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A first step in system improvement: a survey of Early Psychosis Intervention Programmes in Ontario
Author(s) -
Durbin Janet,
Selick Avra,
Hierlihy Deborah,
Moss Sarah,
Cheng Chiachen
Publication year - 2016
Publication title -
early intervention in psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.087
H-Index - 45
eISSN - 1751-7893
pISSN - 1751-7885
DOI - 10.1111/eip.12201
Subject(s) - service delivery framework , context (archaeology) , fidelity , christian ministry , intervention (counseling) , medicine , population , environmental health , psychology , nursing , family medicine , service (business) , geography , business , engineering , political science , archaeology , marketing , law , electrical engineering
Aim O ntario, C anada is a large province with a geographically dispersed population. Early psychosis intervention ( EPI ) programmes are available province‐wide, with delivery approaches adapted to context. This study examined EPI programme delivery in relation to recently released provincial EPI P rogram S tandards, and variations based on geographic context. Methods The data source was a province‐wide key informant survey of early psychosis programmes conducted after release of the Standards. Chi‐squared tests compared large‐ and small‐area programmes on selected programme structural features and perceived adherence to 19 service components. Results Responses were obtained from 52 programme sites, including 21 small‐area programmes with 1 to 2 staff. In general, frequency of EPI delivery was highest for individual assessment and treatment components, and moderate for social supports and family support. Implementation was lowest for public education, early detection and recovery planning. Small‐area programmes reported lower implementation for over half of the components, with differences statistically significant for psychiatric assessment and physical health monitoring. Conclusion Since the release of the Standards, the O ntario M inistry of H ealth has partnered with a provincial network of EPI stakeholders to support practice improvement. This survey identified components where more implementation support is needed, overall and for rural area delivery. Ultimately, systematic monitoring of programme fidelity and measuring client outcomes are key to advancing the quality of EPI programme delivery.