Evaluating the impact of an embedded psychodynamic psychotherapist in an early intervention in psychosis service

2013 ◽  
Vol 20 (9) ◽  
pp. 853-856
Author(s):  
R. Duggins ◽  
P. Veitch
Keyword(s):  
Early Intervention ◽  
Early Intervention In Psychosis ◽  
The Impact

scholarly journals Improving access to Early Intervention in Psychosis (EIP): the 2-week wait for cancer comes to psychosis

2018 ◽  
Vol 7 (3) ◽  
pp. e000190
Author(s):  
Kirit Singh ◽  
Fatima Ghazi ◽  
Rebecca White ◽  
Benedicta Sarfo-Adu ◽  
Peter Carter
Keyword(s):  
Early Intervention ◽  
Previous Treatment ◽  
Negative Effects ◽  
Eligibility Criteria ◽  
North East ◽  
The North ◽  
Allocation Process ◽  
Case Allocation ◽  
Early Intervention In Psychosis ◽  
The Impact

Early Intervention in Psychosis (EIP) services aim to rapidly initiate specialist packages of care for those people newly experiencing symptoms. The intention of such rapid engagement is to mitigate the negative effects of a prolonged duration of untreated psychosis. Aiming to achieve a ‘parity of esteem’ between mental and physical health, a new target was introduced by the National Health Service (NHS) England, where 50% of new referrals were expected to receive a concordant package of care within 2 weeks from the National Institute for Health and Care Excellence. A baseline assessment in late 2014 found that just 21% of all referrals received and accepted met this target within the EIP Team for the North-East London NHS Foundation Trust. This project sought to improve the team’s performance, seeking input from all team members and using an iterative process with the primary aim of meeting the target ahead of its roll-out. It was determined that the relatively high number of inappropriate referrals (34% at baseline) is a key causative agent in delaying staff from processing eligible cases in a timely fashion. These are defined as referrals which do not meet basic eligibility criteria such as no previous treatment for psychosis. Interventions were therefore designed targeting three domains of improving staff awareness of the new target, improving efficiency by changing the case allocation process and improving the referral pathway for external sources. The impact of these changes was re-evaluated over two cycles beyond baseline. By the final cycle, 62% of new referrals were seen within 2 weeks, while inappropriate referrals declined to just 3%. The multi-interventional nature of this project limits its generalisability and further work should be carried out to identify those changes that were most impactful. Nevertheless, focused targeting of the referral pathway may prove to be of benefit to other EIP services struggling with lengthy wait times.

Exploring the impact of peer support in early intervention in psychosis

2017 ◽  
Vol 21 (2) ◽  
pp. 102-109
Author(s):  
Hannah White ◽  
Laura Price ◽  
Tom Barker
Keyword(s):  
Early Intervention ◽  
Peer Support ◽  
Qualitative Methodology ◽  
Service Providers ◽  
Service Users ◽  
Content Type ◽  
Service Engagement ◽  
Mental Health Settings ◽  
Early Intervention In Psychosis ◽  
The Impact

Purpose Peer support (PS) has, over recent years, been implemented across a variety of NHS adult mental health settings. In November 2015, peer support workers (PSW) were introduced to an Early Intervention in Psychosis Service (EIS) in the Midlands. The purpose of this paper is to focus on organisational factors, asking how do PS impact on an early intervention in psychosis multi-disciplinary team (MDT). Design/methodology/approach Six EIS MDT members participated in an hour-long focus group. The data were analysed using thematic analysis, in line with a qualitative methodology (Braun and Clarke, 2006). Findings Two themes were generated, including “The values of PS” (consisting of three sub-themes: improving service engagement; personal qualities; and the peer relationship); and “The peer support role” (consisting of three sub-themes: living experience; boundaries; and alternative perspectives). Findings imply that PS in the current EIS related to: improved service engagement and greater understanding between service providers and users; which could be linked to better outcomes for service users (such as reduced duration of untreated psychosis (DUP)). Originality/value It has been suggested that PSWs facilitate an improved understanding between service providers and service users (Repper and Watson, 2012). However, research into organisational and team benefits of PS is lacking, with a need for more exploration (Repper, 2013). The current study begins to address the lack of literature regarding the organisational impact of PS, and even further regarding early intervention.

scholarly journals The impact of COVID ‐19 on an early intervention in psychosis service

2020 ◽  
Vol 24 (4) ◽  
pp. 17-21
Author(s):  
Nandini Chakraborty ◽  
Richard Carr ◽  
Samuel Tromans
Keyword(s):  
Early Intervention ◽  
Early Intervention In Psychosis ◽  
The Impact

scholarly journals TF-CBT and EMDR for young people with trauma and first episode psychosis (using a phasic treatment approach): two early intervention service case studies

