Table 3 Elements rated very important with good consensus
From: Essential elements of an early intervention service for psychosis: the opinions of expert clinicians
Element | Grouping |
|---|---|
EIS team should have a catchment area of 250-300,000 | The client group |
The EIS should work with adolescents as young as 14 years | The client group |
EIS should involve users as support workers in community & respite services | Membership |
The EIS should have designated sessions from a child and adolescent psychiatrist | Membership |
The EIS should employ youth workers | Membership |
The EIS should encourage direct referrals from social services | Initial assessment |
Assessment should people important to service user other than family | Initial assessment |
The initial EIS care plan should be reviewed at 3 months | Initial assessment |
The EIS should assess client's eligibility for benefits | Initial assessment |
The EIS should allow self referral | Initial assessment |
The EIS should not attempt to make a diagnosis at first assessment | Initial assessment |
Assessment includes measures symptoms/distress/social functioning/work | Initial assessment |
Clients should have education/training plan to employment within 3 months | Non-pharmaceutical |
Clients should have access to user led vocational/educational programme | Non-pharmaceutical |
The EIS should help clients find suitable accommodation | Non-pharmaceutical |
EIS avoids reliance on disability allowance as hampers chances of work | Non-pharmaceutical |
The EIS should provide CBT to prevent transition to psychosis | Non-pharmaceutical |
The EIS should provide Cognitive Behavioural Therapy for depression | Non-pharmaceutical |
The EIS uses structured techniques to encourage compliance with drugs | Pharmaceutical |
The EIS should make initial contact with the clients family at home | Relatives and sig others |
EIS contacts family/carers and significant others at least monthly | Relatives and sig others |
EIS maintains regular contact with family even when client has left home | Relatives and sig others |
EIS attempts to form positive relationships with journalists from local media | Community links |
The EIS should have access to sports and leisure facilities | Community links |
EIS integrates with local community to foster ownership and reduce stigma | Community links |