Psychiatric Bulletin (2007) 31: 7-10. doi: 10.1192/pb.31.1.7
© 2007 The Royal College of Psychiatrists
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Psychiatric Bulletin (2007) 31: 7-10
© 2007 The Royal College of Psychiatrists

Audit of early intervention in psychosis service development in England in 2005

Vanessa Pinfold, Head of Research and Policy

Rethink severe mental illness, 28 Castle Street, Kingston, Surrey KT11SS, email: vanessa.pinfold{at}rethink.org

Jo Smith, Joint Lead for the NIMHE and Rethink National Early Intervention Programme and David Shiers, Joint Lead for the NIMHE and Rethink National Early Intervention Programme

Rethink severe mental illness, First Floor, Castle Mill, Birmingham New Road, Tipton DY4 7UF

Declaration of interest

None.

AIMS AND METHOD

This study provides an overview of the development of early intervention services for psychosis across England in February 2005. A bespoke self-report audit tool was completed by key informants across the eight regional development centres of the National Institute for Mental Health in England.

RESULTS

Out of 117 teams identified, 86 have funding, of which 63 are operational with case-managed patients (as of February 2005). Only 3 teams meet all 10 audited early intervention fidelity requirements and there are variations in service model, delivery setting and resources across teams.

CLINICAL IMPLICATIONS

Current inequity of access and the early, fragile nature of service development means that early intervention in England has reached a critical phase requiring consolidation.




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