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Forging successful partnerships in psychosis research: lessons from the Cavan–Monaghan First Episode Psychosis Study

Published online by Cambridge University Press:  12 April 2019

V. Russell Open the ORCID record for V. Russell [Opens in a new window] ,
N. Nkire ,
T. Kingston  and
J. L. Waddington Open the ORCID record for J. L. Waddington [Opens in a new window]
V. Russell*
Affiliation:
Department of Psychiatry, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland Cavan-Monaghan Mental Health Service, St Davnet’s Hospital, Monaghan
N. Nkire
Affiliation:
Department of Psychiatry, University of Alberta Hospital, Edmonton, Alberta, Canada
T. Kingston
Affiliation:
Department of Psychological Medicine, St. James’s Hospital, Dublin, Ireland
J. L. Waddington
Affiliation:
Cavan-Monaghan Mental Health Service, St Davnet’s Hospital, Monaghan Molecular and Cellular Therapeutics, Royal College of Surgeons in Ireland, Dublin, Ireland Jiangsu Key Laboratory of Translational Research & Therapy for Neuropsychiatric Disorders and Department of Pharmacology, College of Pharmaceutical Sciences, Soochow University, Suzhou, China
*
*Address for correspondence: V. Russell, Department of Psychiatry, Royal College of Surgeons in Ireland Faculty of Medicine and Health Sciences, Education and Research Centre, Beaumont Hospital, Dublin 9, Ireland. (Email: [email protected])
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Abstract

Embedding psychosis research within community mental services is highly desirable from several perspectives but can be difficult to establish and sustain, especially when the clinical service has a rural location at a distance from academic settings with established research expertise. In this article, we share the experience of a successful partnership in psychosis research between a rural Irish mental health service and the academic department of a Dublin medical school that has lasted over 30 years. We describe the origins and evolution of this relationship, the benefits that accrued and the challenges encountered, from the overlapping perspectives of the academic department, the mental health service and psychiatric training. We discuss the potential learning that arose from the initiative, particularly for national programme planning for early intervention in psychosis, and we explore the opportunities for enhanced training, career development and professional reward that can emerge from this type of partnership.

Keywords

Community mental health servicesearly interventionpsychiatry trainingpsychosis research
Type
Perspective Piece
Information
Irish Journal of Psychological Medicine , Volume 36 , Issue 4: Psychosis: from early intervention to treatment resistance , December 2019 , pp. 317 - 322
Copyright
© College of Psychiatrists of Ireland 2019 

