{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:01:05Z","timestamp":1790596865885,"version":"4.1.0"},"reference-count":9,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>National implementation of early intervention in psychosis offers a lens on sustaining evidence-based mental health reform at scale. Experience from England and Ireland highlights tensions between fidelity and flexibility, the centrality of capacity and the need for system-level leadership to protect core mechanisms and prevent dilution during national roll-out.<\/jats:p>","DOI":"10.1192\/bjp.2026.10790","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:28:11Z","timestamp":1790594891000},"page":"1-3","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Fidelity, flexibility and leadership in national early intervention in psychosis implementation: lessons for mental health reform from England and Ireland"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0696-8576","authenticated-orcid":false,"given":"Karen","family":"O\u2019Connor","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03265fv13","id-type":"ROR","asserted-by":"publisher"}],"name":"University College Cork"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0277-1680","authenticated-orcid":false,"given":"Jo","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Worcester"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"S0007125026107909_ref1","first-page":"706","article-title":"Comparison of early intervention services vs treatment as usual for early-phase psychosis: a systematic review, meta-analysis and meta-regression","volume":"44","author":"Correll","year":"2018","journal-title":"Schizophr Bull"},{"key":"S0007125026107909_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-05577-7"},{"key":"S0007125026107909_ref4","unstructured":"4 Health Service Executive (HSE) National Clinical Programme for Early Intervention in Psychosis. HSE National Clinical Programme for Early Intervention in Psychosis: Model of Care. Health Service Executive, 2019 (https:\/\/about.hse.ie\/publications\/hcp-national-clinical-programme-for-early-intervention-in-psychosis-model-of-care\/)."},{"key":"S0007125026107909_ref7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2025.126"},{"key":"S0007125026107909_ref8","volume-title":"National Clinical Audit of Psychosis (NCAP): State of the Nation Report 2024. Early Intervention in Psychosis Services in England and Wales, 2022\/23\u20132023\/24","year":"2025"},{"key":"S0007125026107909_ref9","volume-title":"Synthesis Report 2025: Health Policy Reform Trends in the EU","year":"2025"},{"key":"S0007125026107909_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2021.2260"},{"key":"S0007125026107909_ref3","unstructured":"3 NHS England. Implementing the Early Intervention in Psychosis Access and Waiting Time Standard. NHS England, 2016 (https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2023\/03\/B1954-implementing-the-early-intervention-in-psychosis-access-and-waiting-time-standard.pdf)."},{"key":"S0007125026107909_ref2","unstructured":"2 National Institute for Health and Care Excellence. Psychosis and Schizophrenia in Adults: Prevention and Management (Clinical Guideline 178). NICE, 2014 (https:\/\/www.nice.org.uk\/guidance\/cg178 [updated 2019])."}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125026107909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:28:13Z","timestamp":1790594893000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125026107909\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":9,"alternative-id":["S0007125026107909"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2026.10790","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}