Early Intervention in Psychosis Treatment Components Utilization in Patients Aged Over 35

Jagger, Grace; Fuente-Tomás, Lorena de la; Štochl, Jan; Allan, Sophie; Clay, Felix; Kenedler, Lizzie; Treise, Cate; Pérez, Jesús

doi:10.1007/s10597-019-00479-5

Cited by 7 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous age restrictions for EI services were therefore likely gender inequitable and disproportionately disadvantaged women. In contrast to previous studies, which found O-35s to be more likely to present with affective psychosis, we did not find differences in diagnosis between the age groups (Clay et al, 2018 ; Jagger et al, 2019 ; O’Driscoll et al, 2019 ). Additionally, we did not find differences in comorbid mental health secondary diagnoses.…”

Section: Discussioncontrasting

confidence: 99%

“…We found gender distribution to be uneven in the two age groups considered; further suggesting that a later psychosis onset may be more common in women (Häfner et al, 1998 ; Jagger et al, 2019 ; O’Driscoll et al, 2019 ; Selvendra et al, 2014 ). Previous age restrictions for EI services were therefore likely gender inequitable and disproportionately disadvantaged women.…”

Section: Discussionmentioning

confidence: 76%

“…One study found that over 35s required more contact from healthcare professionals (e.g. care coordinators), interpreted to indicate more complexity, and greater clinical and social needs (Jagger et al, 2019 ). Another found no differences in clinical outcomes, despite variation in social factors between the age groups (O’Driscoll et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychosis Early Intervention Across the Life Span: A Service Perspective

Taylor

Orucu

Nandha

et al. 2022

Community Ment Health J

View full text Add to dashboard Cite

Previously youth-orientated, UK early intervention in psychosis (EI) services expanded care in 2016 to adults of any age. To compare EI care offering, clinical characteristics, and potential benefits for under-35s and over-35s, an observational study considering anonymised data for users of London-based EI services between April 2016 and December 2019 was conducted. Descriptive statistics and between groups comparisons are reported. The analysis considered 692 service users (32.5% over-35). Over-35s were more likely to be female, of poorer physical health, with severer problems at intake (Health of the Nation Outcome Scale, HoNOS). Under-35s had poorer appointment attendance, required increased use of inpatient facilities, and demonstrated greater risks to themselves and others. At discharge, HoNOS ratings indicated improvements for both groups. Over-35s constitute a considerable proportion of EI service-users, their care may involve less crisis management, more recovery-oriented intervention and physical health needs consideration. Care offering should reflect these needs.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 76%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Psychosis Early Intervention Across the Life Span: A Service Perspective

Taylor

Orucu

Nandha

et al. 2022

Community Ment Health J

View full text Add to dashboard Cite

show abstract

“…In this regard, the national effort in the United Kingdom to widen inclusion in these services to age 65 may offer some useful lessons for the United States (4). Preliminary reports suggest a 25% increase in total referrals to services, with those older than 35 representing one-third of the total FEP sample (5). Of note, FEP in this specific age group results in higher care complexity, requiring more intensive care planning, as well as sustained social worker support for child care, involvement with child protective services, and consideration of economic needs (5).…”

Section: Factors That Can Affect Access To Care For Womenmentioning

confidence: 99%

Early Intervention for Psychosis in the United States: Tailoring Services to Improve Care for Women

Ferrara¹,

Srihari²

2021

View full text Add to dashboard Cite

“…Older FEP individuals have distinguishing features and characteristics (Clay et al, 2018), and thus are likely to have different needs and expectations in terms of treatment and support compared to the traditional EIS client population, such as different aims in psychological therapy or vocational objectives (Golay et al, 2017; Greenfield et al, 2018; Selvendra, Baetens, Trauer, Petrakis, & Castle, 2014). A recent study (Jagger et al, 2019) looking at treatment components utilization in an age inclusive service observed more complex and sustained needs in service users over the age of 35, especially in terms of care coordination. As a result, it has been suggested that the benefits of EIS cannot necessarily be generalized or extrapolated to older individuals (Mitford, Reay, McCabe, Paxton, & Turkington, 2010) and monitoring the change and expansion of service user focus in EIS is important.…”

Section: Introductionmentioning

confidence: 99%

Transitioning to age inclusive early intervention for psychosis

O’Driscoll

Free

Attard

et al. 2019

Early Intervention Psych

View full text Add to dashboard Cite

Aim: Early Intervention in psychosis Services (EIS) have previously restricted access based on age. However, there is now a move to age inclusive service. We aimed to examine differences between early and late onset (>35 years) psychosis to see if a threshold was valid. We also investigated the potential of a statistical modelling method to identify group characteristics which may be missed using a descriptive approach. Method: Routine clinical data (n=343), from an EIS, comprising sociodemographic, clinical, phys ical, and treatment variables, were examined using descriptive and classification and regression tree (CART) analysis. Results: The findings suggest that age differences were best explained by social factors. There was no emerging evidence that the differences exhibited had a fundamental impact on the clinical outcomes of the clients in terms of support beyond EIS (i.e., hospitalisation and home treatment team involvement) and pharmacological and psychological interventions. CART analysis revealed distinct service user characteristics associated with the clinical outcomes. Conclusion: There was no evidence to support a clinical cut off based on age providing support for age inclusive services. However, in the transition to age inclusive service delivery, EIS need to consider social / life stage variables, adapting provision where service delivery may operate a youth focused model. Routine analysis of clinical data should employ methods to identify groups of service users who may require adjusted service provision..

show abstract

Early Intervention in Psychosis Treatment Components Utilization in Patients Aged Over 35

Cited by 7 publications

References 15 publications

Psychosis Early Intervention Across the Life Span: A Service Perspective

Psychosis Early Intervention Across the Life Span: A Service Perspective

Early Intervention for Psychosis in the United States: Tailoring Services to Improve Care for Women

Transitioning to age inclusive early intervention for psychosis

Contact Info

Product

Resources

About