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References

Bannon, H, McDonald, B (2003). Patient satisfaction with home treatment in mental health. Irish Nurse 5, 24–25.Google Scholar
Behan, AT, Hryniewiecka, M, O’Tuathaigh, CM, Kinsella, A, Cannon, M, Karayiorgou, M, Gogos, JA, Waddington, JL, Cotter, DR (2012). Chronic adolescent exposure to delta-9-tetrahydrocannabinol in COMT mutant mice: impact on indices of dopaminergic, endocannabinoid and GABAergic pathways. Neuropsychopharmacology 37, 1773–1783.CrossRefGoogle ScholarPubMed
Brooks, H, Pilgrim, D, Rogers, A (2011). Innovation in mental health services: what are the key components of success. Implementation Science 6, 1–10.CrossRefGoogle Scholar
Iqbal, N, Nkire, N, Nwachuku, I, Young, C, Russell, V (2012). Home-based treatment and psychiatric admission rates: experience of an adult community mental health service in Ireland. International Journal of Psychiatry in Clinical Practice 16, 300–306.CrossRefGoogle ScholarPubMed
Kelly, BD, O’Callaghan, E, Waddington, JL, Feeney, L, Browne, S, Scully, PJ, Clarke, M, Quinn, JF, McTigue, O, Morgan, MG, Kinsella, A, Larkin, C (2010). Schizophrenia and the city: a review of literature and prospective study of psychosis and urbanicity in Ireland. Schizophrenia Research 116, 75–89.CrossRefGoogle ScholarPubMed
Lalevic, G, Suhail, A, Doyle, H (2017). Home-based crisis team in North Cork: service description and patient-related outcomes. Irish Journal of Psychological Medicine 1–5. doi: 10.1017/ipm.2017.79 Published online: 14 December 2017.Google Scholar
McCauley, M, Bergin, A, Bannon, H, McDonald, B, Bedford, D, Russell, V (2005). How do GPs experience home-based treatment for acute psychiatric disorders? Primary Care and Community Psychiatry 10, 159–163.CrossRefGoogle Scholar
McCauley, M, Rooney, S, Clarke, C, Carey, T, Owens, J (2003). Home-based treatment in Monaghan: the first two years. Irish Journal of Psychological Medicine 20, 11–14.CrossRefGoogle ScholarPubMed
Nkire, N, Nwachukwu, I, Russell, V (2014). Profile and activities of a rural home-based psychiatric treatment service in Ireland. International Journal of Psychiatry in Clinical Practice 18, 125–130.Google Scholar
Nkire, N, Sardinha, S, Nwosu, B, McDonough, C, De Coteau, P, Duffy, I, Waddington, JW, Russell, V (2015). Evaluation of knowledge and attitudes among primary care physicians in Cavan-Monaghan as ‘gatekeepers-in-waiting’ for the introduction of Carepath for Overcoming Psychosis Early (COPE). Early Intervention in Psychiatry 9, 141–150.CrossRefGoogle Scholar
O’Keeffe, B, Russell, V (2018). Home treatment services for acute mental disorders: an all-Ireland survey. Irish Journal of Psychological Medicine. doi: 10.1017/ipm.2017.83 Published online: 23 January 2018.CrossRefGoogle Scholar
O’Tuathaigh, CM, Hryniewiecka, M, Behan, A, Tighe, O, Coughlan, C, Desbonnet, L, Cannon, M, Karayiorgou, M, Gogos, JA, Cotter, DR, Waddington, JL (2010). Chronic adolescent exposure to Δ-9-tetrahydrocannabinol in COMT mutant mice: impact on psychosis-related and other phenotypes. Neuropsychopharmacology 35, 2262–2273.CrossRefGoogle ScholarPubMed
Renwick, L, Gavin, B, McGlade, N, Lacey, P, Goggins, R, Jackson, D, Turner, N, Foley, S, McWilliams, S, Behan, C, Lawlor, E, Cullen, W, O’Callaghan, E (2008). Early intervention service for psychosis: views from primary care. Early Intervention in Psychiatry 2, 285–290.CrossRefGoogle ScholarPubMed
Russell, V, McCauley, M, MacMahon, J, Casey, S, McCullagh, H, Begley, J (2003). Liaison psychiatry in rural general practice. Irish Journal of Psychological Medicine 20, 65–68.CrossRefGoogle ScholarPubMed
Waddington, JL, Larkin, C (1993). A new developmental epidemiology of schizophrenia: the HRB Schizophrenia Research Unit, 1991-92, and contemporary perspectives of the disease. Irish Journal of Psychological Medicine 10, 56–59.CrossRefGoogle Scholar
Waddington, JL, Youssef, HA, Dolphin, C, Kinsella, A (1987). Cognitive dysfunction, negative symptoms, and tardive dyskinesia in schizophrenia. Their association in relation to topography of involuntary movements and criterion of their abnormality. Archives of General Psychiatry 44, 907–912.CrossRefGoogle ScholarPubMed
Waddington, JL, Youssef, HA (1988). Tardive dyskinesia in bipolar affective disorder: aging, cognitive dysfunction, course of illness, and exposure to neuroleptics and lithium. American Journal of Psychiatry 145, 6130616.Google ScholarPubMed
Waddington, JL, Russell, VR (2019). The Cavan-Monaghan First Episode Psychosis Study (CAMFEPS): arbitrary diagnostic boundaries across the gene-environment interface and within evolving models of care. Irish Journal of Psychological Medicine (in press).CrossRefGoogle ScholarPubMed
Wright, B, Russell, V (2007). Integrating mental health and primary care services: a challenge for psychiatric training in Ireland. Irish Journal of Psychological Medicine 24, 71–74.CrossRefGoogle ScholarPubMed
Youssef, HA, Kinsella, A, Waddington, JL (1991). Evidence for geographical variations in the prevalence of schizophrenia in rural Ireland. Archives of General Psychiatry 48, 254–258.CrossRefGoogle ScholarPubMed