Early intervention in psychosis: a rural perspective.
Over the past decade, there has been great interest in both the development and delivery of early intervention in psychosis services in the United Kingdom, supported by national policy and a Policy Implementation Guide (PIG). Despite this, the PIG fails to distinguish the delivery of early intervention services to different population groups. The paper aims to augment available literature with the range of complex issues that practitioners may face when working in rural settings and link this to the development of early intervention services in rural communities. This paper will also outline some of the fundamental factors that challenge delivery of early intervention to individuals with a first episode of psychosis and their families in rural communities. Important key areas for consideration will be highlighted for both the planning and delivery of early intervention to rural communities.
Kelly
M
M
Dorset Healthcare NHS Trust/Bournemouth University, Psychosocial & Early Intervention Services, St. Ann's Hospital, Canford Cliffs, Poole, Dorset, UK. mike.kelly@dorsethc-tr.swest.nhs.uk
O'Meara Howard
A
A
Smith
J
J
D042241:Early Diagnosis; D017050:Episode of Care; D019317:Evidence-Based Medicine; D005190:Family / Q000523:psychology; D006285:Health Planning / Q000458:organization & administration; D006291:Health Policy; D006297:Health Services Accessibility / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D008605:Mental Health Services / Q000458:organization & administration*; D010560:Personnel Selection / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000628:therapy; D011788:Quality of Life; D012307:Risk Factors; D019035:Rural Health Services / Q000458:organization & administration*; D012944:Social Support; D013222:State Medicine / Q000458:organization & administration; D013997:Time Factors; D014195:Travel; D006113:United Kingdom