The British Journal of Psychiatry (2006) 188: 37-45. doi: 10.1192/bjp.bp.104.007286
© 2006 The Royal College of Psychiatrists
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Specialised care for early psychosis: symptoms, social functioning and patient satisfaction

Randomised controlled trial

PHILIPPA A. GARETY, PhD

Department of Psychology, Institute of Psychiatry, King's College, London and South London and Maudsley NHS Trust, London

TOM K. J. CRAIG, FRCPsych

Health Services Research Department, Institute of Psychiatry, King's College, London

GRAHAM DUNN, PhD

School of Epidemiology and Health Science, University of Manchester, Manchester

MIRIAM FORNELLS-AMBROJO, BSc

Department of Psychology, Institute of Psychiatry, King's College, London

SUSANNAH COLBERT, BSc

Department of Psychiatry and Behavioural Sciences, Royal Free and University College London Medical School

NIKOLA RAHAMAN, MRCPsych, JASON READ, MRCPsych and PADDY POWER, FRANZCP

South London and Maudsley NHS Trust, London, UK

Correspondence: Professor Philippa Garety, PO Box 77, Department of Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. Tel: +44 (0)20 7848 5046; e-mail: p.garety{at}iop.kcl.ac.uk

Declaration of interest None. Funding detailed in Acknowledgements.

Background The provision of early intervention services for people with psychosisis UK government policy, although evidence for benefit of such services is sparse.

Aims To evaluate the effects of a service providing specialised care for early psychosis (the Lambeth Early Onsetteam) on clinical and social outcomes, and on service user satisfaction.

Method One hundred and forty-four people with psychosis, presenting to mental health services for the first or second time (if previously failed to engage in treatment), were randomly allocated to care by the early onsetteam or to standard care. Information was obtained on symptoms, treatment adherence, social and vocational functioning, satisfaction and quality of life. Relapse and rehospitalisation data have been reported separately.

Results Outcomes for the participants treated by the early onsetteam were significantly better at18 months for aspects of social and vocational functioning, satisfaction, quality of life and medication adherence. Symptom improvementdid not significantly differ between the groups.

Conclusions The provision of specialised care for early psychosis can achieve better outcomes. The study therefore provides support for current policy.




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Special Interest Group For Early Intervention
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BJP Online, 1 Feb 2006 [Full text]