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Help-seeking pathways in early psychosis

INTRODUCTION: Understanding the help-seeking pathways of patients with a putative risk of developing psychosis helps improving development of specialised care services. This study aimed at obtaining information about: type of health professionals contacted by patients at putative risk for psychosis...

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Detalles Bibliográficos
Autores principales: Platz, Christoph, Umbricht, Daniel S., Cattapan-Ludewig, Katja, Dvorsky, Diane, Arbach, Dima, Brenner, Hans-Dieter, Simon, Andor E.
Formato: Texto
Lenguaje:English
Publicado: Steinkopff-Verlag 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1764202/
https://www.ncbi.nlm.nih.gov/pubmed/17036265
http://dx.doi.org/10.1007/s00127-006-0117-4
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author Platz, Christoph
Umbricht, Daniel S.
Cattapan-Ludewig, Katja
Dvorsky, Diane
Arbach, Dima
Brenner, Hans-Dieter
Simon, Andor E.
author_facet Platz, Christoph
Umbricht, Daniel S.
Cattapan-Ludewig, Katja
Dvorsky, Diane
Arbach, Dima
Brenner, Hans-Dieter
Simon, Andor E.
author_sort Platz, Christoph
collection PubMed
description INTRODUCTION: Understanding the help-seeking pathways of patients with a putative risk of developing psychosis helps improving development of specialised care services. This study aimed at obtaining information about: type of health professionals contacted by patients at putative risk for psychosis on their help-seeking pathways; number of contacts; type of symptoms leading to contacts with health professionals; interval between initial contact and referral to a specialised outpatient service. METHOD: The help-seeking pathways were assessed as part of a prospective study in 104 patients with suspected at-risk states for psychosis. RESULTS: The mean number of contacts prior to referral was 2.38. Patients with psychotic symptoms more often contacted mental health professionals, whereas patients with insidious and more unspecific features more frequently contacted general practitioners (GPs). CONCLUSIONS: GPs have been found to under-identify the insidious features of emerging psychosis (Simon et al. (2005) Br J Psychiatry 187:274–281). The fact that they were most often contacted by patients with exactly these features calls for focussed and specialised help for primary care physicians. Thus, delays along the help-seeking pathways may be shortened. This may be of particular relevance for patients with the deficit syndrome of schizophrenia.
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spelling pubmed-17642022007-01-05 Help-seeking pathways in early psychosis Platz, Christoph Umbricht, Daniel S. Cattapan-Ludewig, Katja Dvorsky, Diane Arbach, Dima Brenner, Hans-Dieter Simon, Andor E. Soc Psychiatry Psychiatr Epidemiol Original Paper INTRODUCTION: Understanding the help-seeking pathways of patients with a putative risk of developing psychosis helps improving development of specialised care services. This study aimed at obtaining information about: type of health professionals contacted by patients at putative risk for psychosis on their help-seeking pathways; number of contacts; type of symptoms leading to contacts with health professionals; interval between initial contact and referral to a specialised outpatient service. METHOD: The help-seeking pathways were assessed as part of a prospective study in 104 patients with suspected at-risk states for psychosis. RESULTS: The mean number of contacts prior to referral was 2.38. Patients with psychotic symptoms more often contacted mental health professionals, whereas patients with insidious and more unspecific features more frequently contacted general practitioners (GPs). CONCLUSIONS: GPs have been found to under-identify the insidious features of emerging psychosis (Simon et al. (2005) Br J Psychiatry 187:274–281). The fact that they were most often contacted by patients with exactly these features calls for focussed and specialised help for primary care physicians. Thus, delays along the help-seeking pathways may be shortened. This may be of particular relevance for patients with the deficit syndrome of schizophrenia. Steinkopff-Verlag 2006-10-11 2006-12 /pmc/articles/PMC1764202/ /pubmed/17036265 http://dx.doi.org/10.1007/s00127-006-0117-4 Text en © Steinkopff Verlag Darmstadt 2006
spellingShingle Original Paper
Platz, Christoph
Umbricht, Daniel S.
Cattapan-Ludewig, Katja
Dvorsky, Diane
Arbach, Dima
Brenner, Hans-Dieter
Simon, Andor E.
Help-seeking pathways in early psychosis
title Help-seeking pathways in early psychosis
title_full Help-seeking pathways in early psychosis
title_fullStr Help-seeking pathways in early psychosis
title_full_unstemmed Help-seeking pathways in early psychosis
title_short Help-seeking pathways in early psychosis
title_sort help-seeking pathways in early psychosis
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1764202/
https://www.ncbi.nlm.nih.gov/pubmed/17036265
http://dx.doi.org/10.1007/s00127-006-0117-4
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