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An at-risk mental state service embedded within a UK Early Intervention team across two years of service delivery for service users 14 to 65 years: service audit
Psychosis ( IF 1.239 ) Pub Date : 2021-02-15 , DOI: 10.1080/17522439.2020.1864459
Lauren Cox 1 , James Eoin Dixon 1
Affiliation  

ABSTRACT

Background: Since national roll out in 2016, there has been little data available to assess service delivery for At-risk Mental State (ARMS) services embedded within UK Early Intervention Teams.Methods: An audit benchmarked a local ARMS service to assess compliance and service quality against UK National Institute for Clinical Excellence (NICE) standards. Data were collected using an audit tool for all users accepted to an ARMS service over a two-year period.Results: Service standards complied 100% with two of the three relevant NICE standards and there was 95% compliance with the remaining standard. Weeks engaged in service, uptake of CBT (58%) and discharge rates to primary 15 and secondary services was evaluated. A transition rate of 19% to First Episode Psychosis was recorded within the sample. Further analysis investigated three separate age ranges categorised within the sample across standards.Conclusions: The evidence provided showed the service meets national stan- dards, allowing a good provision of care. However, limitations were found in the interpretation of national standards, ability to meet the needs of all service users meeting criteria for ARMS services and service efficiency. The findings also lend themselves to wider conversations around the concept of ARMS services.



中文翻译:

英国早期干预团队为 14 至 65 岁的服务使用者提供为期两年的服务,其中包含一项处于风险中的精神状态服务:服务审计

摘要

背景:自 2016 年在全国推出以来,几乎没有数据可用于评估英国早期干预团队中嵌入的处于风险精神状态 (ARMS) 服务的服务交付情况。方法:一项审计对当地 ARMS 服务进行了基准测试,以根据英国国家临床卓越研究所 (NICE) 的标准评估合规性和服务质量。使用审计工具收集了两年内接受 ARMS 服务的所有用户的数据。结果:服务标准 100% 符合三项相关 NICE 标准中的两项,其余标准符合率 95%。对从事服务的周数、接受 CBT (58%) 和小学 15 年级和中学服务的出院率进行了评估。样本中记录了 19% 的首次发作精神病的转变率。进一步的分析调查了样本中跨标准分类的三个不同的年龄范围。结论:提供的证据表明该服务符合国家标准,可以提供良好的护理。然而,在国家标准的解释、满足所有满足 ARMS 服务标准的服务用户需求的能力和服务效率方面存在局限性。调查结果还有助于围绕 ARMS 服务的概念进行更广泛的对话。

更新日期:2021-02-15
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