title: Specialised care for early psychosis: symptoms, social functioning and patient satisfaction: randomised controlled trial.
abstract: BACKGROUND
  The provision of early intervention services for people with psychosis is UK government policy, although evidence for benefit of such services is sparse.
  
  
  OBJECTIVE
  To evaluate the effects of a service providing specialised care for early psychosis (the Lambeth Early Onset Team) on clinical and social outcomes, and on service user satisfaction.
  
  
  METHODS
  One hundred and forty-four people with psychosis, presenting to mental health services for the first or second time (if previously failed to engage in treatment), were randomly allocated to care by the early onset team or to standard care. Information was obtained on symptoms, treatment adherence, social and vocational functioning, satisfaction and quality of life. Relapse and rehospitalisation data have been reported separately.
  
  
  RESULTS
  Outcomes for the participants treated by the early onset team were significantly better at 18 months for aspects of social and vocational functioning, satisfaction, quality of life and medication adherence. Symptom improvement did not significantly differ between the groups.
  
  
  CONCLUSIONS
  The provision of specialised care for early psychosis can achieve better outcomes. The study therefore provides support for current policy.
authors.affiliation: PO Box 77, Department of Psychology, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. p.garety@iop.kcl.ac.uk
authors.forename: Philippa A
authors.initials: PA
authors.lastname: Garety
authors.forename: Tom K J
authors.initials: TK
authors.lastname: Craig
authors.forename: Graham
authors.initials: G
authors.lastname: Dunn
authors.forename: Miriam
authors.initials: M
authors.lastname: Fornells-Ambrojo
authors.forename: Susannah
authors.initials: S
authors.lastname: Colbert
authors.forename: Nikola
authors.initials: N
authors.lastname: Rahaman
authors.forename: Jason
authors.initials: J
authors.lastname: Read
authors.forename: Jason
authors.initials: J
authors.lastname: Reed
authors.forename: Paddy
authors.initials: P
authors.lastname: Power
mesh_terms: D000293:Adolescent; D000328:Adult; D003156:Community Mental Health Services; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D010349:Patient Compliance; D017060:Patient Satisfaction; D011618:Psychotic Disorders / Q000534:rehabilitation / Q000628:therapy*; D011788:Quality of Life; D013997:Time Factors; D006113:United Kingdom