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Specialised care for early psychosis
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     EDITOR—Craig et al evaluated the effectiveness of specialised care for early psychosis.1 This is a good first step. What is different in the early intervention team work needs to be described more fully—for example, the frequency and regularity of appointments in assertive outreach and standard care.

    Credit: CLAY PATRICK McBRIDE/PHOTONICA

    People with schizophrenia benefit from a regimen that gives them something in the near future on which to anchor their inner thoughts, something to look forward to and reassemble "connecting" ability to outside expectation, rather than drifting. What is described is rather like a manifesto. Some idea of the numbers of people who were offered and took up cognitive behaviour therapy, vocational guidance, and particularly occupational activities that brought about "breaks" would be helpful.

    David H Yates, retired psychiatrist

    Wadebridge, Cornwall PL27 7RE david@jidgey.freeserve.co.uk

    Competing interests: None declared.

    References

    Craig TKJ, Garety P, Power P, Rahaman N, Colbert S, Fornells-Ambrojo M, et al. The Lambeth early onset (LEO) team: randomised controlled trial of the effectiveness of specialised care for early psychosis. BMJ 2004;329: 1067-9. (6 November.)