User:Earlypsychosis/name of first try

Romme MA, Escher AD (1989). "Hearing voices". Schizophr Bull. 15 (2): 209–16. PMID 2749184.

United Kingdom

The United Kingdom has probably made the most significant service reform with their adoption of early psychosis teams, with early psychosis now considered as an integral part of comprehensive community mental health services. The Mental Health Policy Implementation Guide (2001) outlines service specifications and forms the basis of a newly developed fidelity tool (Birchwood, unpublished). There is a requirement for services to reduce the duration of untreated psychosis, as this has been shown to be associated with better long term outcome. The implementation guideline recommends:

• 14 to 35 year age entry criteria
• First three years of psychotic illness
• Aim to reduce the duration of untreated psychosis to less than 3 months
• Maximum caseload ratio of 1 care coordinator to 10-15 clients
• For every 250,000, (depending on population characteristics) one team
  • total caseload 120 to 150
  • 1.5 doctors per team
  • Other specialist staff to provide specific evidence based interventions

A national EI development programme was proposed by IRIS and Rethink and commenced in September 2004. The programme has successfuly coordinated networks of EI service development, aligning policy, practice and research at local, regional and national level. We have now reached a point where the research evidence base is much stronger, where about 140 new teams (Mar 07) have emerged using a national service model blueprint (PIG) to deliver to about 80% of England.

North America

Canada has extensive coverage across most provinces including established clinical services and comprehensive academic research in British Columbia (Vancouver), Alberta (EPT in Calgary), and Ontario (PEPP, FEPP).

Fraser South Early Psychosis [1] [2] [3] Ontario Working Group on Early Intervention in Psychosis. The site Prevention and Early Intervention Program for Psychoses (PEPP-Montréal) Located in London, Ontario Canada, PEPP

The USA

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