Early intervention in psychosis. Should we broaden the scope for action throughout the age span?

Varregoso, Inês; Braz, Inês; Fanning, Felicity; Clarke, Mary

doi:10.1080/17522439.2018.1538384

Cited by 1 publication

(1 citation statement)

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“…In the UK it is estimated that since the change in age restrictions, between 22 and 30% of referrals to EI services are aged over 35 years (Adamson et al, 2018 ; Clay et al, 2018 ; Greenfield et al, 2018 ; Häfner et al, 1998 ). Concerns were raised that the shift away from the EI youth-focus may adversely affect the quality of the care provided for younger service users, and that the higher caseload may create a strain on the service (Varregoso et al, 2018 ). There is currently limited evidence of the acceptability and efficacy of the youth-focused provision of care from EI services for over 35s.…”

Section: Introductionmentioning

confidence: 99%

Psychosis Early Intervention Across the Life Span: A Service Perspective

Taylor

Orucu

Nandha

et al. 2022

Community Ment Health J

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Previously youth-orientated, UK early intervention in psychosis (EI) services expanded care in 2016 to adults of any age. To compare EI care offering, clinical characteristics, and potential benefits for under-35s and over-35s, an observational study considering anonymised data for users of London-based EI services between April 2016 and December 2019 was conducted. Descriptive statistics and between groups comparisons are reported. The analysis considered 692 service users (32.5% over-35). Over-35s were more likely to be female, of poorer physical health, with severer problems at intake (Health of the Nation Outcome Scale, HoNOS). Under-35s had poorer appointment attendance, required increased use of inpatient facilities, and demonstrated greater risks to themselves and others. At discharge, HoNOS ratings indicated improvements for both groups. Over-35s constitute a considerable proportion of EI service-users, their care may involve less crisis management, more recovery-oriented intervention and physical health needs consideration. Care offering should reflect these needs.

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