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Moving on from early intervention for psychosis services: Service user perspectives on the facilitators and barriers of transition
Author(s) -
Loughlin Matthew,
Berry Katherine,
Brooks Joanna,
Bucci Sandra
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.12780
Subject(s) - excellence , nice , thematic analysis , service (business) , mental health , feeling , intervention (counseling) , psychological intervention , psychology , medicine , nursing , qualitative research , medical education , psychiatry , social psychology , business , computer science , sociology , political science , marketing , social science , law , programming language
Aim Early intervention for psychosis services (EIS) has been established worldwide and is offered to individuals experiencing a first episode of psychosis. Engagement with EIS typically lasts for 3 years, after which point, service users are either transferred to primary care or community mental health teams, according to perceived needs. Although UK National Institute for Clinical Excellence (NICE) guidelines recommend transfer of care should be arranged in conjunction with the receiving service, there exists little, if any, practical guidance as to how this should actually be managed. This study aims to investigate the barriers and facilitators of transition from EIS to both primary and secondary care services in the United Kingdom from the perspectives of service users. Methods Fifteen EIS service users who had either been discharged to primary or secondary services were interviewed about their experience of discharge. Data were analysed using interpretive thematic analysis, adopting a critical realist stance. Results Four themes were identified: feeling ready for discharge; relationships and trust; planning for discharge; life after EIS. Conclusions This is the first in‐depth exploration of a sample of largely male service users' views on transition from EIS to primary and/or secondary care services. We highlight several practical steps that EIS and receiving services can take to facilitate a more optimal discharge and transition experience for EIS service users. Taking into account service pressures, the discharge process should be one that is gradual, allowing time for the service user to both process the news and gradually sever ties with keyworkers.