Audit of Early Intervention in Psychosis Service Development in England in 2005

Aims and method: This study provides an overview of the development of early intervention services for psychosis across England in February 2005. A bespoke self-report audit tool was completed by key informants across the eight regional development centres of the National Institute for Mental Health in England. Results: Out of 117 teams identified, 86 have funding, of which 63 are operational with case-managed patients (as of February 2005). Only 3 teams meet all 10 audited early intervention fidelity requirements and there are variations in service model, delivery setting and resources across teams. Clinical implications: Current inequity of access and the early, fragile nature of service development means that early intervention in England has reached a critical phase requiring consolidation.