BACKGROUND: The development of early intervention services for young people with first-episode psychosis is a priority internationally. AIMS: To evaluate the development, implementation and impact of existing and newly formed early intervention services in England. METHOD: Multiple-case study involving staff, users, carers and commissioners of 14 early intervention services. RESULTS: Service numbers increased in response to national policy directives. They were still actively working with 90.6% of service users 12 months after inception. They were highly valued by users and carers as providing a personal service that contrasted with previous experiences of care. Tensions between providing a quality service and meeting case-load targets linked to future funding led teams to adopt a series of survival strategies with some unintended consequences. CONCLUSIONS: Early intervention services are highly valued by consumers and engage users effectively after 12 months. Implementation of these services is threatened unless sufficient consistent funding is made available.
BACKGROUND: The development of early intervention services for young people with first-episode psychosis is a priority internationally. AIMS: To evaluate the development, implementation and impact of existing and newly formed early intervention services in England. METHOD: Multiple-case study involving staff, users, carers and commissioners of 14 early intervention services. RESULTS: Service numbers increased in response to national policy directives. They were still actively working with 90.6% of service users 12 months after inception. They were highly valued by users and carers as providing a personal service that contrasted with previous experiences of care. Tensions between providing a quality service and meeting case-load targets linked to future funding led teams to adopt a series of survival strategies with some unintended consequences. CONCLUSIONS: Early intervention services are highly valued by consumers and engage users effectively after 12 months. Implementation of these services is threatened unless sufficient consistent funding is made available.
Authors: Patrick D McGorry; Cristina Mei; Andrew Chanen; Craig Hodges; Mario Alvarez-Jimenez; Eóin Killackey Journal: World Psychiatry Date: 2022-02 Impact factor: 49.548
Authors: Kathryn Greenwood; Rebecca Webb; Jenny Gu; David Fowler; Richard de Visser; Stephen Bremner; Iga Abramowicz; Nicky Perry; Stuart Clark; Anastacia O'Donnell; Dan Charlton; Rebecca Jarvis; Philippa Garety; Sunil Nandha; Belinda Lennox; Louise Johns; Shanaya Rathod; Peter Phiri; Paul French; Heather Law; Jo Hodgekins; Michelle Painter; Cate Treise; James Plaistow; Francis Irwin; Rose Thompson; Tanya Mackay; Carl R May; Andy Healey; Richard Hooper; Emmanuelle Peters Journal: Trials Date: 2021-04-12 Impact factor: 2.279
Authors: J B Kirkbride; D J Lunn; C Morgan; J M Lappin; P Dazzan; K Morgan; P Fearon; R M Murray; P B Jones Journal: Health Place Date: 2009-10-07 Impact factor: 4.078
Authors: James B Kirkbride; Daniel Jackson; Jesus Perez; David Fowler; Francis Winton; Jeremy W Coid; Robin M Murray; Peter B Jones Journal: BMJ Open Date: 2013-02-11 Impact factor: 2.692