The future of early intervention in psychosis services - how to move towards a more personalised approach

Apostolos Tsiachristas, Belinda Lennox, Ryan Williams, Edward Penington

75 minutes


July 2023

Congress webinar 2023


Early intervention in psychosis services have been established across England for over 20 years. They are evidence based, assertive community treatment programmes, providing high quality multidisciplinary care for up to 3 years. However, providing the same, intensive package of treatments for a fixed period of time to all people with psychosis is unlikely to be an efficient use of resources.

This session will look at the evidence base around EIP and ask how we can move towards a more personalised, precision medicine approach for those experiencing a first episode of psychosis. We will present the current state of play in EIP services in England, as gathered by the National Clinical Audit of Psychosis. We will present analyses of clinical trial evidence and electronic health record data that explore the comparative effectiveness of the different components of an EIP service and the length of time that EIP is provided for. We will present and discuss the health economic evidence base around EIP services in the context of current mental health service provision. Overall we will address the question - in early psychosis - what works for who?

The aims of this session are to:

- Update you on the current evidence around the provision of EIP, presenting data from the National Clinical Audit of Psychosis.

- Present and discuss the evidence base around the different components of treatment provided by EIP - medical, psychological and family interventions.

- Present and discuss the health economic evidence base of EIP services and the evidence base around the length of treatment that services are provided for.


Chair: Apostolos Tsiachristas, Nuffield Department of Population Health, University of Oxford

Belinda Lennox, University of Oxford, United Kingdom

Ryan Williams, Imperial College, London, United Kingdom

Edward Penington, University of Oxford, United Kingdom


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