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Reducing outcome variability in EIP services

With peak onset occurring at 22 years of age, psychotic disorders such as schizophrenia can derail a young person’s social, academic, and vocational development and initiate a trajectory of accumulating disability. People experiencing first episode psychosis are often frightened and confused, and struggle to understand what is happening to them.

However, the majority of people who receive a course of therapies for psychosis recommended by the National Institute for Health and Care Excellence (NICE) are able to attain symptom remission and return to employment and education.

Over the past two decades, a national and international collaborative effort has been mounted to build the evidence and capacity for early intervention in psychotic disorders. Whereas for so long efforts had been hindered by many factors including deep pessimism, stigma and lack of resourcing, the new early intervention in psychosis (EIP) standards and £120 million of funding offer a unique opportunity to reduce unwarranted variation and achieving better outcomes.

Most NHS mental health services have high variability coupled with patchy record-keeping. However, by using an EIP common assessment tool with providers’ electronic health records, EIP services in the Oxford AHSN region will be able to achieve unrivaled data quality and completeness.

We will be able to report on a detailed analysis of the last 12 months outcome data directly from local EIP services’ electronic health records. Our outcomes are aligned with NICE key performance indicators including:

  • duration of undiagnosed psychosis
  • NICE interventions delivered
  • physical health
  • role functioning (employment and education).
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