Early intervention for first‐episode psychosis: broadening the scope of economic estimates

  title={Early intervention for first‐episode psychosis: broadening the scope of economic estimates},
  author={A-La Park and Paul McCrone and Martin Knapp},
  journal={Early Intervention in Psychiatry},
  pages={144 - 151}
To explore the economic impacts of early intervention in England on outcomes and costs for people with first‐episode psychosis. 

Early intervention in psychosis: From clinical intervention to health system implementation

Basic aspects of EIP services are presented, challenges to their implementation are discussed and ideas and strategies to overcome some of these obstacles are presented.

Early intervention in psychosis: Still the ‘best buy’?

In this debate David Castle questions whether separate early intervention services are the best option and argues instead for an integrated approach, and Swaran Singh responds, robustly defending the value ofEarly intervention services.

Applying economic models to estimate local economic benefits of improved coverage of early intervention for psychosis

This study aimed to estimate associated local economic benefits of FEP and CHR‐P services compared with standard care.

The role of youth mental health services in the treatment of young people with serious mental illness: 2‐year outcomes and economic implications

This study aims to evaluate the outcomes and economic case for a UK innovative youth‐specific mental health service for 16–25 year olds.

Understanding the direct and indirect costs of a first episode of psychosis program: Insights from PAFIP of Cantabria, Spain, during the first year of intervention

Early intervention psychiatric services for patients with psychosis aim to limit the most damaging outcomes and reduce the patient's risk of social drift, decreasing illness severity and thus

Early intervention in psychosis in emerging countries: Findings from a first‐episode psychosis programme in the Ribeirão Preto catchment area, southeastern Brazil

The implementation and performance of the Ribeirão Preto Early Intervention in Psychosis Programme (Ribeirao Preto‐EIP), an outpatient service for patients presenting with FEP residing in the Riba Preto catchment area in Southeastern Brazil, is described.

Cost-effectiveness of early intervention in psychosis: systematic review

There is consistent evidence that the implementation of EIP services might be a cost-effective alternative across different health systems, nevertheless, such evidence derives from heterogeneous and sometimes methodologically flawed studies, reducing the certainty of such statement.

Identifying attributes of care that may improve cost‐effectiveness in the youth mental health service system

Objective: To identify attributes of youth mental health care for which there is evidence of potential cost‐effectiveness and to establish a methodology to identify these attributes.

Improving outcomes of first‐episode psychosis: an overview

To improve outcomes of a complex, heterogeneous syndrome such as psychosis, it is necessary to globally adopt complex models integrating a clinical staging framework and coordinated specialty care programmes that offer pre‐emptive interventions to high‐risk groups identified across the early stages of the disorder.

Creating a curriculum on psychosis: a pilot training programme with youth workers

A curriculum on early intervention in psychosis for youth workers is designed, implemented and validated to reduce delays in the treatment of psychotic disorders and thereby improve outcome.



Economic impact of services for first‐episode psychosis: a decision model approach

To assess the impact of early intervention services on service costs for people with first‐episode psychosis, a large number of them with first-episode psychosis are referred to EI services.

The economic impact of early intervention in psychosis services for children and adolescents

To develop and populate a plausible model of the impact of early intervention (EI) for children and adolescents with psychosis to estimate potential short‐term health‐related cost savings compared to

Is phase‐specific, community‐oriented treatment of early psychosis‐ an economically viable method of improving outcome?

It is concluded that phase‐specific, community‐oriented treatment of early psychosis is an economically viable method of improving outcome and should be considered as a viable treatment option.

Is early intervention in psychosis cost-effective over the long term?

Specialized early psychosis programs can deliver a higher recovery rate at one-third the cost of standard public mental health services, and further research is required to verify this finding.

Effect of early intervention on 5-year outcome in non-affective psychosis

Findings that specialist intervention did not markedly improved outcome at 5 years accord with those from a larger OPUS study and should be generalised with caution.

Suicide attempt in first-episode psychosis: A 7.4year follow-up study

Evidence of the effectiveness of a specialist vocational intervention following first episode psychosis: a naturalistic prospective cohort study

This study provides further preliminary evidence of the effectiveness of a specialist vocational intervention following first episode psychosis as a statistically significant independent predictor of vocational recovery during 12 months of follow-up.

Cost-effectiveness of early intervention in first-episode psychosis: economic evaluation of a randomised controlled trial (the OPUS study)

There was a high probability of OPUS being cost-effective compared with standard treatment, and cost-effectiveness planes based on non-parametric bootstrapping showed that OPUS was less costly and more effective in 70% of the replications.

Suicidality in first episode psychosis

The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis

Limited evidence shows that a team delivering specialised care for patients with early psychosis is superior to standard care for maintaining contact with professionals and for reducing readmissions to hospital.