ABSTRACT
Despite the best efforts of researchers and clinicians in supporting the routine delivery of psychosocial interventions, the long-term impact of these evidence-based treatments has not been clearly demonstrated, with initial reported benefits being lost to follow-up at 18 months (Jones et al., 2004) or being quickly lost once treatment has ended (Yung, 2012). Clearly for some individuals longer term treatment is required. The provision of long-term therapy is now unfashionable, especially in an era of cost efficiency. However, the cost of longer term therapy must be balanced against the continued use of hospital, staff burnout and poor quality of life experienced by those who both give and require on-going care. In this chapter we describe an approach to working with teams who work with this group of high need service users.
