Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.

BACKGROUND: While recent research points to the potential benefits of clinical intervention before the first episode of psychosis, the logistical feasibility of this is unclear. AIMS: To assess the feasibility of providing a clinical service for people with prodromal symptoms in an inner city area w...

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Main Authors: Broome, MR, Woolley, J, Johns, L, Valmaggia, L, Tabraham, P, Gafoor, R, Bramon, E, McGuire, P
Format: Journal article
Language:English
Published: 2005
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author Broome, MR
Woolley, J
Johns, L
Valmaggia, L
Tabraham, P
Gafoor, R
Bramon, E
McGuire, P
author_facet Broome, MR
Woolley, J
Johns, L
Valmaggia, L
Tabraham, P
Gafoor, R
Bramon, E
McGuire, P
author_sort Broome, MR
collection OXFORD
description BACKGROUND: While recent research points to the potential benefits of clinical intervention before the first episode of psychosis, the logistical feasibility of this is unclear. AIMS: To assess the feasibility of providing a clinical service for people with prodromal symptoms in an inner city area where engagement with mental health services is generally poor. METHOD: Following a period of liaison with local agencies to promote the service, referrals were assessed and managed in a primary care setting. Activity of the service was audited over 30 months. RESULTS: People with prodromal symptoms were referred by a range of community agencies and seen at their local primary care physician practice. Over 30 months, 180 clients were referred; 58 (32.2%) met criteria for an at risk mental state, most of whom (67.2%) had attenuated psychotic symptoms. Almost 30% were excluded due to current or previous psychotic illness, of which two-thirds were in the first episode of psychosis. The socio-demographic composition of the 'at risk' group reflected that of the local population, with an over-representation of clients from an ethnic minority. Over 90% of suitable clients remained engaged with the service after 1 year. CONCLUSION: It is feasible to provide a clinical service for people with prodromal symptoms in a deprived inner city area with a large ethnic minority population.
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spelling oxford-uuid:fac3b1a3-dad9-48cb-8bdd-cb846a300d482022-03-27T13:08:41ZOutreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fac3b1a3-dad9-48cb-8bdd-cb846a300d48EnglishSymplectic Elements at Oxford2005Broome, MRWoolley, JJohns, LValmaggia, LTabraham, PGafoor, RBramon, EMcGuire, PBACKGROUND: While recent research points to the potential benefits of clinical intervention before the first episode of psychosis, the logistical feasibility of this is unclear. AIMS: To assess the feasibility of providing a clinical service for people with prodromal symptoms in an inner city area where engagement with mental health services is generally poor. METHOD: Following a period of liaison with local agencies to promote the service, referrals were assessed and managed in a primary care setting. Activity of the service was audited over 30 months. RESULTS: People with prodromal symptoms were referred by a range of community agencies and seen at their local primary care physician practice. Over 30 months, 180 clients were referred; 58 (32.2%) met criteria for an at risk mental state, most of whom (67.2%) had attenuated psychotic symptoms. Almost 30% were excluded due to current or previous psychotic illness, of which two-thirds were in the first episode of psychosis. The socio-demographic composition of the 'at risk' group reflected that of the local population, with an over-representation of clients from an ethnic minority. Over 90% of suitable clients remained engaged with the service after 1 year. CONCLUSION: It is feasible to provide a clinical service for people with prodromal symptoms in a deprived inner city area with a large ethnic minority population.
spellingShingle Broome, MR
Woolley, J
Johns, L
Valmaggia, L
Tabraham, P
Gafoor, R
Bramon, E
McGuire, P
Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title_full Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title_fullStr Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title_full_unstemmed Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title_short Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state.
title_sort outreach and support in south london oasis implementation of a clinical service for prodromal psychosis and the at risk mental state
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