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Supporting people in Early Intervention in Psychosis services: the role of primary care.

Chew-Graham, Carolyn; Rickett, Michelle; Kingstone, Tom; Gupta, Veenu; Shiers, David; French, Paul; Lennox, Belinda; Crawford, Mike; Penington, Ed; Hedges, Anna; Ward, Jo


Veenu Gupta

David Shiers

Paul French

Belinda Lennox

Mike Crawford

Ed Penington

Anna Hedges

Jo Ward


Early Intervention in Psychosis (EIP) services offer treatment to people experiencing a first episode of psychosis. Service users may be referred from primary care and discharged directly back at the end of their time in an EIP service. To explore the role of primary care in supporting EIP service users (SUs) and to understand how to improve collaboration between primary and specialist care. Qualitative study comprising semi-structured interviews with SUs, carers, healthcare professionals (HCPs), managers, and commissioners. Interviews were conducted either online or by telephone. Thematic analysis was carried out using principles of constant comparison. Patient and public involvement were key to all stages, including data analysis. In total, 55 interviews were conducted with SUs ( = 13), carers ( = 10), and GPs, EIP HCPs, managers, and commissioners ( = 33). GPs reported difficulties in referring people into EIP services and little contact with SUs while in EIP services, even about physical health. GPs suggested they were not included in planning discharge from EIP to primary care. SUs and carers reported that transition from EIP can lead to uncertainty, distress, and exacerbation of symptoms. GPs reported only being made aware of patients on or after discharge, with no contact for 3 years. GPs described difficulty managing complex medication regimes, and barriers to re-referral to mental health services. GPs have a key role in supporting people within EIP services, specifically monitoring and managing physical health. Inclusion of GPs in planning discharge from EIP services is vital. [Abstract copyright: © British Journal of General Practice 2024.]


Chew-Graham, C., Rickett, M., Kingstone, T., Gupta, V., Shiers, D., French, P., …Ward, J. (2024, March). Supporting people in Early Intervention in Psychosis services: the role of primary care. Presented at BJGP Research and Publishing Conference, RCGP Headquarters, London

Presentation Conference Type Speech
Conference Name BJGP Research and Publishing Conference
Conference Location RCGP Headquarters, London
Start Date Mar 22, 2024
End Date Mar 22, 2024
Deposit Date Jul 9, 2024
Publicly Available Date Jul 9, 2024
Publisher Royal College of General Practitioners
Keywords Referral and Consultation, Female, Attitude of Health Personnel, Primary Health Care, Male, Psychotic Disorders - therapy, Adult, Early Medical Intervention, Caregivers - psychology, Humans, Qualitative Research, Mental Health Services - organization & ad
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