Recovery Care
EPPIC Continuing Care (CCT)
Each person accepted for care at EPPIC receives a clinical service from an Outpatient Case Manager (OCM) and doctor within the CCT for up to 2 years. The OCM and doctor work collaboratively with the young person and their family to:
- provide information about psychosis
- provide individual support and therapy that will help recovery
- introduce, and work with other services within and outside EPPIC/OYH that may be able to help with education, money matters, accommodation, or employment etc.
- plan and assist with discharge from EPPIC and co-ordinate follow-up support should it be needed.
An OCM will be a psychiatric nurse, social worker, occupational therapist or psychologist and will remain involved with the young person for their time at EPPIC. The OCM works closely with the consultant psychiatrist and/or psychiatric registrar involved with the young person
Intensive Case Management (ICM)
ICM is a sub-program of EPPIC, for young people who have difficulty engaging with office based treatment or those who have more complex needs requiring intensive support. The ICM Team operates on an outreach model and focuses on community assessment, treatment and support for young people and their families and carers.
PACE (Personal Assessment + Crisis Evaluation)
PACE works with young people identified as being at risk of developing psychosis. By identifying people who are at risk of psychosis and providing them with appropriate treatment, it is hoped that early symptoms will be reduced, while also delaying or perhaps preventing the development of more serious mental health problems. Young people who come to PACE often describe changes such as:
- having more difficulty than usual coping with work or school.
- feeling tired, lacking energy, paranoid or worried about other people and their actions.
- noticing a change in the way things look or sound, or seeing things in the environment that other people do not.
Treatment aims at PACE include:
- educating the young person and their family about the problems
- supporting the young person through the difficult period
- delaying or preventing the development of psychosis or other mental health problems.
People being seen at PACE have the options of
- case Management
- assessment of mental state and risk
- specialised treatments, including psychological therapy and medication.
PACE also conducts research into the possible causes of psychosis and what is effective treatment to delay or prevent the development of further illness.
Prolonged Recovery
The Treatment Resistant Early Assessment Team (TREAT)is a panel of consultant psychiatrists, senior multidisciplinary clinicians (with significant experience in working with young people experiencing a first epsiode of psychosis), and a TREAT coordinator. It aims to identify and review the clinical management of individuals experiencing prolonged recovery at 3 months after entry into EPPIC. At the prompting of the TREAT coordinator, all clients are screened at 3 months by the clinical treating team to establish if the young person is experiencing ongoing psychotic symptoms. If symptoms persist, this prompts a TREAT panel review, during which recommendations are made to optimise the chances of ameliorating the enduring symptoms. The type of recommendations may vary, and may include changes to medication, referral for Systematic Treatment of Persistent Psychotic Symptoms (STOPP) therapy, or other psychosocial or family interventions.
Systematic Treatment of Persistent Positive Symptoms (STOPP) is a cognitive behaviourally based therapy designed to reduce enduring psychotic symptoms.