ArticleEarly intervention in psychiatry2025
Case Managers' Experiences of Engagement With Service Users in UK Early Intervention Services for First-Episode Psychosis: A Hermeneutic Interpretive Phenomenological Analysis Study.
Article in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Early interventions for first onset of symptoms of mental health conditions: an umbrella review of systematic reviews.BMC medicine · 2026Pooled it
- Case Managers' Experiences of Engagement With Service Users in UK Early Intervention Services for First-Episode Psychosis: A Hermeneutic Interpretive Phenomenological Analysis Study.Early intervention in psychiatry · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimStaff engagement with individuals with first-episode psychosis (FEP) in early intervention services (EIS) settings is important to reduce the longer-term impact of this condition and promote recovery. There is a paucity of qualitative evidence exploring engagement from the perspectives of staff in these settings. This study aimed to explore and understand Case Managers' experiences of engagement with service users in EIS settings in the United Kingdom.
methodHermeneutic interpretive phenomenological analysis (IPA) using semi-structured interviews with purposively sampled EIS case managers with mental health nursing backgrounds from a single NHS Trust in the North of England. Data analysis followed IPA's six stages.
resultsFive master themes were identified as being key to effective engagement: (1) Being on the same page, (2) Engagement as an interpersonal relationship, (3) Managing self and emotions, (4) The practicalities of engagement and (5) The impact of organisational factors upon engagement. Engagement was experienced as multi-faceted, complex and changeable. Key engagement strategies identified as helpful were trust, therapeutic dialogue, shared understanding, collaboration and practical approaches.
conclusionEngagement in the context of EIS can be defined as a mutually beneficial connection that takes place between service users and staff which allows for the implementation of treatment. Engagement strategies are an important consideration to reduce the potentially devastating impact of FEP, and to facilitate recovery. Further exploratory research should be conducted across multiple settings to further build on and understand engagement within the wider EIS context.
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