Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
BJPsych Bull. 2024 May 29:1-7. doi: 10.1192/bjb.2024.33. Online ahead of print.
ABSTRACT
BACKGROUND: Schizophreniform disorders tend to have an early onset. Early intervention in psychosis (EIP) services aim to provide early treatment, reduce long-term morbidity and improve social functioning. In 2016, changes to mental health policy in England mandated that the primarily youth-focused model should be extended to an ageless one, to prevent ageism; however, this was without strong research evidence.
AIMS AND METHOD: An inner-city London EIP service compared sociodemographic and clinical factors between the under-35 years and over-35 years caseload cohorts utilising the EIP package following the implementation of the ageless policy.
RESULTS: Both groups received similar care, despite the younger group having significantly more clinical morbidity and needs.
CLINICAL IMPLICATIONS: Our results may indicate that service provisions are being driven by policy rather than clinical needs, potentially diverting resources from younger patients. These findings have important implications for future provision of EIP services and would benefit from further exploration.
PMID:38807570 | DOI:10.1192/bjb.2024.33
![Google](https://www.google.com/images/branding/googlelogo/2x/googlelogo_light_color_92x30dp.png)
![Google Keep](https://www.gstatic.com/images/branding/product/1x/keep_48dp.png)
![Share on Linkedin](https://psychiatryai.com/wp-content/uploads/2023/10/linkedin-logo-png-2048-1.png)
Estimated reading time: 3 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Cool Evidence: Engaging Young People and Students in Real-World Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Real-Time Evidence Search [Psychiatry]
![](/wp-content/uploads/2024/04/pubmed.png)
AI Research
![](/wp-content/uploads/2024/05/Il5nR_nf_400x400-modified-1.png)
A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study Identifying and managing treatment resistance early with the integration of a clozapine clinic within an early intervention for psychosis service Early intervention in psychosis for first episode psychotic mania: the experience of people diagnosed with bipolar disorder Evaluation of a community-based brief intervention service for youth in crisis with suicidal ideation or self-harm Implementing and Evaluating a National Integrated Digital Registry and Clinical Decision Support System in Early Intervention in Psychosis Services (Early Psychosis Informatics Into Care): Co-Designed Protocol Impact of a family history of mental disorders on the characteristics of patients with early psychosis An open pilot trial of a behavioural intervention to reduce violence by young adults with early psychosis receiving treatment in an early intervention services setting: A protocol An open pilot trial of a behavioural intervention to reduce violence by young adults with early psychosis receiving treatment in an early intervention services setting: A protocol Referral pathways to early intervention services for psychosis and their influence on perceptions of care: An interpretive phenomenological analysis Does recency of prodromal symptom onset or worsening matter for psychosis prediction? Over 30 years of STEP: The Pittsburgh experience with first-episode psychosis Over 30 years of STEP: The Pittsburgh experience with first-episode psychosis Detection of and response to gender-based violence: a quality improvement project across three secondary mental health services in London Cost-effectiveness of early intervention in psychosis in low- and middle-income countries: economic evaluation from Sao Paulo, Brazil Collaborative research for psychosis prediction and prevention The PSYCHS instrument to assess criteria for clinical high risk of psychosis The Italian adaptation of the Mini-SIPS, a tool for early detection of individuals at clinical high risk and first episode of psychosis: A preliminary study of implementation in an Italian FEP program Harmony at last: Overcoming arbitrary variation in clinical high risk (CHR) for psychosis assessment The relationship between perceived family support and subclinical positive symptoms of psychosis among Black college students Tracking the 3-year trajectory of referrals to an early psychosis intervention service PSYCHS: Bridging Positive Symptoms and Diagnostic Criteria for Clinical High Risk for Psychosis-A litmus test for the field Two people making sense of a story: narrative exposure therapy as a trauma intervention in early intervention in psychosis Sociodemographic and clinical correlates of hallucinations in patients entering an early intervention program for first episode psychosis Identification of youth at clinical high-risk for psychosis: A community-based study from India Debate: CAMHS will be at the forefront of the next generation of psychosis risk models, but further integration with early intervention psychosis services is needed to realise this potential: Re Debate: Prevention of psychosis in adolescents… Adolescent Violence in the Home Among Youth Presenting to an Early Psychosis Service: An Exploration of Contributing Factors Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service Clinician perspectives of the implementation of an early intervention service for eating disorders in England: a mixed method study Disorganization in first episode affective psychosis: Treatment response and clinical considerations from a 2-year follow-up study in a "real world" setting A Novel Blended Transdiagnostic Intervention (eOrygen) for Youth Psychosis and Borderline Personality Disorder: Uncontrolled Single-Group Pilot Study A Novel Blended Transdiagnostic Intervention (eOrygen) for Youth Psychosis and Borderline Personality Disorder: Uncontrolled Single-Group Pilot Study Attenuated psychosis symptoms are related to working alliance between therapist and service user Comparing interventions