A qualitative evaluation of a regional early psychosis service 3 years after its commencement

Callaly, Tom, Ackerly, Carmel A., Hyland, Mary E., Dodd, Seetal, O'Shea, Melissa and Berk, Michael 2010, A qualitative evaluation of a regional early psychosis service 3 years after its commencement, Australian health review, vol. 34, no. 4, pp. 382-385.

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Title A qualitative evaluation of a regional early psychosis service 3 years after its commencement
Author(s) Callaly, Tom
Ackerly, Carmel A.
Hyland, Mary E.
Dodd, Seetal
O'Shea, Melissa
Berk, Michael
Journal name Australian health review
Volume number 34
Issue number 4
Start page 382
End page 385
Total pages 4
Publisher CSIRO Publishing
Place of publication Melbourne, Vic.
Publication date 2010-12
ISSN 0156-5788
1449-8944
Summary Objective. To outline the major findings of a qualitative evaluation of an Early Psychosis Service 3 years after its establishment.

Design. Data to evaluate the service were collected from team meetings, focus groups, individual interviews and questionnaires administered to clinicians, school staff, patients, carers and families.

Setting. Barwon Health; Mental Health, Drug and Alcohol Services provide public mental health care to the Geelong, Victoria, region (population 270 000), which is a mixed urban and rural setting. The Early Psychosis Service model implemented involved the placement of two early psychosis workers into each offive adult geographically based Area Mental Health Teams rather than the establishment of a single Early Psychosis Team.

Results. The service was found not to adhere to its original design in several key respects. Caseloads and periods of case management were found to be lower and shorter respectively than was originally planned for, caseworkers often experienced isolation and resentment from their adult service coworkers, the service was perceived to be difficult to access and premises not to be youth friendly and communication and engagement with external agencies and service providers was perceived to be poor.

Conclusions. The choice of service model, inadequate consultation with stakeholders and inadequate promotion of the service contributed to its failure to reach early expectations. Because of these and other issues, including difficulties distinguishing between early psychosis and non-psychosis, a decision was made to restructure youth services and
Language eng
Field of Research 110319 Psychiatry (incl Psychotherapy)
Socio Economic Objective 920410 Mental Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, AHHA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30035568

Document type: Journal Article
Collection: School of Medicine
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