Reorienting A General Mental Health Service Towards A Systematic Early Intervention Approach To Psychosis: Staff Attitudes, Changes In Service

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Authors: Jo Gorrell, Alan Rosen, Chris Tennant, Alison Cornish, Nick Kowalenko, Vivienne Miller, Bev Moss, Louise Nash

Year: 2000

Event: 2000 TheMHS Conference

Subject: book of proceedings, Evidence-Based Practice, And Outcome Reasearch, Early Psychosis Services

Type of resource: Conference Presentations and Papers

Abstract: This paper reports on the evaluation of the reorientation of Northern Sydney mental health services towards a systematic early intervention approach to psychosis, without additional funding.

This paper is comprised of three parts:

1. Staff attitudes - The successful implementation of a new approach to clinical practice requires that staff hold views in favour of the new approach. The development of a questionnaire to assess staff attitudes will be presented. The attitudes held by our staff and how these changed during the introduction of early intervention will be described.

2. Service provision - is being investigated by a medical record audit, currently in process.

3. Client outcomes - Routine outcome measurement has been introduced for all young clients with early psychosis. Preliminary data will be described.

Our Perceptions of Early Psychosis Intervention questionnaire (PEPI) appears to be useful in assessing staff attitudes. We have successfully initiated a process to monitor change in services provided and to routinely and comprehensively measure client outcomes.

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