Life after Early Intervention for Psychosis Services –What happens once the doors close?

Presentation First Author: 
Linda Everard

Background: Little is known about patients service trajectories once discharged from high intensity Early Intervention teams to lower intensity services such as Community Mental Health Teams (CMHTs) or GPs. We sought to investigate where clients are discharged to, whether they remain free from mental health service input and how many bounce between primary and secondary care 2 years post EIS. Method: The authors studied 1027 young adults with first episode psychosis. All patients were recruited from UK Early Intervention Services, participating in the NIHR funded National/Super EDEN study. Through reviewing individuals case notes we were able to analyse each patients service trajectory 2 years post EIS discharge. Results: The study is still in the midst of data collection, and all analysis will be completed by the end October 2014. Preliminary analysis of those patients discharged from EIS suggests the majority are discharged to CMHTs with a smaller proportion of patients reaching an assumed point of recovery where a referral back to primary care services is appropriate. There is also cohort of patients, initially discharged to primary care who enter a 'bouncing effect, whereby they move back and forth between primary and secondary services, indicating anything but a smooth transition of care. Conclusions: To enable NHS trusts to build more streamline services its vital to understand discharge trajectories. If patients appear to be getting 'stuck in services, or vaulted from one service to the next, considerations need to be made to ensure a more complete discharge pathways are encouraged

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Anna Lavis - Max Marshall - David Fowler - Jo Hodgkins - Tim Amos - Vimal Sharma - Peter Jones - Max Birchwood
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