Early Intervention in Psychosis Summary Report
Core components of Early Intervention in Psychosis
There is strong evidence to support EIP, however there are clear challenges in its implementation.
It is important to distinguish between the core components of EIP and service delivery models.
EIP is characterised by core components of values, for example, connectedness, hope, identity, meaning and empowerment (CHIME Framework); interventions, which are supported by evidence and outlined in SIGN and NICE guidance and the literature; and service design, which describes the key characteristics of effective services.
Service model choice will be strongly influenced by both the evidence base and local context and should be co-designed with people with lived experience.
There are three elements leading to selecting which service model option is suitable:
- recovery focus
- developmentally and culturally sensitive
- synergistic and collaborative
- human rights-based approach
- trauma informed
- family engagement
- biopsychosocial interventions
- CBTp and other psychological interventions
- family interventions
- low dose antipsychotic medication
- regular medication review
- annual physical health reviews
- support for carers
- treatment of co-morbidities
- vocational support
- housing support
3. Service design
- quick access to early treatment
- measurement of duration of untreated psychosis
- low caseloads
- embracing diagnostic uncertainty
- integrated multidisciplinary working
- staff with ring-fenced time
- three-year duration
- assertive outreach
- peer support