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Open access. Many people diagnosed with schizophrenia, bipolar or other psychoses in England receive the majority of their healthcare from primary care. Primary care practitioners may not be well equipped to meet their needs and there is often poor communication with secondary care. Collaborative care is a promising alternative model but has not been trialled specifically with this service user group in England. Collaborative care for other mental health conditions has not been widely implemented despite evidence of its effectiveness. We carried out a formative evaluation of the PARTNERS model of collaborative care, with the aim of establishing barriers and facilitators to delivery, identifying implementation support requirements and testing the initial programme theory.
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Acting violently on delusions is a significant clinical problem. Recent research has identified state anger as key component in the pathway from persecutory/threat delusions to serious violence. To determine the magnitude of the effect of delusional anger and to investigate a dose-response relationship we carried out a prospective follow-up study of forensic in-patients discharged into the community. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Outpatient facilities, such as community behavioral health organizations (CBHOs), play a critical role in the care of patients with serious mental illness, but there is a paucity of “real-world” patient outcomes data from this health care setting. Therefore, we conducted The Research and Evaluation of Antipsychotic Treatment in Community Behavioral Health Organizations, Outcomes (REACH-OUT) trial, a real-world, prospective, noninterventional observational study of patients with mental illness treated at CBHOs across the United States. We describe demographic and clinical characteristics, antipsychotic therapy (APT) treatment patterns, and health care resource utilization in patients with schizophrenia undergoing medical care as usual.
This study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness (compared with usual care) of a collaborative care model to treat community mental health center (CMHC) patients with psychosis and poorly controlled diabetes. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
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Tower Hamlets Early Intervention Service (THEIS) provides high quality, skilled care and support to adults experiencing a first episode of psychosis and their families. The Tower Hamlets Early Detection Service (THEDS) is an innovative team working alongside THEIS to identify and support individuals who are at high risk of developing psychosis, in order to bring down duration of untreated psychoses in the borough, build resilience and prevent development of symptoms where possible.
Southampton EIP service places a strong emphasis on improving referrals. All urgent cases are co-worked with the crisis team and there is a 10-day waiting time for routine assessment through a single point of entry. Support is also offered throughout the evening and weekends.
The service offers a range of additional services tailored to both the service user and their carer.
The Leeds EIP service, ‘aspire’, is aimed at young people aged 14–35 who are experiencing first episode psychosis.
The key principles of the service are engagement, hope and recovery.
The service, which is delivered by Community Links, and as such is a rare example of a third sector provider.
Co-developed with people who have experienced psychosis, clinicians, managers and commissioners; the EIP Matrix is an online app that allows Early Intervention in Psychosis (EIP) teams to get real time feedback on their:
1. NICE Concordance;
2. Performance and Outcomes;
3. Workforce
Gemma Shields reports on a recent longitudinal retrospective controlled study of the economic impact of early intervention in psychosis services in Engla