Journal
EARLY INTERVENTION IN PSYCHIATRY
Volume 13, Issue 3, Pages 677-681Publisher
WILEY
DOI: 10.1111/eip.12690
Keywords
community health services; early intervention; healthcare providers; psychotic disorders; surveys and questionnaires
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Funding
- MHS Oversight and Accountability Committee [14MHSOAC010]
- National Institute of Mental Health [MH018261-31]
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Aim Specialized early interventions improve outcomes in early psychosis (EP). Experts have proposed a number of essential treatment components. However, it is unclear whether these reflect the views of senior clinic staff charged with implementing this model in practice. Method Twenty-Five senior EP clinic staff across California completed a survey indicating which features of EP treatment they considered most important. Results Components related to the service structure and the need for a prompt, comprehensive assessment and care planning were considered most important, despite the limited evidence base evaluating these aspects of care. Administration of clozapine to treatment-refractory patients and weight gain interventions were considered the least important, despite the relatively strong evidence base supporting these treatment components. Conclusion The findings suggest a bi-directional dissemination gap, where components considered most important by senior providers receive limited research attention, while some areas with supporting evidence may be underappreciated in clinical practice.
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