Which components of specialized early intervention for psychosis do senior providers see as most important?. Issue 3 (8th June 2018)

• Record Type: Journal Article
• Authors: Savill, Mark; Sardo, Angela; Patel, Pooja; Loewy, Rachel; Melnikow, Joy; Niendam, Tara
• Is Part Of: Early intervention in psychiatry. Volume 13:Issue 3(2019)
• Page Start: 677
• Page End: 681
• Publication Date: 2018-06-08
• Subjects: community health services -- early intervention -- healthcare providers -- psychotic disorders -- surveys and questionnaires; Mental health -- Periodicals; Psychiatry -- Periodicals; Psychiatry -- Research -- Periodicals; Mental illness -- Prevention -- Research -- Periodicals; Mental illness -- Treatment -- Research -- Periodicals; 616.89
• DOI: 10.1111/eip.12690
• Languages: English
• ISSNs: 1751-7885

Abstract

Abstract : Aim: Specialized early interventions improve outcomes in early psychosis (EP). Experts have proposed a number of essential treatment components. However, it is unclear whether these reflect the views of senior clinic staff charged with implementing this model in practice. Method: Twenty‐Five senior EP clinic staff across California completed a survey indicating which features of EP treatment they considered most important. Results: Components related to the service structure and the need for a prompt, comprehensive assessment and care planning were considered most important, despite the limited evidence base evaluating these aspects of care. Administration of clozapine to treatment‐refractory patients and weight gain interventions were considered the least important, despite the relatively strong evidence base supporting these treatment components. Conclusion: The findings suggest a bi‐directional dissemination gap, where components considered most important by senior providers receive limited research attention, while some areas with supporting evidence may be underappreciated in clinical practice.