Improving social recovery in early psychosis: changes in social recovery as a result of interventions provided within the Norfolk early intervention service and the rationale for the ISREP trial

David Fowler, Iain C. Macmillan, Nick Bishop, Gavin Taylor, F Mellor, Tony Reilly

Research output: Contribution to journalMeeting Abstractpeer-review


Systematic monitoring of course and outcome of early psychosis in Norfolk between 1998 and 2002 suggested that only around 15% of cases of a cohort of 67 made a full social recovery as a result of a traditional service providing largely inpatient management of acute psychosis medication and community mental health team support.
The introduction of a new early intervention service in 2002 allowed a comparison of these historical control data with the outcome arising from consecutive cases admitted to the early intervention service. Results of both detailed assessments of mental state and social functioning taken at recovery (3−6 months after acute episode)
and two year outcomes on employment, social activity, SOFAS, and need are available. The results show significant gains in social outcome in the group receiving the early intervention service, around 55% of cases receiving the early intervention service now have meaningful engagement in work or education at two years. These gains start to occur early at the recovery stage as a result of work sustaining people in their existing activities throughout the course of the acute illness. There are specific gains in the role performance dimension of the Quality of life scale at recovery which occur with
no diminution in recovery of positive or negative symptoms.
A description of the intervention and approach used will be provided as will a brief overview of the rationale for the ISREP trial, an MRC funded randomised controlled treatment trial of a combined cognitive behavioural and vocational intervention to improve social recovery in early psychosis. The therapy in the trial derived from
procedures developed within the Norfolk early intervention service.
Original languageEnglish
Number of pages1
JournalSchizophrenia Research
Publication statusPublished - Oct 2006
Externally publishedYes
EventInternational Conference on Early Psychosis 2006 - Birmingham, United Kingdom
Duration: 4 Oct 20066 Oct 2006
Conference number: 5th

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