matthew
PUB. DATE
January 2004
SOURCE
BMC Psychiatry;2004, Vol. 4, p17
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements. Methods: A 'Delphi' exercise was carried out to identify how far there was consensus on the essential elements of early intervention teams in a group of 21 UK expert clinicians. Using published guidelines, an initial list was constructed containing 151 elements from ten categories of team structure and function. Results: Overall there was expert consensus on the importance of 136 (90%) of these elements. Of the items on which there was consensus, 106 (70.2%) were rated essential, meaning that in their absence the functioning of the team would be severely impaired. Conclusion: This degree of consensus over essential elements suggests that it is reasonable to define a model for UK early intervention teams, from which a measure of fidelity could be derived.
ACCESSION #
29323658

 

Related Articles

  • Conceptualizing the Multifaceted Determinants of the Duration of Untreated Psychosis. Compton, Michael T.; Broussard, Beth // Current Psychiatry Reviews;Feb2011, Vol. 7 Issue 1, p1 

    No abstract available.

  • The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis. Craig, Tom K.J.; Garety, Philippa; Power, Paddy; Rahaman, Nikola; Colbert, Susannah; Fornells-Ambrojo, Miriam; Dunn, Graham // BMJ: British Medical Journal (International Edition);11/6/2004, Vol. 329 Issue 7474, p1067 

    Objective To evaluate the effectiveness of a service for early psychosis. Design Randomised controlled clinical trial. Setting Community mental health teams in one London borough. Participants 144 people aged 16-40 years presenting to mental health services for the first or second time with...

  • Implementing Quality Management in Psychiatry: From Theory to Practice---Shifting Focus From Process to Outcome. McGrath, Brent M.; Tempier, Raymond P. // Canadian Journal of Psychiatry;Aug2003, Vol. 48 Issue 7, p467 

    With the increasing emphasis on the satisfaction of patient-clients balanced by the need for cost-efficient treatment, quality management is an ever-increasing concern for mental health care providers. It is now apparent that psychiatrists must follow treatment progress and outcome to assess and...

  • Clinical Outcomes in a Prison Telepsychiatry Clinic. Zaylor, Charles; Nelson, Eve-Lynn; Cook, David J // Journal of Telemedicine & Telecare;Oct2011 Supplement, Vol. 7 Issue 1, p47 

    The effectiveness of a prison telepsychiatry service was evaluated from a user perspective. Forty-five inmates (41 male, 4 female) completed the Symptom Rating Checklist-90-Revised (SCL-90-R) on three occasions, once before the teleconsultation and twice during treatment. The psychiatrist...

  • A multistakeholder-driven model for developing an outcome management system. Koch, J. Randy; Lewis, Allen; McCall, Dwight; Koch, J R; Lewis, A; McCall, D // Journal of Behavioral Health Services & Research;May98, Vol. 25 Issue 2, p151 

    Increasing demands for accountability in the delivery of public mental health services are engendering organized systems of treatment outcome monitoring. As such systems are designed and implemented, it is critical that key stakeholders be involved to the greatest extent possible in developing...

  • Measuring behavioral health is a new challenge. Rhinehart, Emily // Managed Healthcare;Apr98, Vol. 8 Issue 4, p12 

    Discusses issues relating to measuring behavioral health, a frequently contracted service in many United States health plans. Similarities with physical health; Variation of outcome goals with each patient.

  • Measuring mental health outcomes with pre-post designs. Lambert, E. Warren; Doucette, Ann; Bickman, Leonard; Lambert, E W; Doucette, A; Bickman, L // Journal of Behavioral Health Services & Research;Aug2001, Vol. 28 Issue 3, p273 

    The pre-post design has been the workhorse of outcome evaluations for many years. Using data from a study of 984 treated children (ages 5 to 17 years), this article argues that there are two structural problems with the pre-post evaluation of outcome: (1) excessively large intervals of...

  • Liver transplantation for alcoholic liver disease. Howard, Louise; Fahy, Tom // British Journal of Psychiatry;Dec97, Vol. 171, p497 

    The article discusses the participation of psychiatrists in deciding whether patients with alcohol liver disease (ALD) should undergo liver transplantation and predicting the medical outcome in patients in Great Britain. Psychiatrists play a vital role in deciding whether an ALD patients should...

  • Multiagency outcome evaluation of children's services: a case study. Beck, Shirley A.; Meadowcroft, Pamela; Mason, Matthew; Kiely, Edward S.; Beck, S A; Meadowcroft, P; Mason, M; Kiely, E S // Journal of Behavioral Health Services & Research;May98, Vol. 25 Issue 2, p163 

    Outcome monitoring has become a focus of accountability for public and nonprofit human service agencies. Besides providing answers to funders' questions about the services' impact, outcome monitoring helps administrators improve program effectiveness. After a three-year development period and a...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics