Journal
PSYCHIATRIC BULLETIN
Volume 30, Issue 7, Pages 243-246Publisher
ROYAL COLL PSYCHIATRISTS
DOI: 10.1192/pb.30.7.243
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- Camden and Islington Mental Health
- Social Care NHS Trust
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AIMS AND METHOD The aim of this study was to describe the early treatment phase in first-episode psychosis in an area with well-established crisis resolution teams. Socio-demographic characteristics and patterns of initial treatment were investigated for all individuals with first-episode psychosis identified prospectively over a 1-year period in two London boroughs. RESULTS Over a year, 111people presented with first-episode psychosis. Fifty-one people (46%) were initially managed in the community, with the remaining 60 (54%) admitted to in-patient units immediately. By 3 months after presentation, a total of 80 people (72%) had been admitted and 54 (49%) had been compulsorily detained under the Mental Health Act 1983. Thirty-three people were initially managed by the crisis resolution teams and 15 of these were eventually admitted. CLINICAL IMPLICATIONS In a catchment area in which alternatives to admission are well developed, the admission rate for first-episode psychosis was still high.
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