Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he has made an assessment of the potential merits of extending Early Intervention in Psychosis services to include people with bipolar who do not experience psychosis.

Early Intervention in Psychosis services provide evidence-based, specialist interventions, and treatment for individuals presenting with psychosis. These services recognise that bipolar disorder diagnoses can be uncertain and are therefore available to individuals irrespective of their diagnosis, including individuals experiencing bipolar 1 and bipolar 2.

The aim is for individuals who experience psychosis as part of a manic episode to be seen by an early intervention in psychosis service within two weeks of referral. If an individual experiences mood disturbance over time, bipolar disorder may be identified and treated.

Early Intervention in Psychosis services are not affective disorder services. It would therefore not be appropriate to extend services to individuals who are not experiencing psychosis. Individuals with bipolar 2 who do not experience mania or psychosis will receive support and treatment from primary care and community mental health teams as appropriate.