{"doi":"10.1111/eip.13127","title":"Taking the next step: Improving care transitions from a first‐episode psychosis service","abstract":"AIMS: First-episode services (FES) improve outcomes in recent onset psychosis, but there is growing concern about how patients fare after discharge from these time-limited services. METHODS: A quality improvement approach (QI) was used to improve patient engagement in the discharge planning process (disposition), and successful engagement in care 3 months after discharge from the FES (transfer). Data from 144 consecutive discharges over 62 months are presented. A planning phase was followed by recurrent Plan-Do-Study-Act cycles (PDSA) that included the introduction of proactive efforts targeting disposition planning (with patients and families) and follow-up to facilitate transfer after discharge. Fisher's exact test was used to compare disposition and transfer outcomes across the QI phases. RESULTS: This QI approach was sustained through a three-fold escalation in discharge volume. Transfer status at 3 months was significantly different between the pre- and post PDSA phases (p = .02). A greater proportion were confirmed transfers post-PDSA (54.3 vs. 37%), but of those with known status at 3 months, similar proportions were successfully transferred (76, 73%). Patients discharged post-PDSA were less likely to have unknown treatment status (26 vs. 51%). Disposition outcomes were also significantly improved post-PDSA (p = .03). Patients were more likely to engage with discharge planning (69.7 vs. 48.6%) and less likely to be lost to follow-up (13.8 vs. 25.7%), or to refuse assistance (11.0 vs. 20.0%). CONCLUSION: This QI approach offers a feasible way to improve disposition and transfer after FES and can be built upon in efforts to sustain functional gains in onward pathways.","journal":"Early Intervention in Psychiatry","year":2021,"id":194543,"datarank":0.4353336726479624,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.08994590869885552,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.08994590869885552,"corpus_percentile":57.16716949021428,"corpus_rank":5538,"citation_count":9,"citer_count":4,"citers_with_citation_signal":2,"citers_with_endowment":2,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.54,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":472775,"name":"Maria Ferrara","orcid":"0000-0003-2143-1101","position":1,"is_corresponding":false},{"id":662816,"name":"Jessica Pollard","orcid":null,"position":2,"is_corresponding":false},{"id":662362,"name":"Laura Yoviene Sykes","orcid":"0000-0002-8863-6921","position":3,"is_corresponding":false},{"id":517793,"name":"Fangyong Li","orcid":"0000-0003-3171-7592","position":4,"is_corresponding":false},{"id":765099,"name":"Shannon Imetovski","orcid":null,"position":5,"is_corresponding":false},{"id":662360,"name":"John D. Cahill","orcid":"0000-0002-6623-5860","position":6,"is_corresponding":false},{"id":662361,"name":"Walter S. Mathis","orcid":"0000-0003-1341-2963","position":7,"is_corresponding":false},{"id":472774,"name":"Vinod H. Srihari","orcid":"0000-0003-1556-2332","position":8,"is_corresponding":false},{"id":743518,"name":"Keith Gallagher","orcid":"0000-0003-1062-6675","position":0,"is_corresponding":true}],"reference_count":19,"raw_metadata":null,"created_at":"2026-07-18T23:49:59.476757Z","pmid":"35029048","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}