Research and practice for ultra‐high risk for psychosis: A national survey of early intervention in psychosis services in England

• DOI: 10.1111/eip.12443
• Publication Date: 2017-06-14T11:46:42Z
• Authors: Helen J. Stain; Lauren Mawn; Stephanie Common; Marie Pilton; Andrew Thompson
• Keywords: Nice

Evidence from meta-analyses of randomized clinical trials show interventions for young people at ultra-high risk (UHR) developing psychosis are effective both clinically and economically. While research evidence has begun to be integrated into guidelines, there is a lack on the implementation these guidelines. This paper examines service provision UHR individuals in accordance with current guidelines within National Health Service (NHS) England.A self-report online survey was completed by leaders early intervention (EIP) teams (N = 50) NHS across England.Of 50 EIP responding (from 30 trusts), 53% reported inclusion group their mandate, age range predominantly 14 35 years (81%) provided least 12 months (53%). Provision services according NICE showed 50% offered cognitive behavioural therapy (CBT) psychosis, 42% family intervention. Contrary antipsychotic medication. Around half training assessment Comprehensive Assessment At Risk Mental States, psycho-education, CBT work treatment anxiety depression.Despite clear benefit this population, England does not match some argue due allocated funding, it important note similar variable adherence established schizophrenia.