Psychosis is a condition that affects the way the brain processes information. During an episode of psychosis, a person’s thoughts and perceptions are disrupted and they may have difficulty recognising what is real and what is not. Psychosis can present profound challenges not only to those directly affected but also to their families and supporters.

Recognising these challenges, Shine, Mental Health Reform, and the HSE National Clinical Programme for Early Intervention in Psychosis (EIP) conducted the Psychosis Survey 2024, gathering responses from 378 individuals. The survey offers a deep dive into the lived experiences of people with psychosis, and their supporters, evaluating the effectiveness of current mental health services, exploring societal stigma, and identifying opportunities for systemic improvement. This report examines these findings comprehensively, discusses their implications, and proposes actionable recommendations.

The 2024 survey witnessed significant participation, with 378 respondents, a 28% increase from the previous year. Of these: 188 respondents (49.7%) had personal experience with psychosis; 190 respondents (50.3%) supported someone with psychosis. Therefore, the survey highlighted the dual perspectives of individuals and family members/ supporters. 

Recommendations:

A. Expand Early Intervention in Psychosis (EIP) Teams
Scaling up EIP services nationwide is critical. These teams should provide:
• Comprehensive care plans with assigned keyworkers.
• Psychosis-specific interventions, including CBTp (Cognitive Behavioural Therapy for Psychosis) and family therapy, integrated physical health and employment support.

B. Increase Funding and Staffing
Adequate investment in mental health services in the statutory and voluntary sector is essential to:
• Reduce wait times for assessments and interventions.
• Ensure equitable access across rural and urban areas.
• Understanding that services delivered cannot be a “one size fits all”.

C. Combat Stigma Through Public Education
Collaborative campaigns between healthcare providers, schools, and media outlets can:
• Educate the public on the realities of psychosis.
• Highlight recovery success stories.
• Dispel myths and stereotypes.

D. Establish Crisis Support Outside Hospital
Developing crisis supports outside hospitals can:
• Provide specialised care in a less intimidating environment.
• Prevent delays in treatment

E. Strengthen Community-Based Organisations
Community organisations should receive increased funding to:
• Expand their reach and programme offerings.
• Support family members and caregivers alongside individuals.

F. Integrate Addiction and Mental Health Services
Integrated models can address cooccurring conditions, ensuring:
• Comprehensive treatment for psychosis and substance use.
• Greater continuity of care.

G. Enhance Housing and Employment Support
Collaboration between housing services, employers, and mental health providers can:
• Stabilise living conditions for individuals with psychosis.
• Foster inclusive work environments.