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. 2005 Jan 22;330(7484):197. doi: 10.1136/bmj.330.7484.197

Specialised care for early psychosis

More detail is needed

David H Yates 1
PMCID: PMC545003  PMID: 15661794

Editor—Craig et al evaluated the effectiveness of specialised care for early psychosis.1 This is a good first step. What is different in the early intervention team work needs to be described more fully—for example, the frequency and regularity of appointments in assertive outreach and standard care.

Figure 1.

Figure 1

Credit: CLAY PATRICK McBRIDE/PHOTONICA

People with schizophrenia benefit from a regimen that gives them something in the near future on which to anchor their inner thoughts, something to look forward to and reassemble “connecting” ability to outside expectation, rather than drifting. What is described is rather like a manifesto. Some idea of the numbers of people who were offered and took up cognitive behaviour therapy, vocational guidance, and particularly occupational activities that brought about “breaks” would be helpful.

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Competing interests: None declared.

References

  • 1.Craig TKJ, Garety P, Power P, Rahaman N, Colbert S, Fornells-Ambrojo M, et al. The Lambeth early onset (LEO) team: randomised controlled trial of the effectiveness of specialised care for early psychosis. BMJ 2004;329: 1067-9. (6 November.) [DOI] [PMC free article] [PubMed] [Google Scholar]

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