Outcome Measures at Discharge From a Local Early Intervention in Psychosis Team

Abstract

Aims

Review of the outcomes from a local EIP service, in terms of symptom control employment status at referral and discharge, admissions whilst under the care of the service physical health status at discharge, discharge was back to primary care or secondary care

Methods

Sample of service users discharged from EIP services over the past 2 years between March 2020 and March 2022 was collated

Results

Recovery

Good proportion -84% had good symptomatic recovery at time of discharge based on discharge letter

Discharge to primary care

Low proportion -Only 26% were discharged onwards to secondary mental health services such as recovery teams or community mental health teams and rehabilitation services.

74% discharged to primary care

Review of notes indicate that patient is still within primary care 6-12 months post discharge

Employment

A jump of 16% in employment. At start of EIT input only 40% had employment and at pint of discharge 56% of sample had employment

Inpatient admission

Admissions whilst under the service were seen in 54% patients in total; out of this number just over half (55%; )were admitted to inpatient unit only once

Smoking and Substance misuse

Only 24% were known smokers at discharge; 6%) were misusing multiple substances including smoking, alcohol, cannabis and cocaine at the time of discharge

Physical health and metabolic syndrome

Only 2% had diagnosed hyperlipidaemia at discharge

Conclusion

Early Intervention in Psychosis input lead to good symptom control and resolution of psychosis leading to higher rates of discharge to primary care alongside improved physical health substance misuse employment outcomes.