Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study.

Journal: The British journal of general practice : the journal of the Royal College of General Practitioners

Volume: 

Issue: 

Year of Publication: 

Affiliated Institutions:  Keele University, School of Medicine, Keele, United Kingdom m.c.rickett@keele.ac.uk. Keele University, School of Medicine, Keele, United Kingdom. Durham University, Department of Psychology, Durham, United Kingdom. Keele University, School of Medicine, Newcastle-under-Lyme, United Kingdom. Manchester Metropolitan University, Department of Nursing and Public Health, Manchester, United Kingdom. University of Oxford, Department of Psychiatry, Oxford, United Kingdom. Imperial College London, Division of Psychiatry, London, United Kingdom. Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom. Cheshire and Wirral Partnership NHS Foundation Trust, Chester, United Kingdom. University of Oxford, Nuffield Department of Primary Care Health Sciences, Oxford, United Kingdom.

Abstract summary 

Background People with new psychotic symptoms may be managed within an Early Intervention in Psychosis service (EIP). They may be discharged back to primary care at the end of their time in an EIP service. Aim To explore the role of primary care in supporting people with psychosis in an EIP service. Design and Setting Qualitative study, within a programme of work to explore the optimum duration of management within an EIP service. Methods Semi-structured interviews with people in EIP services, carers, general practitioners (GPs) and EIP practitioners. Findings GPs report difficulties in referring people into EIP services, have little contact with people who are supported by EIP services and are not included in planning discharge from EIP service to primary care. Conclusions This study suggests that GPs should have a role in the support of people within EIP services (in particular monitoring and managing physical health) and their carers. Inclusion of GPs in managing discharge from EIP services is vital. We suggest that a joint consultation with the service user, their carer (if they wish) along with EIP care co-ordinator and GP would make this transition smoother.

Authors & Co-authors:  Rickett Kingstone Gupta Shiers French Lennox Crawford Penington Hedges Ward Williams Bateman Chew-Graham

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  13
Identifiers
Doi : BJGP.2023.0558
SSN : 1478-5242
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
England