Essential elements of an early intervention service for psychosis: the opinions of expert clinicians

BMC Psychiatry
Max MarshallMatthew Fiander

Abstract

Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements. A 'Delphi' exercise was carried out to identify how far there was consensus on the essential elements of early intervention teams in a group of 21 UK expert clinicians. Using published guidelines, an initial list was constructed containing 151 elements from ten categories of team structure and function. Overall there was expert consensus on the importance of 136 (90%) of these elements. Of the items on which there was consensus, 106 (70.2%) were rated essential, meaning that in their absence the functioning of the team would be severely impaired. This degree of consensus over essential elements suggests that it is reasonable to define a model for UK early intervention teams, from which a measure of fidelity could be derived.

References

Aug 5, 1995·BMJ : British Medical Journal·J Jones, D Hunter
Jan 1, 1996·Schizophrenia Bulletin·P D McGorryH J Jackson
Dec 9, 1998·Acta Psychiatrica Scandinavica·M Fiander, T Burns
Apr 1, 1995·Journal of Mental Health Administration·J H McGrew, G R Bond
Mar 31, 2000·European Journal of Gastroenterology & Hepatology·T A WinterJ M Ogden
Apr 27, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·M Fiander, T Burns
Nov 15, 2000·The International Journal of Social Psychiatry·T BurnsB Audini
Dec 15, 2000·Public Health·R Slack

❮ Previous
Next ❯

Citations

Jun 19, 2008·Social Psychiatry and Psychiatric Epidemiology·Helen FisherSonia Johnson
Nov 3, 2009·Schizophrenia Bulletin·Anthony P Morrison, Sarah Barratt
Apr 28, 2006·Current Opinion in Psychiatry·Richard J Drake, Shôn W Lewis
Mar 26, 2014·Current Opinion in Psychiatry·Merete NordentoftAnne A E Thorup
Jul 17, 2008·Archives of Women's Mental Health·Verity Di MascioJohn Lawrence
Apr 15, 2014·Schizophrenia Bulletin·Heather Law, Anthony P Morrison
May 11, 2010·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Ingrid MelleThomas McGlashan
Dec 2, 2006·The British Journal of Psychiatry : the Journal of Mental Science·Peter BowerAlex Sutton
Dec 14, 2011·Disability and Rehabilitation·Kwang-Hwa ChangUNKNOWN Taiwan ICF Team
Sep 13, 2012·Schizophrenia Research and Treatment·Marcelo ValenciaHector Ortega
Jul 31, 2013·Early Intervention in Psychiatry·Peter J BielingRobert B Zipursky
Jan 13, 2015·Psychology and Psychotherapy·Karen BarrRobert Dudley
Oct 10, 2013·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Paul A Tiffin, Patrick Welsh
Oct 29, 2011·Early Intervention in Psychiatry·Katherine Monson, Melissa Thurley
Jan 16, 2009·Journal of Intellectual Disability Research : JIDR·C P HemmingsN Bouras
Oct 16, 2016·Psychology and Psychotherapy·Alice E LiddellKen Goss
Apr 13, 2017·Early Intervention in Psychiatry·Frank HughesAlexandra G Parker
Feb 26, 2010·The Australian and New Zealand Journal of Psychiatry·Stanley V CattsRussell W Evans
Mar 13, 2018·Early Intervention in Psychiatry·Marianne MelauMerete Nordentoft
Nov 17, 2017·Early Intervention in Psychiatry·Claudio CsillagPeter B Jones
Dec 2, 2017·Early Intervention in Psychiatry·Marianne MelauMerete Nordentoft
Apr 29, 2015·The Journal of Nervous and Mental Disease·Merete NordentoftIzabela Fedyszyn
Jan 25, 2007·Acta Psychiatrica Scandinavica·D AddingtonS Patten
Jul 27, 2007·Cadernos de saúde pública·Rachel Magarinos-TorresVera Lucia Edais Pepe
Jun 12, 2009·Disaster Medicine and Public Health Preparedness·Lori Uscher-PinesRichard E Rothman
Oct 21, 2016·Early Intervention in Psychiatry·Claudio CsillagDavid McDaid
Nov 1, 2007·Child and Adolescent Mental Health·Paul A Tiffin
May 20, 2021·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Emmanuel K MwesigaSeggane Musisi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Cochrane Database of Systematic Reviews
Max Marshall, John Rathbone
The Cochrane Database of Systematic Reviews
Max Marshall, A Lockwood
The Cochrane Database of Systematic Reviews
Max Marshall, John Rathbone
Social Psychiatry and Psychiatric Epidemiology
Sarah R UzenoffDiana O Perkins
© 2022 Meta ULC. All rights reserved