Psychiatric Bulletin (2008) 32: 413-416. doi: 10.1192/pb.bp.107.017442
© 2008 The Royal College of Psychiatrists
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Early intervention in psychosis service and psychiatric admissions

Guy Dodgson, Consultant Clinical Psychologist

*Northumberland Early Intervention in Psychosis Service, Greenacres Centre, Green Lane, Ashington, Northumberland NE63 8BL, email: guy.dodgson{at}ntw.nhs.uk

Kathleen Crebbin, Assistant Psychologist and Caroline Pickering, Assistant Psychologist

Northumberland Early Intervention in Psychosis Service, Ashington

Emma Mitford, Lead Clinician for PACE

Morpeth

Alison Brabban, Consultant Clinical Psychologist

Tees, Esk and Wear Valley NHS Trust and University of Sunderland

Roger Paxton, Associate Director of Research and Clinical Effectiveness

Tyne and Wear NHS Trust, and Newcastle University

AIMS AND METHOD

To investigate the effects of a standard National Health Service early intervention in psychosis service on bed days and engagement with services. We conducted a naturalistic before-and-after study comparing outcomes of individuals who received treatment from the service (n=75) with outcomes of individuals who presented to mental health services before the early intervention service was established and received treatment as usual (n=114).

RESULTS

People treated by the early intervention in psychosis service had significantly fewer admissions (P<0.001), readmissions (P<0.001), total bed days (P<0.01) and better engagement with services (P<0.05).

CLINICAL IMPLICATIONS

An early intervention in psychosis service compliant with current British mental health policy led to reduced use of psychiatric bed days confirming recent findings elsewhere. This leads to major financial savings, easily justifying the initial cost of investment in the service.




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Not quite as simple as this
LS Choong
PB Online, 19 Dec 2008 [Full text]