Nicky Reynolds1, Philippe Wuyts2, Steven Badger2, Paolo Fusar-Poli2,3, Philip McGuire3, Lucia Valmaggia2,4. 1. Southwark Early Intervention Team (STEP), South London and Maudsley NHS Trust, London, UK. 2. Outreach and Support in South London (OASIS), South London and Maudsley NHS Trust, London, UK. 3. Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, UK. 4. Department of Psychology, Institute of Psychiatry, King's College London, London, UK.
Abstract
AIM: This project explored the impact of a general practitioner (GP) training programme on referrals and pathways to care for people at high clinical risk of psychosis or with a first-episode psychosis. The resources needed to deliver the training were measured to help inform other teams considering this approach. Satisfaction with the training was also explored. METHODS: All of the GP (48) practices in the London Borough of Southwark were approached. Presentations were given on the symptoms of a clinical high-risk state and the first signs of psychosis alongside information on how to access the teams. Referrals to the prodromal and first-episode teams 6 months before and after the training were recorded. Resources needed to deliver the training in terms of staff time were recorded. A questionnaire on attendees' satisfaction with the training was given. RESULTS: Sixty percent of eligible practices received education. On average, it took 2 h for every two staff members each to deliver the training. Over the 12-month period, the teams received 148 referrals. The training led to a significant increase in referrals to the two specialized teams and a significant increase in direct referrals to the teams from GPs. Attendees were satisfied with the training. CONCLUSIONS: This study indicates that GP education programmes are a viable and acceptable way of increasing the identification of young people at high clinical risk for psychosis or with a first-episode psychosis and increasing direct referrals to specialist teams.
AIM: This project explored the impact of a general practitioner (GP) training programme on referrals and pathways to care for people at high clinical risk of psychosis or with a first-episode psychosis. The resources needed to deliver the training were measured to help inform other teams considering this approach. Satisfaction with the training was also explored. METHODS: All of the GP (48) practices in the London Borough of Southwark were approached. Presentations were given on the symptoms of a clinical high-risk state and the first signs of psychosis alongside information on how to access the teams. Referrals to the prodromal and first-episode teams 6 months before and after the training were recorded. Resources needed to deliver the training in terms of staff time were recorded. A questionnaire on attendees' satisfaction with the training was given. RESULTS: Sixty percent of eligible practices received education. On average, it took 2 h for every two staff members each to deliver the training. Over the 12-month period, the teams received 148 referrals. The training led to a significant increase in referrals to the two specialized teams and a significant increase in direct referrals to the teams from GPs. Attendees were satisfied with the training. CONCLUSIONS: This study indicates that GP education programmes are a viable and acceptable way of increasing the identification of young people at high clinical risk for psychosis or with a first-episode psychosis and increasing direct referrals to specialist teams.
Authors: Lucia R Valmaggia; Majella Byrne; Fern Day; Matthew R Broome; Louise Johns; Oliver Howes; Paddy Power; Steven Badger; Paolo Fusar-Poli; Philip K McGuire Journal: Br J Psychiatry Date: 2015-06-04 Impact factor: 9.319
Authors: Jesus Perez; Huajie Jin; Debra A Russo; Jan Stochl; Michelle Painter; Gill Shelley; Erica Jackson; Carolyn Crane; Jonathan P Graffy; Tim J Croudace; Sarah Byford; Peter B Jones Journal: Lancet Psychiatry Date: 2015-08-19 Impact factor: 27.083
Authors: Kelly K Anderson; Suzanne Archie; Richard G Booth; Chiachen Cheng; Daniel Lizotte; Arlene G MacDougall; Ross M G Norman; Bridget L Ryan; Amanda L Terry; Rebecca Rodrigues Journal: BJPsych Open Date: 2018-10-30