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Publication details for Dr Paul Tiffin

Dodgson, G., Ross, L., Tiffin, P. A., Mitford, E. & Brabban, A. (2012). Outcomes Post-Discharge from an Early Intervention in Psychosis service; a comparison to treatment as usual. Journal of Early Intervention in Psychiatry 6(4): 465-468.

• Publication type: Journal papers: academic
• ISSN/ISBN: 1751-7885, 1751-7893
• DOI: 10.1111/j.1751-7893.2012.00349.x
• Keywords: early intervention, engagement, first-episode psychosis, high bed consumer, hospital admission
• View online: Online version
• Durham research online: DRO record

Author(s) from Durham

• Dr Paul Tiffin
• Dr Alison Brabban

Abstract

Aim: To investigate the effectiveness of an early intervention in psychosis (EIP) service on engagement and hospital bed usage, post-discharge. A secondary aim was to identify if there was a subgroup of patients with ‘poor outcomes’.

Method: A naturalistic study comparing engagement and hospital bed day usage of individuals who received treatment from an EIP service (n = 75) with those who presented before the service was established (n = 113).

Results: The EIP service demonstrated better engagement with service users in year 5 (P = 0.001). No significant differences were observed on hospital bed day usage. When ‘poor outcome’ cases were removed, a trend towards lower bed usage in EIP services emerged (P = 0.139).

Conclusion: EIP services improve engagement with service users. There was not a significant reduction in hospital bed usage. However, advantages could be masked by a relatively small number of individuals with ‘poor outcomes’