Treatment and Recovery in Psychosis: TRIumPH; Version 1

• Research type

  Research Study

• Full title

  Feasibility study of implementing an adapted psychosis pathway based on principles of stroke pathway

• IRAS ID

  180381

• Contact name

  Shanaya Rathod

• Contact email

  shanaya.rathod@southernhealth.nhs.uk

• Sponsor organisation

  Southern Health NHS Foundation Trust

• Duration of Study in the UK

  2 years, 0 months, 1 days

• Research summary

  Development and implementation of the Stroke pathway is one of the innovations that has transformed outcomes for patients with Stroke. There are similarities in the service management and implementation of evidence-based practice for psychosis with Stroke, despite the apparent differences.

  We propose an adaptation and implementation of a psychosis pathway based on the stroke pathway template using:

  1. Staged and branched approach

  o Over time and course of illness (e.g. time frames for access to services, interventions, expectations for access to therapies)
  o For different levels of severity and presentations of the illness – early presentation/acute crisis/ chronic presentation
  o For different presentations like comorbidities, e.g. drug and alcohol misuse, trauma responses, delusional disorder

  The intention is that the pathway will provide evidence-based approaches based on NICE Clinical Guidelines for Schizophrenia and Psychosis (2014) including good practice in service delivery.

  We will incorporate outcome and quality measures to measure impact on patient outcomes and experience.

  The psychosis pathway will address the unmet health need of patients with psychosis. The benefits of testing this intervention will result in improved patient outcomes, economic gains through greater health care delivery efficiency, and a systematic manner in which to generalize the programme for broad use. Ultimately, the psychosis pathway will lead to:

  a. Improved early detection and potential recovery for patients
  b. Early uptake of evidence-based treatments (based on NICE guidelines)
  c. Appropriate admission rates, lengths of stay and compulsory admissions
  d. Outcome measurement and quality standards guiding service delivery and clinical research
  e. Improved physical health reflected in appropriate monitoring

• REC name

  East of Scotland Research Ethics Service REC 2

• REC reference

  15/ES/0091

• Date of REC Opinion

  26 Jun 2015

• REC opinion

  Further Information Favourable Opinion