Changes in early psychosis service provision: a file audit

Gorrell, Joanne; Cornish, Alison; Tennant, Chris; Rosen, Alan; Nash, Louise; McKay, Diana; Moss, Beverley

doi:10.1111/j.1440-1614.2004.01450.x

Cited by 14 publications

(28 citation statements)

References 26 publications

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“…The patient has often suffered traumatic events before their illness, and are vulnerable to further trauma, including violence. The treatment for psychosis can be distressing for patients, especially the use of seclusion and restraints, with the most common traumatic event being involuntary admission into a mental health facility (Gorrell et al 2004).…”

Section: Impact On the Patientmentioning

confidence: 99%

“…Nurses also must be involved with physical, mental health and risk assessment, as these factors all influence clinical outcomes. Physical assessment includes comorbid factors, such as other illnesses and substance use, and the sideeffects of antipsychotic medication (Gorrell et al 2004;Harris et al 2005). Side-effects may include extrapyramidal, anticholinergic, and other autonomic symptoms.…”

Section: Assessment and Risk Reductionmentioning

confidence: 99%

“…Nurses help to establish baseline data for a patient, as well as being involved in the ongoing assessment of patients. This will include talking to both patients and their family (Gorrell et al 2004;Keks & Blashki 2006).…”

Section: Assessment and Risk Reductionmentioning

confidence: 99%

“…Nurses also need to understand the trauma associated with hospitalization and treatment, that this trauma may lead to patients avoiding treatment, and longer treatment times. Nurses should ensure they are treating patients in the least traumatic and restrictive manner (Gorrell et al 2004;Mueser & Rosenberg 2003).…”

Section: Therapeutic Relationshipmentioning

confidence: 99%

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First‐episode psychosis: A literature review

Reed

2008

Int J Mental Health Nurs

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This paper reports on a literature review of the impacts of first-episode psychosis on both the patient and their family and carers. The discussion focuses on the effects on the patient experiencing psychotic symptoms for the first time, including disruption to their environment, social connectedness, and future plans. Patients experiencing these symptoms can experience fear, distress, and isolation. Many of these patients are also at greater risk to themselves and others. The family and carers witnessing this psychosis may experience fear, guilt, and often carry the emotional and physical burden of care. Early intervention and treatment are crucial to potentially achieving better clinical outcomes, and to alleviating the psychological impact on patients and their families. The nurse's role in the treatment of the patient experiencing first-episode psychosis is to facilitate early intervention through recognition of symptoms and ongoing assessment, work to reduce a patient's risks, manage treatments, and work with the patient to reduce the risk of relapse.

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Section: Impact On the Patientmentioning

confidence: 99%

Section: Assessment and Risk Reductionmentioning

confidence: 99%

Section: Assessment and Risk Reductionmentioning

confidence: 99%

Section: Therapeutic Relationshipmentioning

confidence: 99%

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First‐episode psychosis: A literature review

Reed

2008

Int J Mental Health Nurs

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“…A few studies have examined the impact of early psychosis treatment services using performance measures or quality indicators derived from clinical practice guidelines. [9][10][11] These studies have been based on chart reviews and have examined a range of processes and outcome measures. They have documented differences in both the process and outcomes of service delivery following the implementation of specific early psychosis treatment services.…”

Section: Introductionmentioning

confidence: 99%

A comparison of early psychosis treatment services using consensus and evidence‐based performance measures: moving towards setting standards

Addington¹,

Norman²,

Adair³

et al. 2009

Early Intervention Psych

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Guidelines for treating mental illness: love them, hate them. Can the SIEP-DIRECT's Project serve in the search for a happy medium?

Ruggeri

2008

Epidemiol Psychiatr Sci

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SUMMARYThis paper discusses some key aspects of the debate on the difficulties of incorporating scientific evidence into the daily work of clinicians in mental health services (MHS). It highlights the topics of: the utility of guidelines in this field, the ethical principles that should guide their utilisation, their limitations, obstacles impeding the diffusion of guidelines in psychiatry, and strategies that can be useful for overcoming the barriers to guideline implementation. The SIEP-DIRECT's ((DIscrepancy between Routine practice and Evidence in psychiatric Community Treatments on Schizophrenia) Project's potential role in fostering this advancement is discussed in detail. This Project developed a set of 103 indicators that operationalised the NICE clinical guidelines for schizophrenia recommendations and tested them in 19 MHS in Italy. A multi-step design was used to assess recommendation and indicator acceptability in the Italian context; provide an assessment of any current discrepancies between routine practice and guideline recommendations in the treatment of schizophrenia; and understand the reasons for any discrepancies that might emerge. This process, moreover, was instrumental in keeping the debate arising during conduction of this Project far from the excesses of hostility - and excesses of “bright-eyed enthusiasm” - that frequently influence discussion on topic. This Project therefore showed potential to serve in the search for a happy medium, that can facilitate the pursuit of a fundamental advancement in guideline implementation in mental health services.Declaration of Interest: None.

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Changes in early psychosis service provision: a file audit

Abstract: The services increased their provision of "guideline concordant" care for early psychosis. The audit proved useful to monitor performance, to demonstrate improvements in care and to identify those areas of service provision and documentation in need of improvement.

Cited by 14 publications

References 26 publications

First‐episode psychosis: A literature review

First‐episode psychosis: A literature review

A comparison of early psychosis treatment services using consensus and evidence‐based performance measures: moving towards setting standards

Guidelines for treating mental illness: love them, hate them. Can the SIEP-DIRECT's Project serve in the search for a happy medium?

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