First Episode in Psychosis (FEP) North West Essex

Summary

Psychosis is a condition that effects a person’s ability to know what is real. This can affect people’s thoughts, experiences, emotions or behaviour and can be distressing or troubling for either the person or those around them.

The support offered is designed to meet an individual’s and their family / close friend’s needs. The approach is a hopeful and positive one that endeavors to keep in place an individual’s personal strengths, healthy activities and interests.

Anyone aged between 14 to 18 years will also have support from the Children & Young People’s mental health services.

The service aim is to ensure everyone works together toward a positive and rewarding experience that allows the individual the best opportunity to recover, learn about himself or herself and resume their life plans.

There are two kinds of services on offer:

1. One for people experiencing a suspected or actual first episode of psychosis – and these services are called EIP/FEP or Early Psychosis services, as well as
2. A service for people who are ‘at risk’ of developing psychosis – these services are called ‘ARMS’ services – which stands for At Risk Mental States. These services are currently being developed and launched across Essex. For further information on these services please use the contact information at the end.

If you have been experiencing longstanding problems with psychosis, you can still receive a service, contact us, and we can put you through to the appropriate team.

Service information

Often the people we work with are at an important and sometimes stressful transition in their lives, such as finishing school, college or university, starting work, moving out of home, having children, or developing or ending relationships. Early intervention services such as ESTEP aim to minimise the impact of experiencing psychosis during these critical periods in people’s lives.

What is Psychosis?

Psychosis is a name that mental health services use to describe certain experiences. Whatever the cause, no one person’s experiences are exactly the same, but might include things like:

• Hearing voices when there is no one there
• Seeing, feeling, tasting or smelling things that others can’t
• Holding strong beliefs that other people do not share or think are unusual
• Worrying that people might want to hurt you in some way
• Feeling very special, energised and having lots of thoughts and ideas
• Having difficulties concentrating and thinking
• Feeling confused and out of touch with your normal way of experiencing the world
• Withdrawing into yourself and struggling to do things you usually do

Many people have these kinds of experiences (e.g. 1 in 10 people will hear voices in their lifetime and lots have beliefs that those around them find a bit strange), but they do not contact mental health services. This tends to be because they do not find the experiences distressing. There also might be differences in how people interpret these experiences, depending on their cultural beliefs and backgrounds.

Most people who get in touch with services such as ours do so because they or those around them find the experiences scary or upsetting and they want some help with them. About 1 in 100 people who seek out support from mental health professionals may be offered a diagnosis of psychosis (sometimes this is given other names such as schizophrenia). Around the same number of people in contact with mental health services will be offered a diagnosis of bipolar disorder.

Although the majority of individuals experiencing psychosis for the first time tend to be younger people (between 14 and 35 years old), our services are available to people up to the age of 65 years – as we know that these experiences can occur at any time of life. For people outside of this age range, there are other mental health services and external organisations that can help. For more information, please contact your GP, who will be able to provide advice and referral options.

What the service offers

The team is made-up of a wide range of professionals with particular sets of knowledge and skills. You and your family/close friends may find yourself working with a mental health nurse, psychiatrist, psychologist occupational therapist, employment advisor or social worker.

People engaged with the team have an allocated practitioner whose role is to coordinate their care and treatment plan and liaise with other practitioners to ensure interventions are appropriate and timely.

The service works within national guidance, that is:

• People experiencing first episode psychosis will receive an initial assessment within 2 weeks
• Once in the service you will be allocated to and engaged with by an EIP care coordinator
• Be offered the full range of psychological, psychosocial, pharmacological and other interventions shown to be effective including:
  • Family Interventions
  • Cognitive Behavioural Therapy for Psychosis
  • Access to Employment Support Services
  • Physical Interventions

The service also provides support for families and carers.

We work across the whole of Essex and are based in the community. This means that we can meet with people in a whole variety of settings, depending on what feels most useful and comfortable for them.

Our teams have developed in collaboration with local partnerships and preferences and based on local needs, and as such have slightly different names.

• In South Essex the teams are called Essex Support and Treatment for Early Psychosis-ESTEP
• In North East and Mid Essex ,they are called Early Intervention in Psychosis-EIP
• In West Essex they are called the First Episode in Psychosis-FEP service

Locations

Services to support those at risk of developing psychosis

• ARMS South East Essex telephone/email: please contact your local EIP service and ask them about the local ARMS service
• ARMS South West Essex telephone/email: please contact your local EIP service and ask them about the local ARMS service
• For all other ARMS services (currently in development), please contact your local EIP service and ask them about the local ARMS service

Referral Information

Referrals can be made by a GP or other healthcare professional for patients with symptoms of suspected First Episode Psychosis.