{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:17:50Z","timestamp":1787851070949,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR203277"],"award-info":[{"award-number":["NIHR203277"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Early Intervention in Psychosis (EIP) services in England are commissioned to provide up to 3\u2009years' support to people experiencing first episode psychosis, but the optimal duration remains debated. This qualitative study aimed to explore how decisions about EIP duration are made and experienced by multiple stakeholders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative longitudinal study comprising semi\u2010structured interviews with EIP Service Users (SUs), carers, EIP practitioners, GPs, and mental health service commissioners; follow\u2010up interviews with SUs 6\u201311\u2009months later. Data were collected between September 2022 and September 2024 and informed by information power. Data were thematically analysed by a multidisciplinary team. Patient and carer involvement and engagement were integral to the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 3\u2010year time limit of contact with EIP teams was thought to work well when SUs felt supported and ready for discharge, but constrained shared decision making when they did not. Some participants described early discharge before 3\u2009years, either as a negotiated decision based on wellness and readiness to move on or as a consequence of poor engagement. Others reported extended care beyond 3\u2009years in response to individual needs or delays in transfer to Community Mental Health Teams (CMHTs). This flexibility in duration varied across teams and trusts. Well\u2010managed, relational care was viewed as key to effective discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Flexible, person\u2010centred episodes of care and collaborative discharge planning, supported by effective coordination between EIP, primary care, and CMHTs, are essential to sustaining relational practice and ensuring smoother transitions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70199","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T12:13:42Z","timestamp":1783599222000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Duration of Care in Early Intervention in Psychosis Services: A Multi\u2010Perspective Qualitative Study"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2503-9951","authenticated-orcid":false,"given":"Michelle","family":"Rickett","sequence":"first","affiliation":[{"name":"Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Kingstone","sequence":"additional","affiliation":[{"name":"Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Shiers","sequence":"additional","affiliation":[{"name":"Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4300-387X","authenticated-orcid":false,"given":"Paul","family":"French","sequence":"additional","affiliation":[{"name":"Pennine Care NHS Foundation Trust  Greater Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Lennox","sequence":"additional","affiliation":[{"name":"University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Crawford","sequence":"additional","affiliation":[{"name":"Imperial College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9987-6840","authenticated-orcid":false,"given":"Ryan","family":"Williams","sequence":"additional","affiliation":[{"name":"Imperial College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Woodward","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9722-9981","authenticated-orcid":false,"given":"Carolyn","family":"Chew\u2010Graham","sequence":"additional","affiliation":[{"name":"Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.56.9.1061"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.187.48.s116"},{"key":"e_1_2_10_4_1","first-page":"19","volume-title":"Supporting Research in Counselling and Psychotherapy: Qualitative, Quantitative, and Mixed Methods Research","author":"Braun V.","year":"2023"},{"key":"e_1_2_10_5_1","unstructured":"EXTEND Website.2025.\u201cEXTEND: Personalised Care for Early Psychosis.\u201dAccessed 25 July 2025.https:\/\/www.psych.ox.ac.uk\/research\/extend."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001998"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1173"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.117.201475"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.053587"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X630070"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12780"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"issue":"1","key":"e_1_2_10_13_1","first-page":"23","article-title":"Cost of Schizophrenia in England","volume":"10","author":"Mangalore R.","year":"2007","journal-title":"Journal of Mental Health Policy and Economics"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.167.5.596"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-996-0047-6"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000282"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.274.5288.740"},{"key":"e_1_2_10_18_1","unstructured":"National Institute for Health and Care Excellence (NICE).2020.\u201fPsychosis and Schizophrenia in Adults: Prevention and Management. NICE Clinical Guideline CG178.\u201dAccessed 25 June 2025.https:\/\/www.nice.org.uk\/guidance\/cg178."},{"key":"e_1_2_10_19_1","unstructured":"NHS England.2023.\u201cImplementing the Early Intervention in Psychosis Access and Waiting Time Standard.\u201dhttps:\/\/www.england.nhs.uk\/mentalhealth\/wp\u2010content\/uploads\/sites\/29\/2016\/04\/eip\u2010guidance.pdf."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2024.64"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/13645570701401305"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13433"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70375"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-022-01004-x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2025.126"},{"key":"e_1_2_10_26_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1192\/bjp.2026.10637","article-title":"From Early Intervention in Psychosis to Intensive Care: Correlates of Restrictive Psychiatric Practice in a National Retrospective Cohort Study","volume":"30","author":"Williams R.","year":"2026","journal-title":"British Journal of Psychiatry"}],"container-title":["Early Intervention in Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70199","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/eip.70199","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/eip.70199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:22:37Z","timestamp":1787847757000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/eip.70199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/eip.70199"],"URL":"https:\/\/doi.org\/10.1111\/eip.70199","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.176425036.60651734\/v1","asserted-by":"object"}]},"ISSN":["1751-7885","1751-7893"],"issn-type":[{"value":"1751-7885","type":"print"},{"value":"1751-7893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70199"}}