Development of a Protocol to Guide Client Transition From Early Psychosis Intervention

Early psychosis intervention (EPI) is a time-limited care model for young people with psychosis. EPI discharge is not always consistent, timely, or effective, and clients may disengage from treatment after discharge. The authors developed a transition protocol for EPI programs, building on published evidence and stakeholder feedback.

An environmental scan was conducted to identify documents that included guidance on transitioning from EPI. Fifteen documents were retrieved and analyzed with a mixed deductive and inductive approach. The resulting draft protocol was reviewed in virtual focus groups by EPI providers (N=12), former EPI clients (N=5), and family members of EPI clients (N=6) for relevance, feasibility, and completeness. Their cumulative feedback was summarized and used to finalize the protocol.

The resultant protocol included eight components, along with actions for implementation, to help clients plan their next steps postdischarge to continue their recovery. Actions core to the process include early planning for the transition, conducting a structured assessment of client strengths and needs to inform the planning, appointing a designated lead to guide the process, and supporting a warm handover. Engagement of primary care and peer support providers are recommended to support continuity of care. Client and family participation are emphasized at all stages to increase relevance and uptake of follow-up care.

A standardized transition protocol can provide all clients with the same high-quality approach. It also provides a foundation for improving discharge practices, assessing postdischarge outcomes, and identifying gaps in follow-up care. More timely discharge may increase EPI programs' capacity to serve those in need of care.