Evidence map›Paper›PMID 38499296›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024

Collaboration across the primary and specialist care interface in Early Intervention in Psychosis services: a qualitative study.

Michelle Rickett, Tom Kingstone, Veenu Gupta, David Shiers, Paul French, Belinda Lennox, Mike Crawford, Ed Penington, Anna Hedges, Jo Ward and 3 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Navigating Discharge From Early Intervention in Psychosis Services: A Qualitative Exploration of the Experiences of Service Users and Carers.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Michelle RickettSchool of Medicine, Keele University, Keele.ORCID 0009-0001-2503-9951
Tom KingstoneSchool of Medicine, Keele University, Keele; Research and Innovation Department, Midlands Partnership University NHS Foundation Trust, Stafford.ORCID 0000-0001-9179-2303
Veenu GuptaDepartment of Psychology, University of Durham, Durham; research associate, Department of Nursing and Public Health, Manchester Metropolitan University, Manchester.ORCID 0000-0001-5082-5068
David ShiersSchool of Medicine, Keele University, Keele; honorary research consultant, Psychosis Research Unit, Greater Manchester Mental Health NHS Trust, Manchester.ORCID 0000-0003-2531-5837
Paul FrenchPennine Care NHS Foundation Trust; Department of Nursing and Public Health, Manchester Metropolitan University, Manchester.ORCID 0000-0003-4300-387X
Belinda LennoxDepartment of Psychiatry, University of Oxford, Oxford.ORCID 0000-0002-4972-8786
Mike CrawfordDivision of Psychiatry, Imperial College London, London.ORCID 0000-0003-3137-5772
Ed PeningtonDepartment of Psychiatry, University of Oxford, Oxford.ORCID 0000-0001-7668-438X
Anna HedgesBolton CAMHS, Greater Manchester Mental Health NHS Foundation Trust, Manchester.
Jo WardCheshire and Wirral Partnership NHS Foundation Trust, Chester; DHU Healthcare, Derby.
Ryan WilliamsDivision of Psychiatry, Imperial College London, London.ORCID 0000-0001-8486-4903
Paul A BatemanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0003-0626-7809
Carolyn A Chew-GrahamSchool of Medicine, Keele University, Keele.ORCID 0000-0002-9722-9981
Midlands Partnership NHS Foundation Trust · GBUniversity of Oxford · GBGreater Manchester Mental Health NHS Foundation Trust · GBManchester Metropolitan University · GBNIHR Imperial Biomedical Research Centre · GBCheshire West and Chester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with new psychotic symptoms may be managed in an Early Intervention in Psychosis (EIP) service. They may be discharged back to primary care at the end of their time in an EIP service.

aimTo explore the role of primary care in supporting people with psychosis in an EIP service. DESIGN AND

settingQualitative study, within a programme of work to explore the optimum duration of management in an EIP service in England.

methodSemi-structured interviews were carried out with people in EIP services, carers, GPs, and EIP practitioners between September 2022 and September 2023. Data collection continued until information power was achieved. Data were thematically analysed using principles of constant comparison.

resultsWhile most service users and carers described their experiences of EIP services as positive, there are issues around access to and discharge from the services. GPs reported difficulties in referring people into EIP services, having little contact with people who are supported by EIP services, and not being included in planning discharge from EIP services to primary care. Service users and carers described challenges at the point of discharge from EIP services to primary care, associated with feelings of abandonment.

conclusionThis study suggests that GPs should have a role in the support of people in EIP services (in particular, monitoring and managing physical health) and their carers. Inclusion of GPs in managing discharge from EIP services is vital. We suggest that a joint consultation with the service user, their carer (if they wish), along with the EIP care coordinator and GP would make this transition smoother.

Indexed as

Early Medical InterventionPrimary Health CarePsychotic DisordersQualitative ResearchAdultAttitude of Health PersonnelCaregiversCooperative BehaviorEnglandFemaleHealth Services AccessibilityHumansMaleMental Health ServicesReferral and Consultationcontinuity of careEarly Intervention in Psychosismental illnessprimary carequalitative researchtransitional care

Identifiers

PMID38499296
PMCPMC11350604
OpenAlexW4392911347

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.