Browse by author
Lookup NU author(s): Dr Lauren Mawn
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
© 2017 Wiley Publishing Asia Pty Ltd. Background: Evidence from meta-analyses of randomized clinical trials show interventions for young people at ultra-high risk (UHR) of developing psychosis are effective both clinically and economically. While research evidence has begun to be integrated into clinical guidelines, there is a lack of research on the implementation of these guidelines. This paper examines service provision for UHR individuals in accordance with current clinical guidelines within the National Health Service (NHS) in England. Method: A self-report online survey was completed by clinical leaders of early intervention in psychosis (EIP) teams (N=50) within the NHS across England. Results: Of the 50 EIP teams responding (from 30 NHS trusts), 53% reported inclusion of the UHR group in their service mandate, with age range predominantly 14 to 35 years (81%) and service provided for at least 12 months (53%). Provision of services according to NICE clinical guidelines showed 50% of services offered cognitive behavioural therapy (CBT) for psychosis, and 42% offered family intervention. Contrary to guidelines, 50% of services offered antipsychotic medication. Around half of services provided training in assessment by Comprehensive Assessment of At Risk Mental States, psycho-education, CBT for psychosis, family work and treatment for anxiety and depression. Conclusions: Despite clear evidence for the benefit of early intervention in this population, current provision for UHR within EIP services in England does not match clinical guidelines. While some argue this is due to a lack of allocated funding, it is important to note the similar variable adherence to clinical guidelines in the treatment of people with established schizophrenia.
Author(s): Stain HJ, Mawn L, Common S, Pilton M, Thompson A
Publication type: Article
Publication status: Published
Journal: Early Intervention in Psychiatry
Year: 2017
Volume: 13
Issue: 1
Pages: 47-52
Print publication date: 01/02/2019
Online publication date: 14/06/2017
Acceptance date: 05/02/2017
ISSN (print): 1751-7885
ISSN (electronic): 1751-7893
Publisher: Wiley-Blackwell Publishing Asia
URL: https://doi.org/10.1111/eip.12443
DOI: 10.1111/eip.12443
Altmetrics provided by Altmetric
