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Early Intervention in Psychosis Treatment Components Utilization in Patients Aged Over 35

Jagger, Grace
Author Jagger, Grace CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK
de la Fuente-Tomas, Lorena
Author de la Fuente-Tomas, Lorena Department of Psychiatry, University of Oviedo, 33006, Oviedo, Spain Department of Psychiatry, University of Cambridge, Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK
Stochl, Jan
Author Stochl, Jan Department of Psychiatry, University of Cambridge, Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK Department of Kinanthropology, Charles University, 162 52, Prague, Czech Republic
Allan, Sophie M
Author Allan, Sophie M CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK
Clay, Felix
Author Clay, Felix CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK
Kenedler, Lizzie
Author Kenedler, Lizzie CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK
Treise, Cate
Author Treise, Cate CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK
Perez, Jesus
Author Perez, Jesus CAMEO Early Intervention in Psychosis Service, Cambridgeshire and Peterborough NHS Foundation Trust, Union House, 37 Union Lane, Cambridge, CB4 1PR, UK. jp440@cam.ac.uk Department of Psychiatry, University of Cambridge, Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK. jp440@cam.ac.uk Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK. jp440@cam.ac.uk

Community mental health journal. 2020 Feb ; 56 (2) : 206-210. [epub] 20190928

Community Ment Health J
ISSN 1573-2789 | 0010-3853
Source

Language English Country United States Media print-electronic

Document type Journal Article

Persistent link https://www.medvik.cz/link/pmid31564011

PubMed 31564011
DOI 10.1007/s10597-019-00479-5
PII: 10.1007/s10597-019-00479-5
Knihovny.cz E-resources

Keywords
Age inclusivity, Early intervention, Over-35s, Psychosis, Service use,
MeSH
Early Medical Intervention MeSH
Humans MeSH
Adolescent MeSH
Psychotic Disorders * therapy MeSH
Aged MeSH
Mental Health Services * MeSH
State Medicine MeSH
Check Tag
Humans MeSH
Adolescent MeSH
Aged MeSH
Publication type
Journal Article MeSH
Geographicals
England MeSH

Early Intervention in Psychosis (EIP) services have been youth-focused since their inception. In England, recent National Institute for Health and Care Excellence (NICE) guidelines and new National Health Service (NHS) Standards for EIP recommend the expansion of the age acceptability criterion from 14-35 to 14-65. In the Cambridgeshire and Peterborough EIP service (CAMEO), we ran a service evaluation to assess the initial impact of this policy change. It aimed to elicit EIP treatment components utilization by patients with first-episode psychosis (FEP) aged over 35, in comparison with those under 35. We found that the over-35s required more contacts from EIP healthcare professionals, especially from care coordinators (coefficient = .239; Robust SE = .102; Z = 6.42; p = 0.019) and social workers (coefficient = 18.462; Robust SE = .692; Z = .016; p < 0.001). These findings indicate that FEP patients aged over 35 may present with more complex and sustained clinical/social needs. This may have implications for EIP service development and commissioning.

CAMEO Early Intervention in Psychosis Service Cambridgeshire and Peterborough NHS Foundation Trust Union House 37 Union Lane Cambridge CB4 1PR UK

Department of Kinanthropology Charles University 162 52 Prague Czech Republic

Department of Psychiatry University of Cambridge Cambridge Herchel Smith Building Cambridge CB2 0SZ UK

Department of Psychiatry University of Oviedo 33006 Oviedo Spain

Norwich Medical School Faculty of Medicine and Health Sciences University of East Anglia Norwich NR4 7TJ UK

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