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2 results

  • A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service

  • Charlotte Johnston-Webber, Shreeya Gyawali, Elvan U. Akyuz, Madalina Zlate, Georgios Nerantzis, Nikita Beauvillain, Olivier Andlauer, Susham Gupta
  • Journal:
    BJPsych Bulletin , FirstView
    Published online by Cambridge University Press:
    29 May 2024, pp. 1-7
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  • Background

    Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused model should be extended to an ageless one, to prevent ageism; however, this was without strong research evidence.

    Aims and method

    An inner-city London EIP service compared sociodemographic and clinical factors between the under-35 years and over-35 years caseload cohorts utilising the EIP package following the implementation of the ageless policy.

    Results

    Both groups received similar care, despite the younger group having significantly more clinical morbidity and needs.

    Clinical implications

    Our results may indicate that service provisions are being driven by policy rather than clinical needs, potentially diverting resources from younger patients. These findings have important implications for future provision of EIP services and would benefit from further exploration.

  • Neglecting the care of people with schizophrenia: here we go again

  • Anthony J. Pelosi, Vijay Arulnathan
  • Journal:
    Psychological Medicine / Volume 53 / Issue 4 / March 2023
    Published online by Cambridge University Press:
    20 February 2023, pp. 1137-1142
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  • Specialist early intervention teams consider clinician–patient engagement and continuity of care to be a driving philosophy behind the treatment they provide to people who have developed schizophrenia or a related psychotic illness. In almost all countries where this service model has been implemented there is a dearth of available data about what is happening to patients following time-limited treatment. Information on discharge pathways in England indicates that some early intervention specialists are discharging most of their patients from all psychiatric services after only 2 or 3 years of input. Some ex-patients will be living in a state of torment and neglect due to an untreated psychosis. In the UK, general practitioners should refuse to accept these discharge pathways for patients with insight-impairing mental illnesses.