Premium
Which components of specialized early intervention for psychosis do senior providers see as most important?
Author(s) -
Savill Mark,
Sardo Angela,
Patel Pooja,
Loewy Rachel,
Melnikow Joy,
Niendam Tara
Publication year - 2019
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.12690
Subject(s) - psychological intervention , intervention (counseling) , early psychosis , clozapine , psychosis , medicine , evidence based practice , best practice , nursing , psychiatry , schizophrenia (object oriented programming) , psychology , alternative medicine , management , pathology , economics
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.