The duration of untreated psychosis in people referred to English early intervention services.

Presentation First Author: 
Max Marshall

In line with international consensus statements, Early Intervention Services in England were set up with the aim of reducing the duration of untreated psychosis to a median of three months. We will examine whether three months is indeed the cut-off point after which the benefits of early treatment are limited, using data from 1027 service users with first episode psychosis recruited to the National Eden study. We will then analyse how far Early Intervention Services have reduced the duration of untreated psychosis by examining whether the duration of untreated psychosis tends to fall as new Early Intervention Services become established in a locality. Research has suggested that a substantial proportion of untreated psychosis occurs whilst people are in contact with mental health services. We explore how far this is true in the National Eden sample, and will explore what proportion of the sample could have been treated within the critical period, had services been more responsive. We will describe the characteristics of service users who present after the point at which early treatment is likely to be beneficial. We will also identify what types of contacts within care pathways are associated with early and late treatment. Finally we will identify factors at the individual and service level that discriminate between service users who were treated in time, and service users who were not. Taken together these findings will allow us to recommend strategies that Early Intervention Services could use to ensure that more people are treated within the critical period.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Max Marshall, Nusrat Husain, Natalie Bork, Barbara Tomenson, Max Birchwood
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