Abstract

Using the lessons gained from implementing the St Vincent Declaration for Diabetes (1990), this declaration details general goals, 5 years targets, performance and outcome measures for the detection and management of early psychosis. Its successful implementation requires integrated partnerships working locally, nationally and internationally to: • educate and raise awareness about psychosis; • plan, deliver and audit care; • promote recovery and social inclusion; • promote and apply research. General goals: • timely access to evidence-based interventions sensitive to age, gender and culture; • a ‘recovery’ paradigm; • eliminating stigma and ensuring rights to citizenship and social inclusion. Five-year targets: • a workforce (resourced for skills, leadership and manpower) which delivers comprehensive EI programmes; • greater consumer independance, self sufficiency and socialequity; • greater consumer service satisfaction; • raised awareness among the general population and care professionals; • developed centres of excellence for research and training performance and outcome measures which: – monitor: DUP, relapse rates, legal detention use, police involvement, suicide/untoward death; – audit: pathways into care personal, social, educational and vocational outcomes consumer and carer satisfaction.

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