Social and occupational outcomes for young people who attend early intervention mental health services: a longitudinal study

In reply: While Wallis and colleagues’ commentary1 highlights limitations common to studies conducted in real world settings, these considerations do not diminish the significance of the main findings. The study focused on young people’s longer term social and occupational functioning as the main outcome and demonstrated that the current treatment model appears to deliver very limited benefits.2 Clearly, we need to reflect on why this may be so and what changes to the service model may be required to achieve better functional outcomes.