Delays in mental health services and duration of untreated psychosis

被引:41
作者
Brunet, Kat [1 ]
Birchwood, Max [2 ]
Lester, Helen [3 ]
Thornhill, Kate [1 ]
机构
[1] Univ Birmingham, Sch Psychol, Birmingham, W Midlands, England
[2] Univ Birmingham, Sch Psychol, Mental Hlth, Birmingham, W Midlands, England
[3] Univ Birmingham, Dept Primary Care & Gen Practice, Primary Care, Birmingham, W Midlands, England
来源
PSYCHIATRIC BULLETIN | 2007年 / 31卷 / 11期
关键词
D O I
10.1192/pb.bp.106.013995
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
AIMS AND METHOD To dissect duration of untreated psychosis (DUP) into three components: help-seeking delay, referral delay and delay in mental health services, all mental health services in a defined geographical region were screened over a period of 1 year. All cases of first-episode psychosis without a primary mood disorder were identified (n=55). RESULTS The median delay within secondary services was over seven times the delay in the referral pathway. The mean delay in mental health services accounted for 35% of overall DUP. CLINICAL IMPLICATIONS Intervention is required in secondary as well as primary care services if DUP is to be reduced.
引用
收藏
页码:408 / 410
页数:3
相关论文
共 15 条
[1]  
BEISER M, 1993, AM J PSYCHIAT, V150, P1349
[2]  
BRITISHMEDICAL ASSOCIATION & ROYAL PHARMACEUTICAL SOCIETY OF GREAT BRITAIN, 2001, BRIT NATL FORMULARY
[3]   Pathways to care of first-admitted subjects with psychosis in South-Western France [J].
Cougnard, A ;
Kalmi, E ;
Desage, A ;
Misdrahi, D ;
Abalan, F ;
Brun-Rousseau, H ;
Salmi, LR ;
Verdoux, H .
PSYCHOLOGICAL MEDICINE, 2004, 34 (02) :267-276
[4]   Duration of untreated psychosis and outcome of schizophrenia: Delay in intensive psychosocial treatment versus delay in treatment with anti psychotic medication [J].
de Haan, L ;
Linszen, DH ;
Lenior, ME ;
de Win, ED ;
Gorsira, R .
SCHIZOPHRENIA BULLETIN, 2003, 29 (02) :341-348
[5]  
DEPARTMENT OF HEALT, 2002, PSYCH
[6]  
Department of Health, 2001, MENT HLTH POL IMPL G
[7]   Does duration of untreated psychosis bias study samples of first-episode psychosis? [J].
Friis, S ;
Melle, I ;
Larsen, TK ;
Haahr, U ;
Johannessen, JO ;
Simonsen, E ;
Opjordsmoen, S ;
Vaglum, P ;
McGlashan, TH .
ACTA PSYCHIATRICA SCANDINAVICA, 2004, 110 (04) :286-291
[8]   THE POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS) FOR SCHIZOPHRENIA [J].
KAY, SR ;
FISZBEIN, A ;
OPLER, LA .
SCHIZOPHRENIA BULLETIN, 1987, 13 (02) :261-276
[9]  
LARSEN T.K., 1996, ARCH GEN PSYCHIAT, V22, P241
[10]   EPPIC: An evolving system of early detection and optimal management [J].
McGorry, PD ;
Edwards, J ;
Mihalopoulos, C ;
Harrigan, SM ;
Jackson, HJ .
SCHIZOPHRENIA BULLETIN, 1996, 22 (02) :305-326