for early psychosis: a systematic review and component network meta-analysis Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): Broadening the scope of outcome measures GAPi: A description of the initiative for early psychosis intervention in Latin America and the short- to medium-term outcomes in early psychosis patients Validating cognitive screening in young people with first-episode psychosis: The CogScreen protocol Comparing brief video interventions to reduce public and self-stigma: Randomized control trial Assessing the fidelity of supported education programs for first-episode psychosis to the supported employment guidelines adapted for education Clinical presentation of first episode psychosis in people with and without HIV in KwaZulu-Natal, South Africa Eye-movement desensitisation and reprocessing therapy (EMDR) to prevent transition to psychosis in people with an at-risk mental state (ARMS): mixed method feasibility study Ethnic density and first episode psychosis in the British Pakistani population: findings from the East Lancashire Early Intervention Service Emmanuel Ladapo: Prevention of future deaths report Emmanuel Ladapo: Prevention of future deaths report Emmanuel Ladapo: Prevention of future deaths report The impact of devolution on local health systems: Evidence from Greater Manchester, England Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study Diagnosis of methamphetamine-induced psychotic disorder: Findings of an expert consensus panel Abnormal theta and alpha oscillations in children and adolescents with first-episode psychosis and clinical high-risk psychosis Predicting Intervention Use in Youth with Rare Variants in Autism-Associated Genes Analysis and evaluation of peer group support for doctors in postgraduate training following workplace violence and aggression Watch Me Play!: protocol for a feasibility study of a remotely delivered intervention to promote mental health resilience for children (ages 0-8) across UK early years and children's services Functioning and neurocognition in very early and early-life onset bipolar disorders: the moderating role of bipolar disorder type Disparities in Access to a Regular Primary Care Physician Among First-Generation Migrants with Early Psychosis in Ontario, Canada Resistance training and combined resistance and aerobic training as a treatment of depression and anxiety symptoms in young people: A systematic review and meta-analysis Neuropsychological profiles in first-episodes psychosis and their relationship with clinical, metacognition and social cognition variables Social exclusion as a major outcome domain of psychotic disorders: early predictors, and associations with non-recovery and clinical staging 21 years after a first episode of psychosis Comprehensive spatial distribution of patients with first-episode psychosis (FEP) and its relation to socio-economic factors Psychotic-like experiences and associated factors in resident physicians: A Canadian cross-sectional study Psychotic-like experiences and associated factors in resident physicians: A Canadian cross-sectional study Comprehensive spatial distribution of patients with first-episode psychosis (FEP) and its relation to socio-economic factors Examining the impact of a group treatment using cognitive and social cognition remediation for young offenders: The justice health NSW school-link advantage pilot study Patterns and correlates of health service contact prior to serious offences by people with severe mental illness Combining qualitative and small-n methodologies in impact evaluation designs: theoretical aspects and lessons from experience - Methods in Social Policy and Intervention Research Nomenclature for psychosis risk in Japan: Survey results from high-risk individuals, caregivers, and mental health professionals
Evidence Blueprint
A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
A service evaluation study of the impact of ageless policy in a London inner-city early intervention in psychosis service
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study Service evaluation of an embedded Early Intervention in Psychosis programme Identifying and managing treatment resistance early with the integration of a clozapine clinic within an early intervention for psychosis service An exploratory study of psychosis risk factors in individuals who are referred but do not meet criteria for an early intervention in psychosis service Early intervention in psychosis for first episode psychotic mania: the experience of people diagnosed with bipolar disorder Evaluation of a community-based brief intervention service for youth in crisis with suicidal ideation or self-harm Implementing and Evaluating a National Integrated Digital Registry and Clinical Decision Support System in Early Intervention in Psychosis Services (Early Psychosis Informatics Into Care): Co-Designed Protocol Impact of a family history of mental disorders on the characteristics of patients with early psychosis An open pilot trial of a behavioural intervention to reduce violence by young adults with early psychosis receiving treatment in an early intervention services setting: A protocol An open pilot trial of a behavioural intervention to reduce violence by young adults with early psychosis receiving treatment in an early intervention services setting: A protocol Monthly engagement with EIP keyworkers was associated with a five-fold increase in the odds of engagement with psychosocial interventions Referral pathways to early intervention services for psychosis and their influence on perceptions of care: An interpretive phenomenological analysis Does recency of prodromal symptom onset or worsening matter for psychosis prediction? Over 30 years of STEP: The Pittsburgh experience with first-episode psychosis Over 30 years of STEP: The Pittsburgh experience with first-episode psychosis Detection of and response to gender-based