Early Intervention in Psychosis Engagement and Prevention Project.

1. P.I.E.R.
Proactive Intervention to

2. P.I.E.R
1
Context
2
Impact
Project Milestones
3
4
Conclusion

3. Brief Background
• February 2010
– Team plagued with staff shortage,
high rate of pt. admission, mediocre
PSR score, low staff morale, low pt.
satisfaction
• April 2010 - Taking a hard, long
look
– The imperative was to improve quality
& productivity and become a good
value for money service
• How??

4. 1. Context
• Early Intervention In Psychosis
– Social movement focused on
prevention not cure
• Psychosis
– No longer seen as an illness immune to
intervention (Franz et al, 2010)
• Participatory Healthcare
– Diverse views lead to enhanced and
more effective interventions leading to
improved health outcomes (DH, 2004)

5. What is P.I.E.R?
•Emerging Leader Bursary funding of
£10,000 from SHA & NLC
•To produce online health resource (eresource)
•With multi-lingual access to relevant
information on illness and treatment
•Convenient, 24/7 ‘at your fingertips’
access

6. Why an e-resource?

7. Key Elements
• Collaborative – for clients – by clients
– with clients
• Interactive – focused on two way
conversations
• Responsive - evolving according to
need
• Built on mutuality - respect of
‘experts by experience’
• Community focused - involving third
sector and education/employment
agencies

8. 2. Impact
•Improved
access
•Informed
choice
•Empowerm
ent
•Better
outcomes
•Improved
confidence
•Achievement
•Improved
skill &
proficiency
Patient
s
Carers
Staff
SABPF
T
NHS
•Inclusive
culture
•Evidence
based
•Reduced
delays >
reduced
admissions
>cost
efficiency
•Improved
•Shared
reputation
learning of
good
practice
•Evidence
base
•Community
engagement

9. In other words…

10. Project Milestones
Activity
Progress

May 2010
Formation of a diverse group
made up of service users, carers
& professionals (PIER Focus
Group)
July 2010
Review of research evidence &
literature on health 2.0

August 2010
Develop consent forms for
recruiting to videos and case
narratives

October 2010
Seek favourable ethical opinion
and develop case narratives and
videos

November 2010
Develop evaluation tool for
narratives & videos for Review
Group

PIER website to go live. Planning
March 2011 for PIER Conference
☐

13. 4. Conclusion
“Online mechanisms are under
utilized by both government and
community organizations, and can
provide appropriate and cost
effective ways to engage young
people from diverse backgrounds.”
National Youth Affairs Research
Scheme (2008)

14. References
• Department of Health (2004) Celebrating Our Cultures:
Guidelines for Mental Health Promotion for Black and
Minority Communities, London, Stationery Office
• Franz et al (2010) Stigma and Treatment Delay in First
Episode of Psychosis: a Grounded Theory Study Early
Intervention in Psychiatry (4): 47-56
• National Youth Affairs Research Scheme (2008) Rewriting the Rules for Youth Participation: Inclusion and
Diversity in Government and Community Decision
Making
• Omachanu & Gables (2010) Innovation in Health Care
Delivery Systems: a Conceptual Framework. The
Innovation Journal, 15 (1) 1 - 20

15. Thank You
Any Questions?