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Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study

Rickett, Michelle Clare; Kingstone, Tom; Gupta, Veenu; Shiers, David; French, Paul; Lennox, Belinda; Crawford, Mike; Penington, Edward; Hedges, Anna; Ward, Jo; Williams, Ryan; Bateman, Paul; Chew-Graham, Carolyn A


Michelle Clare Rickett

Veenu Gupta

David Shiers

Paul French

Belinda Lennox

Mike Crawford

Edward Penington

Anna Hedges

Jo Ward

Ryan Williams

Paul Bateman


Background People with new psychotic symptoms may be managed within an Early Intervention in Psychosis service (EIP). They may be discharged back to primary care at the end of their time in an EIP service. Aim To explore the role of primary care in supporting people with psychosis in an EIP service. Design and Setting Qualitative study, within a programme of work to explore the optimum duration of management within an EIP service. Methods Semi-structured interviews with people in EIP services, carers, general practitioners (GPs) and EIP practitioners. Findings GPs report difficulties in referring people into EIP services, have little contact with people who are supported by EIP services and are not included in planning discharge from EIP service to primary care. Conclusions This study suggests that GPs should have a role in the support of people within EIP services (in particular monitoring and managing physical health) and their carers. Inclusion of GPs in managing discharge from EIP services is vital. We suggest that a joint consultation with the service user, their carer (if they wish) along with EIP care co-ordinator and GP would make this transition smoother. [Abstract copyright: Copyright © 2024, The Authors.]

Journal Article Type Article
Acceptance Date Mar 11, 2024
Online Publication Date Mar 18, 2024
Deposit Date Mar 25, 2024
Journal British Journal of General Practice
Print ISSN 0960-1643
Electronic ISSN 1478-5242
Publisher Royal College of General Practitioners
Peer Reviewed Peer Reviewed
Pages BJGP.2023.0558
Keywords Family Practice