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Our vision: To improve the health and wellbeing of the people of Leicester, Leicestershire and Rutland by providing high quality, integrated physical and mental health care pathways.
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What we offer


PIER aim to build up a good therapeutic relationship with the service user and family.

Other things we offer include:

  • Medication
  • Groups & Activities
  • Psychosocial Interventions
  • Support in finding work or training
  • Family work
  • Social support


Medication used will be the minimum necessary for effective treatment and prescribing practice within the team will show a preference for low dose, antipsychotics.  Medication use and prescribing practice will be constantly monitored within the Early Intervention.  Useful information about medication can be found at

Group Activities

We run a number of groups within the service. All the groups aim to create a space for service users to offer support and insight to others who have had similar experiences.

The groups can change on a need basis but generally cover a range of activities such as music, football, walking or women’s group. We also run support and educational groups which address issues such as hearing voices or difficulties with anxiety.

Aims of groups

  • To enjoy sport and promote teamwork
  • To develop/ maintain self-confidence and overcome anxiety issues in relation to accessing community facilities.
  • To improve motivation, self-confidence, self-worth, mood and offer an outlet for stress.
  • To promote a healthy lifestyle through physical exercise in a supportive environment.
  • To maintain/promote an involvement with everyday activities.
  • To enable group members to maintain and develop links with the community and to provide opportunities to access a variety of resources within their local area.

 Psychosocial Interventions

  • Staff within the PIER team provide ‘psychosocial interventions’ to help service users recover from an episode of psychosis and to stay well, including:

–        Individual therapy, e.g. Cognitive Behavioural Therapy (CBT)

–        Family therapy

–        Relapse prevention

–        Monitoring early warning signs of relapse

–        Psychological assessment, e.g. memory assessment

  • These psychosocial interventions use ‘talking therapies’ rather than medication to address difficulties. They are provided by care coordinators and psychological therapists within the team. Psychosocial interventions are only used when the service user thinks this would be helpful, and the goals of the work are decided with the service user. Possible goals are understanding how mental health problems develop and carry on, learning to prevent problems recurring in the future, and finding alternative ways of coping with difficulties.


  • When you are ready (you let us know). We will help you search for jobs (we have connections with employers), fill out applications with you, help you to interviews and speak to your employers if you want us to. We will carry on supporting you when you have a job so that you keep it for as long as you want.
  • If we cannot help, then we will know who can.

 Family Work

  • When someone is struggling with psychosis, their difficulties impact not only on themselves, but also on everyone around them; and the closer people are together, often the more distressed they are at what is happening. Many find support in talking to their wider families, to friends, to work colleagues or to people in their communities.
  • In our experience, different families can have very different needs and so, if we are approached for help, we try to offer as much choice as possible in thinking about what might “fit” - what might be most meaningful in terms of how we talk together or most practical in terms of the time or place of meeting.
  • Family meetings might include discussions about people’s experiences, about explanations or understandings in relation to what has been happening, or about how to manage some of the difficulties that are around.  Some families focus on the effects of the illness whereas others sometimes prefer to concentrate on problems that are experienced in other areas of their lives.

Given all of this, there are 2 different forms of family consultation and support that we offer:-

  • Family Consultation – is a broad and, often, more in-depth approach that can pick up on a wider array of family difficulties. This approach is particularly helpful when families feel that they are “reaching the end of their tether”, are struggling with conflict, deeper levels of unhappiness or despair, or are overwhelmed by a complexity of different problems.
  • Carer Support Groups – are concerned specifically with the well-being of the families of those diagnosed with psychosis. Carer Support Groups are usually run as time-limited courses - 6 to 10 weekly meetings, usually for 2 to 3 hours each time. The groups include elements of education and problem-solving, but have the added benefit of providing the opportunity for people to talk with other parents or carers who are in a “similar” situation. Often feedback about the value of these groups focuses on the sense of warmth, shared understanding and support experienced through being able to talk about family experiences with others who “have been there”.
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