Journal ArticleDOI
Understanding the topography of the early psychosis pathways. An opportunity to reduce delays in treatment.
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In this article, the authors investigated to whom people turn for help, how long that approach takes and subsequent delays in commencing treatment, with 50% of people experiencing psychotic symptoms before approaching any service.Abstract:
Background This study aims to gain an understanding of treatment delays and their nature in initial psychotic episodes. We investigated to whom people turn for help, how long that approach takes and subsequent delays in commencing treatment. Method Qualitative and quantitative methods were combined with interviews of 62 people suffering from first-episode psychoses, aged 16-30 years, who had recently accessed a specialist mental health service in Melbourne, Australia. A modified version of the World Health Organization Encounter Form was analysed in conjunction with other data. Results Pathways to care and the ways in which they were experienced were highly variable, with 50% of people experiencing psychotic symptoms before approaching any service. The general practitioner played a key role with 50% of people having had GP contact at some point prior to commencing effective treatment. Where an individual's own efforts to seek early help failed, the role of relatives and others was subsequently vital. Conclusions Opportunities exist for shortening delays through targeted health promotion activities and professional training. The need is indicated for a multi-layered or topographical strategy to identify and minimise critical barriers on the route to early intervention. Refinement of interview techniques and instruments of measurement are needed to enhance the explanatory power of data collected.read more
Citations
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Journal ArticleDOI
Relationship Between Duration of Untreated Psychosis and Outcome in First-Episode Schizophrenia: A Critical Review and Meta-Analysis
TL;DR: Shorter duration of untreated psychosis was associated with greater response to antipsychotic treatment, as measured by severity of global psychopathology, positive symptoms, negative symptoms, and functional outcomes.
Journal ArticleDOI
When and how do young people seek professional help for mental health problems
TL;DR: The professionals most likely to act as gatekeepers to mental health services for young people are school counsellors, general practitioners, and youth workers, and Internet‐based information and interventions are being used to engage young people in the help‐seeking process.
Journal ArticleDOI
Early detection strategies for untreated first-episode psychosis
Jan Olav Johannessen,Thomas H. McGlashan,Tor K. Larsen,Marthe Horneland,Inge Joa,Sigurd Mardal,Rune Kvebæk,Svein Friis,Ingrid Melle,Stein Opjordsmoen,Erik Simonsen,Haahr Ulrik,Per Vaglum +12 more
TL;DR: The study's major independent intervention variable is described, i.e. a comprehensive education and detection system to change DUP in first onset psychosis, which appears to be effective and to influence directly the community's help-seeking behaviour.
Journal ArticleDOI
Early detection and intervention in first-episode schizophrenia: a critical review
Tor K. Larsen,Svein Friis,U. Haahr,Inge Joa,Jan Olav Johannessen,Ingrid Melle,Stein Opjordsmoen,Erik Simonsen,Per Vaglum +8 more
TL;DR: The literature on early intervention in psychosis and relevant studies are reviewed to evaluate relevant studies and to establish a baseline for assessing the effectiveness of these interventions.
Journal ArticleDOI
Early intervention in psychosis: obvious, effective, overdue.
TL;DR: The origins and rapid development of early intervention in psychosis are described from a personal and Australian perspective and this uniquely evidence-informed, evidence-building and cost-effective reform provides a blueprint and launch pad to radically change the wider landscape of mental health care and dissolve many of the barriers that have constrained progress for so long.
References
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Journal ArticleDOI
EPPIC: An Evolving System of Early Detection and Optimal Management
TL;DR: A framework for preventive intervention in early psychosis is outlined, based on more than a decade of experience initially gained within a first-generation model, a comprehensive "real-world" model of care targeting the multiple clinical foci underpinning the preventive task.
Journal ArticleDOI
Duration of psychosis and outcome in first-episode schizophrenia.
Antony Loebel,Jeffrey A. Lieberman,Jose Alvir,David Mayerhoff,Stephen Geisler,Sally Szymanski +5 more
TL;DR: Duration of psychosis before treatment may be an important predictor of outcome in first-episode schizophrenia, and is significantly associated with time to remission as well as with level of remission.
BookDOI
Mental illness in the community : the pathway to psychiatric care
David Goldberg,Peter Huxley +1 more
Book
In-depth Interviewing: Researching People
TL;DR: In this paper, the authors describe the pragmatic pragmatics of in-depth interviewing ethics assembling and organizing the data analyzing the data and writing it up, as well as the preparation work in depth interviewing interview process life history.
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