The South of England Early Intervention in Psychosis (EIP) Programme welcomed EIP Peer Workers and Carer Peer Support Workers to the third forum with guest speakers Nev Jones who shared some insights on how peer support is developing in the USA and some of the challenges, which appear to be similar to those we face in the UK.

1. South of England
Early Intervention in Psychosis (EIP)
Peer Support Worker Forum
With Special Guest Nev Jones
Assistant Professor, Department of Psychiatry & Behavioural Neurosciences, University of
South Florida, USA
21st October 2020 | MS Teams
Nominee 2017

2. Welcome & House Keeping
• This is an interactive workshop which will cover:
• Brief introduction to the South of England EIP Peer Support
Worker Forum
• How Peer Support has been developed and embedded in the
USA
• Reflections and Discussion
• Q & A
• Next Steps
• To have a good virtual workshop please:
• Feel free to ask questions and comment (there is no such thing
as a stupid question! )
• Please raise your hand to speak to avoid speaking over one
another
• Mute yourself when not speaking to avoid distorted audio
• Be respectful and do not share any patient identifiable
information

3. Background

4. South EIP Programme
13 Sustainability & Transformation Partnerships (STPs)
40 Clinical Commissioning Groups (CCGs)
15 Mental Health Providers
33 Early Intervention in Psychosis (EIP) Teams
~5,000 Individuals with first episode psychosis or schizophrenia
4 NHS England Clinical Networks + 4 Health Education England Teams + 3 Academic Health Science Networks

5. NHS England (South West)
Mental Health Programme
Managed by Gayle
Bridgman
Lines of accountability
Connecting the Dots
Monthly Meeting
Quarterly Meetings & Briefing
Monthly Meetings & Training
ICS + STP + Commissioners + Providers + Clinical Networks + Health Education England + Academic Health Science Networks
NHS England (South East)
Mental Health, Learning
Disabilities & Autism Cell
Managed by Oral Arrindell
South West EIP Clinical
Network
Clinical Chair: James
O’Donoghue
South East EIP Clinical
Network
Clinical Chair: Nik Nikolik
Lines of engagement
South EIP Programme
Clinical Lead: Professor Belinda Lennox
Senior Programme Manager: Sarah Amani
South EIP Peer & Carer
Peer Support Worker Group
Co-Chair: Dawn Hyde

7. Family or Self Referral Primary Care Schools/Colleges/Uni Social Care Single Point Access CAMHS/CMHT CRHT/MH Ward Justice System
EIP Assessment
First Care Planning Meeting with Key Supporters
Assertive Outreach, Intensive Case
Management & Relapse Prevention
Social Interventions
Individual
Placement
Support
(IPS)
Social
Groups
F-F +
Online Peer
Support
Support with
accessing
housing &
benefits
advice
Medical Interventions
Interventions
for risks e.g.
Diabetes,
according to
NICE Guidelines
Pharmacology and
Medicines
Management
Comprehensive
Cardio-
Metabolic
Screening
Psychological Interventions
Family
Interventions
(FI)
CBT for
Psychosis
(CBTp)
High /Low
Intensity
Individual
and Group
Psycho -
Therapy
Midway Review with Carers and Key Supporters
Pre-Planned Discharge with:
Relapse Prevention Plan developed with receiving team including GP
Future mental health care options
Service user and carer views on experience and outcomes
Signpost to appropriate
Non-NHS service
Onward Referral to Most
Appropriate NHS Service
<2 Weeks
<3 Months
<18 Months
30 -36
Months
<6 Months
Allocate EIP Care Coordinator
Face to Face
and Online

8. Driving Principles
A proactive multi-disciplinary specialist team with adequate capacity and competency to
deliver National Institute of Clinical Excellence (NICE) Interventions for people with or at
high risk of first episode psychosis
LOW
THRESHOLD
SPECIALIST
IN FRONT
TAILORED MULTI
DESCIPLINARY
APPROACH
ASSERTIVE
OUTREACH
AND
ENGAGEMENT
FOCUS ON
PARTNERSHIP
AND
ALLIANCE

9. Annual reports provide an update with both achievements and areas that need
improvement:
Achievements
• More People Seen Quicker: The South of England EIP teams continue to see people within the
14-day referral to treatment window. Of all the referrals received by mental health providers for
suspected psychosis, 85% were seen by EIP within 14 days of referral;
• More People Receiving CBTp: There has been an increase in people receiving CBT for
Psychosis, from 12% in 2016 to 21% in 2017, 30% in 2018 and 36% in 2019
• Better Physical Health Monitoring: 68% of of people with first episode psychosis are reported to
have had a comprehensive physical health check in the last 12 months compared to 41% in
2016.
Areas for Improvement
• Access to EIP: There continues to be a large variation in teams' caseloads with some EIP teams
only seeing <30% of who they should be seeing according to psychosis incidence data.
• Investment: There continues to be a 3-fold variation between the best and worst funded EIP
teams in the South of England. Only two of the EIP services are funded at the £8,250 per patient
recommended to deliver NICE interventions to a full caseload.
• Physical Health: Whilst physical health monitoring has improved, it is important to note that this
68% achievement in 2019 is lower than the 90% physical health CQUIN standard.You can find full reports at www.time4recovery.com
Impact

10. South EIP Peer Workers
Inaugural Meet Up
12th August 2020
MS Teams
@Time4Recovery #EpicMinds

11. Topic Summary of discussion Agreed Plan
Do we need a South of England EIP Peer
and Carer Peer Support Workers forum?
• It would be a useful way to connect to other peer workers and share good
practice
• Peer workers can be isolated as not many around, this group could reduce the
isolation
• Each trust has own description of the role and having a group would help to
compare e.g. the induction, training, supervision etc
• It would be beneficial to ask members of the group to volunteer to share on a
particular topic e.g. research, any quirky/ ‘outside the box ideas’ ways to
connect with individuals accessing EIP etc
Sarah to ask team
leads for Peer
Workers’ email
addresses and
send invitation for
monthly EIP Peer
Worker Forum
If we go ahead with having this forum,
what should the membership be and how
often should the forums be?
• The meetings will be for peers in order to ensure this is a safe space to discuss
what is important for peers
• Other professions have their own forums, important that this one’s primary
focus is improving peer work through mutual support and sharing of good
practice
• Other EIP practitioners will be invited to the group every 3 months so that
there is awareness about developments and alignment
• The Health Education England (HEE) national team will also be invited
periodically to update us on the national Peer Support Worker Framework,
funding, training opportunities and pilot sites
Other EIP
practitioners will
be invited to join in
quarterly. Special
guests e.g. HEE will
be invited as
required
Do you have a preference on chairing
arrangements?
• Group keen to have an experienced Peer Worker as co-chair e.g. Dawn Hyde
who has been doing role for 14 years
• Other chair to remain Sarah Amani for time being – key role is to organize the
meetings, source ideas for the agenda and support constructive and inclusive
discussions, technical support with MS Teams etc
Dawn Hyde &
Sarah Amani to co-
chair – review after
3 months

12. Thank You
For more information about the South EIP
Programme,
please visit
www.time4recovery.com
Commissioned by
South