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Table 4 Elements rated very important with weak consensus

From: Essential elements of an early intervention service for psychosis: the opinions of expert clinicians

Element

Grouping

EIS should adopt a needs led model of support

Team structure

EIS produces a care plan within week of initial assessment

Initial assessment

When treating acutely ill client, long acting benzos rather than neuroleptics used for sedation

Pharmaceutical

EIS maintains watching brief for at least 3 months on all clients screened but judged unsuitable for treatment

engagement

An EIS should have a catchment area of about 150,000 in inner city areas

The client group

The EIS should focus on people under the age of 25 years

The client group

EIS should be embedded in a youth services structure owned by statutory & voluntary agencies

Team structure

EIS has designated sessions from a child and adolescent psychologist

Membership

The EIS should encourage direct referrals from educational institutions

Initial assessment

The EIS should encourage direct referrals from non-statutory agencies

Initial assessment

EIS uses social activities by the key worker as a means of engaging clients

engagement

When client appears psychotic, treatment with drugs delayed for 2 days until diagnosis confirmed

Pharmaceutical