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The Early Intervention Service: the first 18 months of an Inner London demonstration project

Published online by Cambridge University Press:  02 January 2018

Steve Onyett ,
Peter Tyrer ,
Jayne Connolly ,
Steve Malone ,
Jane Rennison ,
Shanti Parslow ,
Nessie Shia ,
Tom Davey ,
Sean Lynch  and
Steve Merson
Steve Merson
Affiliation:
Early Intervention Service, 1 Thorpe Close, London W10
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Rigorous studies of community alternatives to hospitalisation show that they are feasible and effective but have spawned considerable debate about their methodology, replicability, and appropriateness for normal clinical practice. In Britain, many demonstration projects have been centrally funded and evaluated initially by the Personal Social Services Research Unit at the University of Kent and latterly by Good Practices in Mental Health (Renshaw et al, 1988). Such community-based projects have attempted to avoid the problems of community mental health centres in the United States which have, with some important exceptions, failed to offer a comprehensive service that would allow closure or a significant drop in bed numbers at state hospitals (Dowell & Ciarlo, 1983). In practice, the design of community services is very dependent on local circumstances, including the demography of the population, existing service provision and attitudes. For this reason, planners and practitioners need to be aware of many practical options for service delivery.

Type
Articles
Information
Psychiatric Bulletin , Volume 14 , Issue 5 , May 1990 , pp. 267 - 269
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1989

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