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Psychosis Early Intervention Across the Life Span

A Service Perspective

Bibliographic Data

ID8907833
AuthorsKathryn M Taylor (0000-0001-7950-7119, King's College London, corresponding author), Ela Orucu (King's College London), Sunil Nandha (0000-0003-4947-5210, South London and Maudsley NHS Foundation Trust), Matteo Cella (0000-0002-5701-0336, King's College London)
Year2022
Volume59
Issue2
Pages266-274
Publication date2022-08-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCommunity Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0010-3853 • E-ISSN: 1573-2789
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10597-022-01004-x
PMID35922655
OpenAlexW4289667379
LanguageEN
References cited29

Previously youth-orientated, UK early intervention in psychosis (EI) services expanded care in 2016 to adults of any age. To compare EI care offering, clinical characteristics, and potential benefits for under-35s and over-35s, an observational study considering anonymised data for users of London-based EI services between April 2016 and December 2019 was conducted. Descriptive statistics and between groups comparisons are reported. The analysis considered 692 service users (32.5% over-35). Over-35s were more likely to be female, of poorer physical health, with severer problems at intake (Health of the Nation Outcome Scale, HoNOS). Under-35s had poorer appointment attendance, required increased use of inpatient facilities, and demonstrated greater risks to themselves and others. At discharge, HoNOS ratings indicated improvements for both groups. Over-35s constitute a considerable proportion of EI service-users, their care may involve less crisis management, more recovery-oriented intervention and physical health needs consideration. Care offering should reflect these needs

Attendance · Descriptive statistics · Health care · Intervention (counseling · Observational study · Psychiatry · Psychosis · Scale (ratio · Service (business · Adolescent and Pediatric Healthcare · Medicine · Psychiatric care and mental health services · Psychology · Schizophrenia research and treatment · Gerontology

  • Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis

    Christoph U Correll, Britta Galling et al.•JAMA Psychiatry•2018

  • Prevalence of non-suicidal self-harm and service contact in England, 2000–14

    Open Access•Shea Mcmanu, Sally McManus et al.•The Lancet Psychiatry•2019

  • Health of the Nation Outcome Scales (HoNOS)

    Open Access•J K Wing, A S Beevor et al.•The British Journal of Psychiatry•1998

  • Epidemiology of Suicide and the Psychiatric Perspective

    Open Access•Silke Bachmann•International Journal of…•2018

  • Early Intervention in Psychosis Treatment Components Utilization in Patients Aged Over 35

    Open Access•Grace Jagger, Lorena de la Fuente-Tomás et al.•Community Mental Health Journal•2019

Citation velocityhistorical
Highly citedNo

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