Which components of specialized early intervention for psychosis do senior providers see as most important?

Mark Savill, Angela Sardo, Pooja Patel, Rachel Loewy, Joy Melnikow, Tara A Niendam

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Aim: Specialized early interventions improve outcomes in early psychosis (EP). Experts have proposed a number of essential treatment components. However, it is unclear whether these reflect the views of senior clinic staff charged with implementing this model in practice. Method: Twenty-Five senior EP clinic staff across California completed a survey indicating which features of EP treatment they considered most important. Results: Components related to the service structure and the need for a prompt, comprehensive assessment and care planning were considered most important, despite the limited evidence base evaluating these aspects of care. Administration of clozapine to treatment-refractory patients and weight gain interventions were considered the least important, despite the relatively strong evidence base supporting these treatment components. Conclusion: The findings suggest a bi-directional dissemination gap, where components considered most important by senior providers receive limited research attention, while some areas with supporting evidence may be underappreciated in clinical practice.

Original languageEnglish (US)
Pages (from-to)677-681
Number of pages5
JournalEarly Intervention in Psychiatry
Volume13
Issue number3
DOIs
StatePublished - Jun 1 2019

Keywords

  • community health services
  • early intervention
  • healthcare providers
  • psychotic disorders
  • surveys and questionnaires

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Psychiatry and Mental health
  • Biological Psychiatry

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