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J Psychiatry Neurosci. 2005 Sep;30(5):362-5.

The national policy reforms for mental health services and the story of early intervention services in the United Kingdom.

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Birmingham Early Intervention Service, University of Birmingham, Birmingham, United Kingdom.


In this review, we summarize and review reforms to the mental health service in the United Kingdom from 1999 to the present. Our analysis is based on government documents describing the reforms and providing guidelines for their implementation. In addition, we summarize prospective studies of psychosis from the first episode and early treatment studies on the basis of existing systematic reviews. The UK mental health reforms have attracted major government funding and have been used to commission specialized ("functional") community teams for people with severe mental illness. The reforms include changes to services for first-episode psychosis, which have attracted considerable consumer support. The UK service reforms are continuing, with the aim of providing services fit for the 21st century.

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