Transcript Early intervention in psychosis service

Early Intervention in Psychosis
Monday to Friday 9-5
tel. 01442 275 46 Fax 01442 275 496
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150 new referrals / year
Mainly schizophrenia, schizoaffective disorder,
bipolar, drug induced psychosis, dual diagnosis
We also work with a few At Risk Mental State
patients
We work with our patients for up to 3 years
( 450 in total )
We take direct referrals over the phone from GPs ,
schools, parents
If you are not sure whether you should refer –
please telephone us up. We will be happy to
discuss you r concerns and see your patient.
What we do
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Medication, we will prescribe and monitor any potential
side effects. We will ask you to repeat prescriptions once
we have no concerns. We will still monitor side effects and
react if any concerns for your peace of mind.
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Where safe, we try to wean patients off their medication
after a year or two. It is to establish what their minimum
effective dose is, or whether they can stay well without
medication.
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Physical checks. Behavioural weight management/
lifestyle assessment – we do them.
Psychological therapies
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CBT based relapse prevention.
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Working with patients/families so that they can
manage the illness themselves. ( recognise relapse
early, contingency plans etc.)
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CBT for residual symptoms, social anxiety,
depression etc.
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BFT ( behavioural family therapy )
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Work with substance abuse
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Help to return to employment, education.
EIPS are referrer friendly
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Simply a phone call to explain what your concerns
are. you can fax your patient’s medical hx later
16 – 35 years old
14-15 only if your local CAMHS clinic unable to see
We are based in Hemel and have no staff after 5
pm so in very urgent cases we will not be able to
see the patient immediately and will liaise with your
local crisis team
Self-referrals welcome
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Telephone for EIPS WEST 01442 275 460
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St Albans functional and medically
unexplained symptoms clinic
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patients with somatisation (physical complaints
where an underlying medical cause cannot be
found.)
patients with amplified symptoms ( underlying
medical condition cannot adequately explain the
severity or nature of presenting symptoms.)
Common symptoms include:
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Neurological symptoms:
(tremor, paralysis of a limb or paraesthesia,
speech or swallowing difficulties, headaches
seizures, falls,)
GI complaints ( bowel complaints, IBS )
CV complaints ( chest complaints,
hyperventilation syndromes)
Chronic Fatigue
Chronic Pain
Body Dysmorphic Disorder
Sleep Disorders
Initially 1 day/week, from
July 2011
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multidisciplinary assessment by a
psychologist, consultant nurse and
consultant psychiatrist.
We offer a CBT-based treatment
concentrating on the patient’s experience
of their symptoms and how they are
affected by them. We usually offer up to
10 CBT sessions.
Where appropriate, patients will be
offered a choice between psychotherapy
and medication
We can also provide PRACTICAL
TRAINING FOR REFERRERS:
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We want to enable the primary care
professionals to gain ‘hands on’ experience in
dealing with their MUS clients and to generalise
their experience to gain expertise in working
with this group of patients.
We can develop a tailor-made management plan
for your patient. The plan ( blue print ) will be
shared and discussed with you so you can learn
‘on the case.’
We provide subsequent consultations and
supervision by request for the referrers and
their clients.
How to refer:
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Through your usual IAPT route, please indicate that the
referral is for MUS
Or directly to Dr Jacek Kolsut / Hildah Jiah on
Tel 01442 275 460 Fax 01442 275496
( please speak to Alexis Williams, team secretary and tell
her that your call/fax is for MUS as we share the office
with Early Intervention in Psychosis )
[email protected]
[email protected]