A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service
Background Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-04-01
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| Series: | BJPsych Bulletin |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469424000330/type/journal_article |
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| author | Charlotte Johnston-Webber Shreeya Gyawali Elvan U. Akyuz Madalina Zlate Georgios Nerantzis Nikita Beauvillain Olivier Andlauer Susham Gupta |
| author_facet | Charlotte Johnston-Webber Shreeya Gyawali Elvan U. Akyuz Madalina Zlate Georgios Nerantzis Nikita Beauvillain Olivier Andlauer Susham Gupta |
| author_sort | Charlotte Johnston-Webber |
| collection | DOAJ |
| description |
Background
Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused model should be extended to an ageless one, to prevent ageism; however, this was without strong research evidence.
Aims and method
An inner-city London EIP service compared sociodemographic and clinical factors between the under-35 years and over-35 years caseload cohorts utilising the EIP package following the implementation of the ageless policy.
Results
Both groups received similar care, despite the younger group having significantly more clinical morbidity and needs.
Clinical implications
Our results may indicate that service provisions are being driven by policy rather than clinical needs, potentially diverting resources from younger patients. These findings have important implications for future provision of EIP services and would benefit from further exploration.
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| format | Article |
| id | doaj-art-d1ed2c7f287442089a70510348a0e4d2 |
| institution | OA Journals |
| issn | 2056-4694 2056-4708 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj-art-d1ed2c7f287442089a70510348a0e4d22025-08-20T02:24:34ZengCambridge University PressBJPsych Bulletin2056-46942056-47082025-04-0149869210.1192/bjb.2024.33A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis serviceCharlotte Johnston-Webber0Shreeya Gyawali1Elvan U. Akyuz2Madalina Zlate3Georgios Nerantzis4Nikita Beauvillain5Olivier Andlauer6Susham Gupta7https://orcid.org/0000-0003-0273-537XLondon School of Economics and Political Science, UKNorth East London NHS Foundation Trust, UKNorth East London NHS Foundation Trust, UKAvon and Wiltshire Mental Health Partnership NHS Trust, Bath, UKEast London NHS Foundation Trust, UKEdouard Herriot Hospital, Lyon, FranceEast London NHS Foundation Trust, UK Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, UKEast London NHS Foundation Trust, UK Background Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused model should be extended to an ageless one, to prevent ageism; however, this was without strong research evidence. Aims and method An inner-city London EIP service compared sociodemographic and clinical factors between the under-35 years and over-35 years caseload cohorts utilising the EIP package following the implementation of the ageless policy. Results Both groups received similar care, despite the younger group having significantly more clinical morbidity and needs. Clinical implications Our results may indicate that service provisions are being driven by policy rather than clinical needs, potentially diverting resources from younger patients. These findings have important implications for future provision of EIP services and would benefit from further exploration. https://www.cambridge.org/core/product/identifier/S2056469424000330/type/journal_articleEarly intervention for psychosispsychotic disorders/schizophreniaclinical outcomes measureshealth economicscost-effectiveness |
| spellingShingle | Charlotte Johnston-Webber Shreeya Gyawali Elvan U. Akyuz Madalina Zlate Georgios Nerantzis Nikita Beauvillain Olivier Andlauer Susham Gupta A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service BJPsych Bulletin Early intervention for psychosis psychotic disorders/schizophrenia clinical outcomes measures health economics cost-effectiveness |
| title | A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service |
| title_full | A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service |
| title_fullStr | A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service |
| title_full_unstemmed | A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service |
| title_short | A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service |
| title_sort | service evaluation study of the impact of ageless policy in a london inner city early intervention in psychosis service |
| topic | Early intervention for psychosis psychotic disorders/schizophrenia clinical outcomes measures health economics cost-effectiveness |
| url | https://www.cambridge.org/core/product/identifier/S2056469424000330/type/journal_article |
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