Early Intervention in Psychosis Service

Supports young people aged 14 – 35 who have had a psychotic experience and raises community awareness, in order to improve access; engagement and treatment, whilst promoting recovery and ordinary lives.


What is the service?

Early Intervention in Psychosis Service


What do you do?

The EIP service is for people:

  1. Over 14 and under 36 years old Those aged 14 and 15 years old are seen in partnership with Child & Family community mental health team.
  2. Resident in Liverpool, Sefton or Kirkby and registered with a local GP or,
  3. Who are currently having psychotic experiences or who have had psychotic experiences in the past AND who have had no previous treatment or who are within the first 3 years of treatment
  4. Who meet the above criteria and who also have concurrent problems with: substance use, personality difficulties, previous traumatic events, mild to moderate learning difficulties, forensic issues
  5. In addition, EIP teams offer a limited service to people aged 16 – 35 years who are assessed as being at high risk of a first episode of psychosis and who are actively seeking help. This service is limited to 12 months and provides interventions aimed at averting the onset of psychosis..

What age group does your service work with?

14-35.


Do you work with other family members?

Yes.


Are you limited to working with people from a specific geographical area?

No, we work with people from Liverpool, Sefton & Kirkby.


Who would someone ask for in the first instance?

The Team Manager.


What are your opening times?

Monday – Friday, 9.00am – 5.00pm


Can you be contacted out-of-hours?

Answer Phone only.


Do you have appointments outside working hours?

The service offers out of hours appointments flexibly depending on service user need and team capacity.


Do you have drop-in facilities?

Not as such, but we do encourage service users to access us.


Where do you see young people?

Anywhere that is acceptable to young people.


Do you take referrals directly from children/young people, parents/carers?

Yes.


If not, how can people refer in to your service?

N/A


Who else can make referrals to you?

The task of EIP services it to detect and recognise as early as possible first episodes of psychosis; to reduce delays in receiving effective treatment; to provide phase specific evidence-based appropriate treatments; to sustain this during the ‘critical period’ of the first three years in order to promote meaningful recovery for service users.


What kinds of things do you help with?

Referrals are encouraged on suspicion of psychosis, rather than certainty, and EIP teams will be pleased to discuss potential referrals in advance. Referrals from any source, including self-referrals, will be considered.


What do you offer?

Service users under the care of the EIP service will be offered a range of evidence-based psycho-bio-social interventions from the multidisciplinary team, within the context of a recovery framework. These interventions include, but are not limited to: CBT, psychosocial interventions, family interventions, specialist psychological therapies, and pharmacotherapy.


What happens after a referral is made?

All referrals will undergo an initial screening process and then further assessment, as appropriate, before a decision is made about acceptance into the service. Initial response Referrals will be screened by a Mental Health Practitioner to firstly determine priority of response and secondly check the referral against EIP referral acceptance criteria. Priority Priority will be assigned according to acuteness of psychotic experiences, risk to self and others, safeguarding issues, or if an inpatient. Response time Where possible, telephone contact will be made with the Service User on the same day. Initial assessment will be commenced within five working days of receipt of the referral, excluding Bank Holidays. Joint assessment with the Crisis Resolution Home Treatment (CRHT) or Acute Care Team (ACT) may be appropriate. Routine referrals Referrals will be discussed at the next weekly EIP team meeting and allocated for initial assessment. Where appropriate, an appointment for initial assessment will be offered to occur within ten working days of allocation. Inpatient referrals If a service user is admitted to an inpatient unit, but is not known to the EIP service, referral should be made to the relevant EIP team at the earliest opportunity. Inappropriate referrals Within 2 weeks of the decision being made, referrals deemed not to be appropriate for the EIP Service will be signposted to appropriate service/agencies and the referrer informed in writing about the reasons.


What will happen at the first appointment?

All new referrals will be seen by two staff for an initial assessment meeting. Following initial assessment, where appropriate, a full assessment to determine eligibility and suitability for service will be undertaken. Information from these semi-structured assessment interviews, in conjunction with clinical opinion, will be used to determine which of the three arms of the EIP service will be most appropriate for the service user’s needs.


What will happen after that?

Service users under the care of the EIP service will be offered a range of evidence-based psycho-bio-social interventions from the multidisciplinary team, within the context of a recovery framework. These interventions include, but are not limited to: CBT, psychosocial interventions, family interventions, specialist psychological therapies, pharmacotherapy.


What do you do if a client is not happy with the service?

Try to resolve the issue informally. If this is not possible, the Trust Complaints Procedure will be followed.


What skills do your staff have?

N/A


Do you offer training in your specialist area?

N/A