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

  • The Relationship Between Symptomatic Changes and Perceived Improvement Among Patients Treated in Brazilian Community Mental Health Services. Andrade, Mário; Bandeira, Marina; Perreault, Michel; Angélico, Antonio; Oliveira, Marcos // Psychiatric Quarterly;Sep2012, Vol. 83 Issue 3, p361 

    Perceived improvement has been proposed as an important patient-reported outcome measure in mental health services evaluation. One advantage of this measure is that it can indicate whether other outcome measures, as pre-post differences in symptoms, correspond to a noticeable impact in patients'...

  • 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...

  • 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...

  • 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...

  • First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services. Tarricone, Ilaria; Braca, Mauro; Allegri, Fabio; Barrasso, Giuseppe; Bellomo, Antonello; Berlincioni, Vanna; Carpiniello, Bernardo; Ceregato, Alessio; Conforti Donati, Marco; Defilippi, Samuele; Del Vecchio, Valeria; De Rosa, Corrado; Ferrannini, Luigi; Ferrari, Silvia; Furio, Maria Antonietta; Gramaglia, Carla; La Cascia, Caterina; Luciano, Mario; Mulè, Alice; Nardini, Marcello // BMC Psychiatry;2014, Vol. 14 Issue 1, p338 

    Background It has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among firstgeneration...

  • Long-term Follow-up of a Group at Ultra High Risk ("Prodromal") for Psychosis. Nelson, Barnaby; Hok Pan Yuen; Wood, Stephen J.; Lin, Ashleigh; Spiliotacopoulos, Danieia; Bruxner, Annie; Broussard, Christina; Simmons, Magenta; Foley, Debra L.; Brewer, Warrick J.; Francey, Shona M.; Amminger, G. Paul; Thompson, Andrew; McGorry, Patrick D.; Yung, Alison R. // JAMA Psychiatry;Aug2013, Vol. 70 Issue 8, p793 

    IMPORTANCE The ultra high-risk (UHR) criteria were introduced to prospectively identify patients at high risk of psychotic disorder. Although the short-term outcome of UHR patients has been well researched, the long-term outcome is not known. OBJECTIVE To assess the rate and baseline predictors...

  • Integrated care improves one year outcomes in first episode psychosis. Petersen, L.; Nordentoft, M.; Jeppesen, P. // Evidence Based Mental Health;May2006, Vol. 9 Issue 2, p46 

    The article discusses the potential of a community based, integrated treatment plan in reducing poor clinical and social result in people with first episode psychosis in Denmark. A study was conducted with 547 adults in the mental health services and the community in Copenhagen and Aarhus. They...

  • Commentary. Archie, Suzanne // Evidence Based Mental Health;May2006, Vol. 9 Issue 2, p46 

    The article comments on the failure of the assertive community treatment (ACT) model to disclose whether ACT increases good outcomes in a first episode schizophrenia population compared with standard care. The results of the study are typical since it was conducted in rural and urban settings....

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics