The Role of Primary Care in Early Intervention in the UK

Background: To describe the role of primary care in early
intervention in the UK.
Method and materials: In the UK, General Practitioners (GPs)
are frequently consulted by those developing psychosis and the most common final referral agents to specialist services. We present GP interview and 'pathways to care'
audit data to highlight the needs of primary care if these pathways are to be effective.
Results: Engagement was delayed by poor information sharing
and difficulties at the primary/specialist interface. GPs were seeking clear referral protocols, management guidance and improved access to specialist assessment and advice. Conclusion: UK service development should broaden its focus
beyond specialist early intervention services (EIS). Improving individual GP competence or awareness of new EIS will be insufficient. Improved practitioner relationships and support systems between primary and specialist care are required. GPs roles in early detection and referral also require underpinning by community initiatives that encourage help seeking. Early intervention offers a paradigm for primary care to make themselves accessible, non-stigmatizing and relevant to young people, whether treating mild and self-limiting depression or major psychosis.