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Greenwood, Kathryn, de Visser, Richard O., Smallman, Victoria, Vella, Claire, Clark, Stuart, Webb, Rebecca, O’Donnell, Anastacia, Johns, Louise, Garety, Philippa, Peters, Emmanuelle, Rathod, Shanaya, Phiri, Peter, Nandha, Sunil, Lennox, Belinda, French, Paul, Hodgekins, Jo 
ORCID: https://orcid.org/0000-0003-4124-854X, Fowler, David, Law, Heather, Healey, Andrew, Bremner, Stephen, Thompson, Rose and May, Carl
(2026)
The Early Youth Engagement (EYE-2) Intervention in First Episode Psychosis Services: Definition and Implementation of a Therapeutic Motivational–Engagement Model for Early Intervention in Psychosis Key Workers.
Early Intervention in Psychiatry, 20 (10).
ISSN 1751-7885
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Abstract
Background: Psychosis is associated with high disability and societal costs. Early Intervention in Psychosis (EIP) services enhance mental health outcomes, but 15% disengage and more engage intermittently. There is no EIP-specific therapeutic model for how Key Workers should maximize engagement. Aims: To identify factors that define the Early Youth Engagement (EYE) therapeutic model for Key Workers in EIP services and affect implementation. Methods: The design was a cross-sectional qualitative thematic analysis and the final phase of an iterative mixed-methods model development. Participants were 15 EIP clinicians who took part in the EYE pilot project and were interviewed regarding core therapeutic ingredients and implementation. Results: The final EYE-2 therapeutic model was defined by 10 sub-themes forming three therapeutic process themes (Psychoeducation; The Motivational–Engagement relationship; An Early Systemic Approach) and an outcome theme (Achieving Meaningful Recovery Outcomes). Fourteen implementation-related subthemes were mapped onto Normalization Process Theory constructs. They revolved largely but not exclusively around the more tangible psychoeducation component. Conclusions: The study defines, for the first time, the key components of a Therapeutic Motivational–Engagement Model for Key Workers in EIP services derived from service user and carer perspectives on needs. The clarity regarding core therapeutic processes to better support engagement enables the potential to standardize and reduce complexity in the Key Worker role. This clarity is important because key workers' role confidence impacts on therapeutic relationships and outcomes. The model is well-liked, easy to implement and supported by psychoeducational resources adapted for people from minority ethnic populations. Effectiveness and cost-effectiveness evaluations have revealed positive cost and societal outcomes. The model is highly compatible with the EIP approach but requires organizational support, staff induction and booster training for long-term sustainability.
| Item Type: | Article |
|---|---|
| Additional Information: | Data Availability Statement: Fully anonymized data will be available from K.G. upon reasonable re-quest, subject to submission and approval of a research proposal and review and contract with Sussex Partnership NHS Foundation Trust. |
| Uncontrolled Keywords: | early intervention,engagement,key worker,model,psychosis,das in place,data availability statementfully anonymized data will be available from k.g. upon reasonable re-quest, subject to submission and approval of a research proposal andreview and contract with sussex partnership nhs foundation trust.,2026 ,/dt/atira/pure/keyword/DAStatement/das_in_place |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Mental Health Faculty of Medicine and Health Sciences > Research Centres > Mental Health and Social Care (fka Lifespan Health) |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 29 Oct 2026 11:40 |
| Last Modified: | 29 Oct 2026 11:40 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/104909 |
| DOI: | issn:1751-7885 |
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