Case Managers' Experiences of Engagement With Service Users in UK Early Intervention Services for First-Episode Psychosis: A Hermeneutic Interpretive Phenomenological Analysis Study

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-10-02 DOI:10.1111/eip.70098

Paul Henderson, Suzanne Hodge, Bill Sellwood

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Abstract

Aim

Staff engagement with individuals with first-episode psychosis (FEP) in early intervention services (EIS) settings is important to reduce the longer-term impact of this condition and promote recovery. There is a paucity of qualitative evidence exploring engagement from the perspectives of staff in these settings. This study aimed to explore and understand Case Managers' experiences of engagement with service users in EIS settings in the United Kingdom.

Method

Hermeneutic interpretive phenomenological analysis (IPA) using semi-structured interviews with purposively sampled EIS case managers with mental health nursing backgrounds from a single NHS Trust in the North of England. Data analysis followed IPA's six stages.

Results

Five master themes were identified as being key to effective engagement: (1) Being on the same page, (2) Engagement as an interpersonal relationship, (3) Managing self and emotions, (4) The practicalities of engagement and (5) The impact of organisational factors upon engagement. Engagement was experienced as multi-faceted, complex and changeable. Key engagement strategies identified as helpful were trust, therapeutic dialogue, shared understanding, collaboration and practical approaches.

Conclusion

Engagement in the context of EIS can be defined as a mutually beneficial connection that takes place between service users and staff which allows for the implementation of treatment. Engagement strategies are an important consideration to reduce the potentially devastating impact of FEP, and to facilitate recovery. Further exploratory research should be conducted across multiple settings to further build on and understand engagement within the wider EIS context.

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在英国首次精神病的早期干预服务中，案例管理者与服务用户的接触经验：一项解释学解释现象学分析研究。

目的：在早期干预服务（EIS）环境中，工作人员与首发精神病（FEP）患者的接触对于减少这种情况的长期影响和促进康复非常重要。从这些环境中工作人员的角度探讨敬业度的定性证据不足。本研究旨在探索和理解英国案例管理者在EIS环境下与服务用户互动的经验。方法：解释学解释现象学分析（IPA）使用半结构化访谈，有目的地从英格兰北部单一NHS信托中抽样具有心理健康护理背景的EIS病例管理人员。数据分析遵循国际图联的六个阶段。结果：五个主要主题被确定为有效参与的关键：(1)意见一致；(2)参与作为一种人际关系；(3)管理自我和情绪；(4)参与的实用性；(5)组织因素对参与的影响。参与是多方面的、复杂的和多变的。被确定为有用的关键参与策略是信任、治疗性对话、共享理解、合作和实际方法。结论：在环境影响信息系统的背景下，参与可以被定义为服务使用者和工作人员之间发生的一种互利的联系，这种联系允许实施治疗。参与策略是减少FEP潜在破坏性影响和促进恢复的重要考虑因素。进一步的探索性研究应该在多种环境下进行，以进一步建立和理解更广泛的环境影响评估背景下的参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.