violence: a quality improvement project across three secondary mental health services in London Cost-effectiveness of early intervention in psychosis in low- and middle-income countries: economic evaluation from Sao Paulo, Brazil Collaborative research for psychosis prediction and prevention The PSYCHS instrument to assess criteria for clinical high risk of psychosis The Italian adaptation of the Mini-SIPS, a tool for early detection of individuals at clinical high risk and first episode of psychosis: A preliminary study of implementation in an Italian FEP program Harmony at last: Overcoming arbitrary variation in clinical high risk (CHR) for psychosis assessment The relationship between perceived family support and subclinical positive symptoms of psychosis among Black college students Access to a regular primary care physician among young people with early psychosis in Ontario, Canada Tracking the 3-year trajectory of referrals to an early psychosis intervention service PSYCHS: Bridging Positive Symptoms and Diagnostic Criteria for Clinical High Risk for Psychosis-A litmus test for the field Two people making sense of a story: narrative exposure therapy as a trauma intervention in early intervention in psychosis Exploring service provider perspectives on service user engagement across service components in coordinated specialty care programs for psychosis Expanding Early Psychosis Care across a Large and Diverse State: Implementation Lessons Learned from Administrative Data and Clinical Team Leads in Texas Sociodemographic and clinical correlates of hallucinations in patients entering an early intervention program for first episode psychosis First-episode psychosis intervention programme versus standard care for the clinical management of early phases of psychosis: cost analysis Negative self-reference as a component of subthreshold psychotic symptoms in clinical high-risk youth Negative self-reference as a component of subthreshold psychotic symptoms in clinical high-risk youth Addressing the gap of early intervention for eating disorders in primary health care Identification of youth at clinical high-risk for psychosis: A community-based study from India Debate: CAMHS will be at the forefront of the next generation of psychosis risk models, but further integration with early intervention psychosis services is needed to realise this potential: Re Debate: Prevention of psychosis in adolescents… Risk factors for homelessness and housing instability in the first episode of mental illness: Initial findings from the AMONT study Adolescent Violence in the Home Among Youth Presenting to an Early Psychosis Service: An Exploration of Contributing Factors Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service Clinician perspectives of the implementation of an early intervention service for eating disorders in England: a mixed method study Disseminating action-based cognitive remediation to an early psychosis network: Clinician perspectives on feasibility and implementation barriers A new insomnia treatment service: the benefits and challenges of establishing a trainee-led service Perspectives of young adults diagnosed with early psychosis using coordinated specialty care in Texas on substance use and substance use interventions Disorganization in first episode affective psychosis: Treatment response and clinical considerations from a 2-year follow-up study in a "real world" setting Challenges and opportunities in the diagnosis and treatment of early-onset psychosis: a case series from the youth affective disorders clinic in Stockholm, Sweden Perspectives of mental health clinicians on physical health of young people with early psychosis NorthBEAT: exploring the service needs of youth experiencing early psychosis in Northern Ontario Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales A Novel Blended Transdiagnostic Intervention (eOrygen) for Youth Psychosis and Borderline Personality Disorder: Uncontrolled Single-Group Pilot Study A Novel Blended Transdiagnostic Intervention (eOrygen) for Youth Psychosis and Borderline Personality Disorder: Uncontrolled Single-Group Pilot Study Attenuated psychosis symptoms are related to working alliance between therapist and service user Identifying Individuals With Early Psychosis in Jail: Lessons Learned for Coordinated Specialty Care Services Cycles of reform in the history of psychosis treatment in the United States Impact of gaming disorder on first episode psychosis patients' evolution: Protocol for a multicentered prospective study Young people's pathways to a specialist suicide prevention service and the influence of caregiver prior suicidality and mental health treatment Gender-affirming care in the assessment and treatment of psychosis risk: Considering minority stress in current practice and future research Lived experience adaptation of a psychosocial intervention for young adults with bipolar spectrum disorders: Process description and adaptation outcomes Access to Part C, Early Intervention for children younger than 4 years evaluated for autism spectrum disorder Clinical characteristics of people presenting with first episode psychosis pre- and during the COVID-19 pandemic in KwaZulu-Natal Province, South Africa Early alcohol onset: clinical and demographic characteristics of service-seeking youth Perspective of patients with first-episode psychosis, their relatives, and mental health professionals on the design and usability of an app in clinical practice Stigma experienced as worse than symptoms of schizophrenia: A qualitative study about The OpusPanel Comparing interventions for early psychosis: a systematic review and component network meta-analysis The self, neuroscience and psychosis study: Testing a neurophenomenological model of the onset of psychosis Effectiveness of the early intervention service for first-episode psychosis in Navarra (PEPsNa): Broadening the scope of outcome measures