2018 ◽  
Vol 11 ◽  
Author(s):  
Joanna Ward-Brown ◽  
David Keane ◽  
Gita Bhutani ◽  
Debbie Malkin ◽  
Bill Sellwood ◽  
...  
Keyword(s):  
Early Intervention ◽  
Case Studies ◽  
Traumatic Stress ◽  
Psychological Therapy ◽  
First Episode ◽  
Post Traumatic Stress ◽  
Co Morbidity ◽  
Post Traumatic ◽  
Early Intervention In Psychosis ◽  
The Impact

AbstractThe relationship between trauma and psychosis is well established with a large amount of overlap between the ICD/DSM (International Classification of Diseases/Diagnostic and Statistical Manual of Mental Disorders) diagnostic criteria for post-traumatic stress disorder (PTSD) and psychosis and/or schizophrenia. In spite of co-morbidity and evidence of the links and underlying mechanisms, trauma is rarely a focus of intervention in psychosis. Psychosis has often been on the list of exclusion criteria for PTSD research studies. There is a lack of literature on the impact of trauma work with people experiencing psychosis. The National Institute for Health and Care Excellence (NICE) (2014) suggests that Early Intervention in Psychosis (EIP) service users should be assessed for PTSD, and PTSD guidelines (NICE, 2005) followed for those who show signs of post-traumatic stress. There is a need to evaluate the effectiveness of therapeutic approaches for people with PTSD and co-morbid psychosis. These case studies aim to provide initial evidence of how two EIP clients experienced and responded to NICE-recommended psychological therapy for trauma. This study aims to test the feasibility of trauma work delivered via a phasic approach in a novel population. Two EIP clients received psychological therapy [including trauma-focused cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR)] for identified traumatic experiences. Assessment outcome measures were utilized to establish the effectiveness of the interventions. Both clients reported significant improvements following therapy, including reduced trauma-related distress, reduced distress from symptoms of psychosis and improved quality of life. Clients with co-morbid PTSD and symptoms of psychosis are likely to benefit from recommended psychological treatments for PTSD. Further research is required to address generalizability to a larger population.

Lessons from an aborted controlled trial on the impact of befriending in an early intervention in psychosis population

2021 ◽  
Author(s):  
Lars Hansen ◽  
Emma Bayford ◽  
Rachael Wood ◽  
Katherine Newman‐Taylor ◽  
Kyt Proctor ◽  
...  
Keyword(s):  
Early Intervention ◽  
Controlled Trial ◽  
Early Intervention In Psychosis ◽  
The Impact

Evaluating the Importance of Reducing the Duration of Untreated Psychosis

2000 ◽  
Vol 34 (1_suppl) ◽  
pp. A145-A149 ◽  
Author(s):  
Patrick D. McGorry
Keyword(s):  
Early Intervention ◽  
Treatment Delay ◽  
Duration Of Untreated Psychosis ◽  
Design Studies ◽  
Research Designs ◽  
Strong Candidate ◽  
The Impact

Objective The concept of duration of untreated psychosis or DUP has been a strong candidate for intervention as part of the early intervention paradigm. However, its importance has been questioned. This paper aims to present selected issues concerning attempts to reduce DUP and evaluate the impact of these attempts. Method Current research designs are critiqued and alternatives considered. Results Evidence suggests that it is difficult to design studies that are both ethical and potent enough to determine the contribution of treatment delay to outcome. Conclusions Further research is justified but this should not obstruct commonsense service reforms.

scholarly journals Pre-treatment clinical and gene expression patterns predict developmental change in early intervention in autism

2021 ◽  
Author(s):  
Michael V. Lombardo ◽  
Elena Maria Busuoli ◽  
Laura Schreibman ◽  
Aubyn C. Stahmer ◽  
Tiziano Pramparo ◽  
...  
Keyword(s):  
Gene Expression ◽  
Treatment Outcome ◽  
Early Intervention ◽  
Developmental Change ◽  
Expression Patterns ◽  
Gene Expression Patterns ◽  
Time In Treatment ◽  
Pre Treatment ◽  
Blood Leukocyte ◽  
The Impact

AbstractEarly detection and intervention are believed to be key to facilitating better outcomes in children with autism, yet the impact of age at treatment start on the outcome is poorly understood. While clinical traits such as language ability have been shown to predict treatment outcome, whether or not and how information at the genomic level can predict treatment outcome is unknown. Leveraging a cohort of toddlers with autism who all received the same standardized intervention at a very young age and provided a blood sample, here we find that very early treatment engagement (i.e., <24 months) leads to greater gains while controlling for time in treatment. Pre-treatment clinical behavioral measures predict 21% of the variance in the rate of skill growth during early intervention. Pre-treatment blood leukocyte gene expression patterns also predict the rate of skill growth, accounting for 13% of the variance in treatment slopes. Results indicated that 295 genes can be prioritized as driving this effect. These treatment-relevant genes highly interact at the protein level, are enriched for differentially histone acetylated genes in autism postmortem cortical tissue, and are normatively highly expressed in a variety of subcortical and cortical areas important for social communication and language development. This work suggests that pre-treatment biological and clinical behavioral characteristics are important for predicting developmental change in the context of early intervention and that individualized pre-treatment biology related to histone acetylation may be key.

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