The EIP NCP has received 3.4 million in funding to support implementation from 2015 until 2022. The rates of psychosis vary considerably across and within countries. Rates are higher where there are more young people, more socioeconomic deprivation and greater ethnic diversity. A fully staffed EIP Specialist Team in an urban area, with a high incidence of psychosis providing care to a population of 200,000 people aged 14 to 64 years old will cost in the region of €2.5 million. Where as a team in a rural setting would be expected to have lower numbers of psychosis cases presenting and will cost less to staff in line with the Model of Care. The HSE commissioned an Incidence of Psychosis Mapping Report from an Expert Group in University College London. This report will be published in 2022 and will support the EIP NCP to ensure resources are fairly allocated as EIP teams are rolled out nationally.
The 3.4 million funding received from 2015 until end 2021 has supported:
- Five Early Intervention in Psychosis teams
- Two EIP services pre-existed the EIP NCP development (DETECT, CHO 6 & EIST, North Lee, CHO 4). Note neither of these services are resourced in line with the EIP Model of Care. They are not able to provide all elements of care set out in the Model of Care at this point but are gradually expanding in line with investment.
- Three new EIP services were funded in 2018 (RISE, South Lee Cork, CHO 4), (Sligo/Leitrim, CHO 1) and Meath (CHO 8).
- A ‘Process Evaluation’ of the implementation of these three EIP teams was completed by Trinity College Dublin between 2019-2022. The evaluation report was published in September 2022.
- There are five EIP Teams in Ireland.
- 19% of the adult population have access to an EIP service in Ireland currently. Note not all teams are fully resourced in line with the EIP Model of Care. The teams will require ongoing investment from EIP NCP to meet local demand & Model of Care standards.
- currently there are no CAMHS EIP teams. However the Women’s Health Fund announced investment in an at risk psychosis clinic for CHO6 in July 2022.
- Twenty more EIP specialist services are required to provide national coverage for all people aged 14- 64 years old as per the EIP Model of Care.
- All Clinical Programmes are dependent on new additional funding to be implemented fully and Programmes can take several years to be fully implemented.