Eligibility
The eligibility and selection criteria for the Early Intervention Service's first episode psychosis pathway is applicable to:
| Inclusion | Exclusion |
| Age 16+ | Psychotic experiences occur only in the context of acute intoxication If psychotic symptoms persist for more than 7 days following detox than a referral can be considered
|
| Under 65 years of age | People with a primary diagnosis of psychotic depression and bipolar without psychotic symptoms
|
| Presenting with first episode of psychosis | Previous three years with an Early Intervention Service |
| Psychotic symptoms presenting for over seven days | Previously treated on anti-psychotic medication |
| Should usually have a Sheffield GP | Previous psychotic episode |
| People who have severe learning disability with communication difficulties which render them unable to benefit from the service |
The eligibility and selection criteria for the Early Intervention Service's at-risk mental states (ARMS) pathway is applicable to:
| Inclusion | Exclusion |
| Age 16+ | Currently in crisis |
| Under 35 years of age | Not currently help seeking for talking therapy |
| Help seeking (wanting to engage in a therapeutic pathway) | Current of past anti-psychotic medication treatment |
| Drop in social functioning in past 12 months lasting for at least one month or chronic low social function | Onset of symptoms over three years |
| Trait vulnerability in conjunction with the above | Previous treatment under a first episode psychosis or ARMS service |
| BLIPS (Brief Limited Intermittent Psychotic Symptoms) | Current excessive substance misuse |
| Attenuated symptoms | Not the primary need, symptoms explained by other diagnosis e.g., EUPD/ASD/ADHD/OCD/organic cause (epilepsy, head injury, haemorrhage, infarction, tumours delirium, all forms of dementia) |
Referral process
- All referrals to the Early Intervention Service must be made by your GP or through the Primary and Community Mental Health team
Geographical population covered
- People should usually have a Sheffield GP