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Development and implementation of early intervention services for young people with psychosis: case study.
- Source :
-
The British journal of psychiatry : the journal of mental science [Br J Psychiatry] 2009 May; Vol. 194 (5), pp. 446-50. - Publication Year :
- 2009
-
Abstract
- Background: The development of early intervention services for young people with first-episode psychosis is a priority internationally.<br />Aims: To evaluate the development, implementation and impact of existing and newly formed early intervention services in England.<br />Method: Multiple-case study involving staff, users, carers and commissioners of 14 early intervention services.<br />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.<br />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.
- Subjects :
- Adolescent
Adult
Aged
Attitude of Health Personnel
Female
Humans
Interviews as Topic
Longitudinal Studies
Male
Middle Aged
Patient Acceptance of Health Care
United Kingdom
Young Adult
Adolescent Health Services organization & administration
Delivery of Health Care organization & administration
Mental Health Services organization & administration
Psychotic Disorders therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1472-1465
- Volume :
- 194
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The British journal of psychiatry : the journal of mental science
- Publication Type :
- Academic Journal
- Accession number :
- 19407276
- Full Text :
- https://doi.org/10.1192/bjp.bp.108.053587