eprintid: 10147924
rev_number: 6
eprint_status: archive
userid: 699
dir: disk0/10/14/79/24
datestamp: 2022-05-05 12:49:37
lastmod: 2022-05-05 12:49:37
status_changed: 2022-05-05 12:49:37
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Lammas, Francis
creators_name: Phillips, Alexandria
creators_name: Dopson, Sue
creators_name: Joyce, Eileen
creators_name: Csipke, Emese
creators_name: Wykes, Til
title: The organisational climate of NHS Early Intervention Services (EIS) for psychosis: a qualitative analysis
ispublished: pub
divisions: C07
divisions: F84
divisions: B02
divisions: UCL
divisions: D07
keywords: Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Organisational climate, Psychosis, Early intervention, Clinical teams, Cognitive remediation, Psychotherapy, COGNITIVE REMEDIATION, PERCEPTIONS, ENVIRONMENT
note: © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which
permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the
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abstract: BACKGROUND: Cognitive remediation (CR) therapy for psychosis significantly improves recovery but is yet to be widely implemented in NHS services. It is likely to be of value at the earliest stages of psychosis development - at the first episode. Organisational climate is one factor likely to affect implementation into Early Intervention Services (EIS), which serve those experiencing first episode psychosis. We aimed to understand the organisational climate within UK NHS Early Intervention for Psychosis (EIP) services and the barriers and facilitators for the introduction of CR. METHODS: We conducted semi structured interviews with 42 EIS members of four teams in four NHS Trusts. Thematic analysis was used to analyse the data. RESULTS: There were differences between teams, including leadership style, involvement in decision making and willingness to adopt CR. Resource shortages were considered the main barrier for implementation across all teams. The evidence base behind CR and the recognition of there being a clinical need was seen as the main facilitator. Teams with more democratic leadership, and knowledge of both the evidence base and need for CR, may feel better able to successfully incorporate it into their service. CONCLUSION: Despite enthusiasm for novel treatments, EIS teams are limited by their resources. An understanding of the local organisational variables can help teams establish a culture that values innovation. Clear communication of the evidence base for CR is key to help enable staff to implement novel treatments successfully despite these limited resources and time pressures.
date: 2022-04-15
date_type: published
publisher: BMC
official_url: https://doi.org/10.1186/s12913-022-07790-0
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1951837
doi: 10.1186/s12913-022-07790-0
medium: Electronic
pii: 10.1186/s12913-022-07790-0
lyricists_name: Joyce, Eileen
lyricists_id: EMJOY57
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
funding_acknowledgements: RP-PG-0612-20002 [National Institute for Health Research (NIHR) Programme Grants for Applied Research]
full_text_status: public
publication: BMC Health Services Research
volume: 22
article_number: 509
pages: 11
event_location: England
issn: 1472-6963
citation:        Lammas, Francis;    Phillips, Alexandria;    Dopson, Sue;    Joyce, Eileen;    Csipke, Emese;    Wykes, Til;      (2022)    The organisational climate of NHS Early Intervention Services (EIS) for psychosis: a qualitative analysis.                   BMC Health Services Research , 22     , Article 509.  10.1186/s12913-022-07790-0 <https://doi.org/10.1186/s12913-022-07790-0>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10147924/1/s12913-022-07790-0.pdf