Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study

Rickett, Michelle Clare ORCID: https://orcid.org/0009-0001-2503-9951, Kingstone, Tom ORCID: https://orcid.org/0000-0001-9179-2303, Gupta, Veenu ORCID: https://orcid.org/0000-0001-5082-5068, Shiers, David, French, Paul ORCID: https://orcid.org/0000-0003-4300-387X, Lennox, Belinda, Crawford, Mike ORCID: https://orcid.org/0000-0003-3137-5772, Penington, Edward, Hedges, Anna, Ward, Jo, Williams, Ryan, Bateman, Paul and Chew-Graham, Carolyn A ORCID: https://orcid.org/0000-0002-9722-9981 (2024) Collaboration across the primary/specialist interface in early intervention in psychosis services: a qualitative study. The British journal of general practice: the journal of the Royal College of General Practitioners, 74 (747). e709-e716. ISSN 0960-1643

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Abstract

Background People with new psychotic symptoms may be managed within an Early Intervention in Psychosis service (EIP). They may be discharged back to primary care at the end of their time in an EIP service. Aim To explore the role of primary care in supporting people with psychosis in an EIP service. Design and Setting Qualitative study, within a programme of work to explore the optimum duration of management within an EIP service. Methods Semi-structured interviews with people in EIP services, carers, general practitioners (GPs) and EIP practitioners. Findings GPs report difficulties in referring people into EIP services, have little contact with people who are supported by EIP services and are not included in planning discharge from EIP service to primary care. Conclusions This study suggests that GPs should have a role in the support of people within EIP services (in particular monitoring and managing physical health) and their carers. Inclusion of GPs in managing discharge from EIP services is vital. We suggest that a joint consultation with the service user, their carer (if they wish) along with EIP care co-ordinator and GP would make this transition smoother.