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Essential elements of an early intervention service for psychosis: the opinions of expert clinicians
BACKGROUND: Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements. MET...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2004
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC455683/ https://www.ncbi.nlm.nih.gov/pubmed/15230978 http://dx.doi.org/10.1186/1471-244X-4-17 |
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author | Marshall, Max Lockwood, Austin Lewis, Shôn Fiander, Matthew |
author_facet | Marshall, Max Lockwood, Austin Lewis, Shôn Fiander, Matthew |
author_sort | Marshall, Max |
collection | PubMed |
description | BACKGROUND: Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements. METHODS: A 'Delphi' exercise was carried out to identify how far there was consensus on the essential elements of early intervention teams in a group of 21 UK expert clinicians. Using published guidelines, an initial list was constructed containing 151 elements from ten categories of team structure and function. RESULTS: Overall there was expert consensus on the importance of 136 (90%) of these elements. Of the items on which there was consensus, 106 (70.2%) were rated essential, meaning that in their absence the functioning of the team would be severely impaired. CONCLUSION: This degree of consensus over essential elements suggests that it is reasonable to define a model for UK early intervention teams, from which a measure of fidelity could be derived. |
format | Text |
id | pubmed-455683 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2004 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-4556832004-07-15 Essential elements of an early intervention service for psychosis: the opinions of expert clinicians Marshall, Max Lockwood, Austin Lewis, Shôn Fiander, Matthew BMC Psychiatry Research Article BACKGROUND: Early intervention teams attempt to improve outcome in schizophrenia through earlier detection and the provision of phase-specific treatments. Whilst the number of early intervention teams is growing, there is a lack of clarity over their essential structural and functional elements. METHODS: A 'Delphi' exercise was carried out to identify how far there was consensus on the essential elements of early intervention teams in a group of 21 UK expert clinicians. Using published guidelines, an initial list was constructed containing 151 elements from ten categories of team structure and function. RESULTS: Overall there was expert consensus on the importance of 136 (90%) of these elements. Of the items on which there was consensus, 106 (70.2%) were rated essential, meaning that in their absence the functioning of the team would be severely impaired. CONCLUSION: This degree of consensus over essential elements suggests that it is reasonable to define a model for UK early intervention teams, from which a measure of fidelity could be derived. BioMed Central 2004-07-01 /pmc/articles/PMC455683/ /pubmed/15230978 http://dx.doi.org/10.1186/1471-244X-4-17 Text en Copyright © 2004 Marshall et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL. |
spellingShingle | Research Article Marshall, Max Lockwood, Austin Lewis, Shôn Fiander, Matthew Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title | Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title_full | Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title_fullStr | Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title_full_unstemmed | Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title_short | Essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
title_sort | essential elements of an early intervention service for psychosis: the opinions of expert clinicians |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC455683/ https://www.ncbi.nlm.nih.gov/pubmed/15230978 http://dx.doi.org/10.1186/1471-244X-4-17 |
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