Psychological Therapy in a First Episode Psychosis Service
Poster B99, Friday, October 21, 11:30 am - 1:00 pm, Le Baron
Debasis Das1, Yamini Ram1, Umesh Sira Ramaiah1, Alice Shelton1, Jemmima Clark2; 1Leicestershire Partnership NHS Trust, 2University of Leicester Medical School
National Institute of Clinical Excellence (NICE) in its Guidelines for management of Psychosis and Schizophrenia (guidance.nice.org.uk/cg178) recommends Cognitive Behavioural Therapy (CBT) be offered to all patients with first episode psychosis. The aim of the study was to ascertain practice of psychological interventions, against NICE standards, in the PIER First Episode Psychosis service, serving a population of 1 million in Leicester, Leicestershire & Rutland, in the United Kingdom. Material and Methods:Data was collected on all patients referred to the PIER Team, and accepted for treatment, between 1 Jan 2013 and 31 Dec 2013. Out of 110 eligible patients, full data was available on 76 patients. Results: There is available clinical documentation of 40% of study patients (n=31) being offered CBT. Of those undergoing CBT, 47% received upto 16 CBT sessions, as per NICE Guidance. There was high fidelity to CBT delivery process, as per NICE recommendations, with non-compliance to various components of CBT, ranging between 12 % to 29%. Conclusion: CBT, when offered by the PIER service, is of high quality and delivered mostly in line with NICE guidance. However, there is available documentation of only limited numbers of patients, open to the service, being offered CBT. There is an urgent need to improve clinical documentation of psychological work in patient records. Improvement strategies suggested include raising awareness in the multidisciplinary team through dissemination of results of the study, educational programmes and incorporating a new section in electronic patient records to capture psychological interventions offered and provided by the service.
Topic Area: Psychosocial Interventions