Access and Waiting Time Standard for Early Intervention in Psychosis: At Risk Mental State Identification and Interventions Accepted within a Routine Service| Stephy Publishers
Journal of Psychological Science and Research | Stephy Publishers
Abstract
Aim: Following the introduction of an access and waiting time standard for
Early Intervention in Psychosis (EIP) services, the identification and
treatment of people experiencing an At-Risk Mental State (ARMS) for psychosis
has become a national priority. However, there is a dearth of literature
concerning what is offered to and accepted by ARMS service users within routine
services.
Methods: This descriptive
evaluation reports upon the assessment and treatment of people with an at-risk
mental state identified during the first year of a routine service operating in
line with the EIP standard. The paper details referral sources, referral to
treatment times, socio-demographic characteristics, ARMS subgroups and the
interventions accepted by these service users.
Results: A total of 138 ARMS
cases were identified over the evaluation period, with 73% (n=101) aged between
18-34 years and 86% (n=118) meeting attenuated psychotic symptoms criteria. The
majority (64%) of service users engaged in multiple interventions; 54% (n=75)
accepted psychoeducation and coping skills enhancement work, 42% (n=58)
participated in a sleep programme, 33% (n=45) undertook coping with voices and
visions work and 28% (n=39) engaged in individual psychological therapy.
Conclusion: The findings indicate that the majority of ARMS service users
presenting to the EIP service were aged 18-34 and experienced attenuated
psychotic symptoms. A range of NICE and CBT informed interventions as well as
individual psychological therapies appear to be acceptable to ARMS service
users and many engaged in multiple interventions offered.
Keywords: Early intervention in psychosis, At risk mental state, Clinical high
risk, Ultra high risk
To read more: https://www.stephypublishers.com/psychological-science-and-research/pdf/JPSSR.MS.ID.000501.pdf
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