Removing barriers to treatment of first-episode psychotic disorders

Can J Psychiatry. 2003 Sep;48(8):561-5. doi: 10.1177/070674370304800808.

Abstract

Objective: To describe changes aimed at removing barriers to appropriate and timely assessment and treatment of first-episode psychosis (FEP) and to present descriptive data regarding the potential impact of such changes on treated incidence, referral patterns, and treatment delay.

Method: We collected demographic and clinical information, including duration of untreated psychosis (DUP), on 196 persons referred for an initial assessment over a 3-year period.

Results: The number of identified FEP cases increased and DUP decreased over the 3-year period. The data suggest a differentially greater reduction in DUP in cases referred from sources other than health care.

Conclusion: These preliminary results suggest that, when setting up programs for FEP, relatively simple changes designed to improve access may improve treated incidence and reduce treatment delays.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Health Services Accessibility*
  • Humans
  • Male
  • Mental Health Services / supply & distribution
  • Middle Aged
  • Patient Care Team
  • Preventive Health Services / supply & distribution
  • Psychotic Disorders / psychology*
  • Psychotic Disorders / therapy*
  • Referral and Consultation