Is a national framework for implementing early psychosis services necessary? Results of a survey of Australian mental health service directors

Catts, Stanley V.; Evans, Russell W.; O’Toole, Brian I.; Carr, Vaughan J.; Lewin, Terry J.; Neil, Amanda L.; Harris, Meredith; Frost, A.J.; Crissman, Belinda Rochelle; Eadie, Kathy

doi:10.1111/j.1751-7893.2009.00157.x

Cited by 23 publications

(47 citation statements)

References 24 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with other studies (Catts et al, 2010;Lester et al, 2009), the lack of funding and staff are also considered important barriers to the development of EI services. This problem seems to be present on a worldwide scale, as even in Australia, which was one of the first countries to start a reform towards EI, implementation has been affected by insufficient allocation of resources to appropriately support the reform focus (Catts et al, 2010).…”

Section: Discussionsupporting

confidence: 70%

“…This problem seems to be present on a worldwide scale, as even in Australia, which was one of the first countries to start a reform towards EI, implementation has been affected by insufficient allocation of resources to appropriately support the reform focus (Catts et al, 2010). In this regard, it should be also noted that the Italian EI services are being mostly developed according to a "specialist within generalist team" model (Cocchi et al, 2011a;Ghio et al, 2012), mainly due to lack of funding and in contrast with other experiences that favor the implementation of specific and independent outpatient services (Edwards et al, 2002).…”

Section: Discussionmentioning

confidence: 96%

“…institutions attempted to develop ad hoc services for the early treatment of psychosis , but this process has shown enormous variability across and within countries and economic resources were often insufficient to support this reform (Catts et al, 2010, Ghio et al, 2012. Besides these issues, the implementation of EI programs might have encountered barriers that were related to personal attitudes or to "cultural resistance" of mental health workers.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Attitudes of Mental Health Workers Towards Early Interventions in Psychiatry

Ghio

Respino

Murri

et al. 2015

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

Early intervention (EI) is an effective strategy to improve outcomes of psychiatric disorders, but there is little evidence on mental health professionals' opinions on this approach. Hence, during conferences on this topic, we surveyed participants on the benefits, aims, and barriers to implementation of EI. Participants reported that the most important outcomes of EI were decreasing the risk of long-term social consequences, of severe psychopathological conditions, and chronicization. EI would primarily need to be implemented in the care of psychotic, eating, and mood disorders, whereas the main barriers to EI implementation were the lack of funding and of a prevention-oriented culture. Although these results might be biased by a generic attitude favoring EI, participants showed a very positive attitude towards EI and stated the need of a culture shift towards a more prevention-oriented model in a mental health setting.

show abstract

Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

See 1 more Smart Citation

Attitudes of Mental Health Workers Towards Early Interventions in Psychiatry

Ghio

Respino

Murri

et al. 2015

Journal of Nervous &Amp; Mental Disease

View full text Add to dashboard Cite

show abstract

“…It reports on the struggles that rural people have in identifying emergent mental health problems and in selecting suitable professional help to address these problems. It is well known that early identifi cation and intervention of mental health problems has a signifi cant impact on the extent of disability and the prognosis trajectory (Amminger et al, 2006;Berk et al, 2007;Catts et al, 2010;Edwards & McGorry, 2002;EPPIC, 1998;Henry et al, 2007;McGorry, 2004;McGorry, Killackey, Yung, 2007). The earlier that interventions are applied, the better the prognosis, while conversely, long durations of untreated illness adversely infl uences recovery (McGorry, 2004;McGorry, Killackey, Yung, 2007).…”

Section: Signifi Cancementioning

confidence: 99%

Experiences of families who help young rural men with emergent mental health problems in a rural community in New South Wales, Australia

2012

View full text Add to dashboard Cite

A qualitative study was conducted in rural New South Wales, Australia, to understand the barriers to help-seeking among young rural men with emergent mental health problems. Participants who had real life experiences of these problems within their families were interviewed. Themes emerged from the data which explained some barriers to early intervention. Despite these barriers, families had developed skills in helping and in providing early mental health help to their sons. The findings of this study showed that a substantial burden on the emotional and social integrity of the family, combined with diminished psychological well-being, caused some parents to question how long they could cope before they reached 'the end of their strings'. This downward spiralling trajectory of mental health and well-being for both the young men and their families has implications for clinical practice. Current models of mental health service delivery do not adequately capture the early help-seeking dynamics of young rural men and their families. A more flexible approach is needed to identify and help the family and the young men, without the pre-requisite for a formal medical diagnosis. Future research should involve health and well-being solution focused service delivery.

show abstract

“…The strongest evidence for interventions to be included in guidelines usually stems from controlled or -even better -randomised controlled trials. Common outcomes of these trials include symptom reduction, improvement of daily functioning and use of healthcare services, mainly hospital services (Catts et al 2010;Stegbauer et al 2015). Outcome measures related to patient experiences or priorities are underrepresented in studies that evaluate the effectiveness of (mental) healthcare interventions.…”

mentioning

confidence: 99%

Assessing the performance of mental health service facilities for meeting patient priorities and health service responsiveness

Bramesfeld

Stegbauer²

2016

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

The World Health Organisation has defined health service responsiveness as one of the key-objectives of health systems. Health service responsiveness relates to the ability to respond to service users’ legitimate expectations on non-medical issues when coming into contact with the services of a healthcare system. It is defined by the areas showing respect for persons and patient orientation. Health service responsiveness is particularly relevant to mental health services, due to the specific vulnerability of mental health patients but also because it matches what mental health patients consider as good quality of care as well as their priorities when seeking healthcare. As (mental) health service responsiveness applies equally to all concerned services it would be suitable as a universal indicator for the quality of services’ performance. However, performance monitoring programs in mental healthcare rarely assess health service performance with respect to meeting patient priorities. This is in part due of patient priorities as an outcome being underrepresented in studies that evaluate service provision. The lack of studies using patient priorities as outcomes transmits into evidence based guidelines and subsequently, into underrepresentation of patient priorities in performance monitoring. Possible ways out of this situation include more intervention studies using patient priorities as outcome, considering evidence from qualitative studies in guideline development and developing performance monitoring programs along the patient pathway and on key-points of relevance for service quality from a patient perspective.

show abstract

Is a national framework for implementing early psychosis services necessary? Results of a survey of Australian mental health service directors

Cited by 23 publications

References 24 publications

Attitudes of Mental Health Workers Towards Early Interventions in Psychiatry

Attitudes of Mental Health Workers Towards Early Interventions in Psychiatry

Experiences of families who help young rural men with emergent mental health problems in a rural community in New South Wales, Australia

Assessing the performance of mental health service facilities for meeting patient priorities and health service responsiveness

Contact Info

Product

Resources

About