title: Outcomes post-discharge from an early intervention in psychosis service.
abstract: OBJECTIVE
  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'.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  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'.
authors.affiliation: Early Intervention in Psychosis Service, National Health Service, Ashington, UK. guy.dodgson@ntw.nhs.uk
authors.forename: Guy
authors.initials: G
authors.lastname: Dodgson
authors.forename: Louise
authors.initials: L
authors.lastname: Ross
authors.forename: Paul
authors.initials: P
authors.lastname: Tiffin
authors.forename: Emma
authors.initials: E
authors.lastname: Mitford
authors.forename: Alison
authors.initials: A
authors.lastname: Brabban
mesh_terms: D000293:Adolescent; D000328:Adult; D061345:Early Medical Intervention / Q000379:methods / Q000706:statistics & numerical data; D004739:England; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000628:therapy*