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The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria

There is increasing evidence that delay in the commencement of treatment, following the onset of schizophrenia, may be related to the pathways patients navigate before accessing mental health care. Therefore, insight into the pattern and correlates of pathways to mental care of patients with schizop...

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Autores principales: Adeosun, Increase Ibukun, Adegbohun, Abosede Adekeji, Adewumi, Tomilola Adejoke, Jeje, Oyetayo O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3893872/
https://www.ncbi.nlm.nih.gov/pubmed/24490072
http://dx.doi.org/10.1155/2013/769161
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author Adeosun, Increase Ibukun
Adegbohun, Abosede Adekeji
Adewumi, Tomilola Adejoke
Jeje, Oyetayo O.
author_facet Adeosun, Increase Ibukun
Adegbohun, Abosede Adekeji
Adewumi, Tomilola Adejoke
Jeje, Oyetayo O.
author_sort Adeosun, Increase Ibukun
collection PubMed
description There is increasing evidence that delay in the commencement of treatment, following the onset of schizophrenia, may be related to the pathways patients navigate before accessing mental health care. Therefore, insight into the pattern and correlates of pathways to mental care of patients with schizophrenia may inform interventions that could fast track their contact with mental health professionals and reduce the duration of untreated psychosis. This study assessed the pathways to mental health care among patients with schizophrenia (n = 138), at their first contact with mental health services at the Federal Neuro-Psychiatric Hospital Yaba Lagos, Nigeria. Traditional and religious healers were the first contact for the majority (69%) of the patients. Service users who first contacted nonorthodox healers made a greater number of contacts in the course of seeking help, eventuating in a longer duration of untreated psychosis (P < 0.001). However, the delay between the onset of psychosis and contact with the first point of care was shorter in patients who patronized nonorthodox practitioners. The findings suggest that collaboration between orthodox and nonorthodox health services could facilitate the contact of patients with schizophrenia with appropriate treatment, thereby reducing the duration of untreated psychosis. The need for public mental health education is also indicated.
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spelling pubmed-38938722014-02-02 The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria Adeosun, Increase Ibukun Adegbohun, Abosede Adekeji Adewumi, Tomilola Adejoke Jeje, Oyetayo O. Schizophr Res Treatment Research Article There is increasing evidence that delay in the commencement of treatment, following the onset of schizophrenia, may be related to the pathways patients navigate before accessing mental health care. Therefore, insight into the pattern and correlates of pathways to mental care of patients with schizophrenia may inform interventions that could fast track their contact with mental health professionals and reduce the duration of untreated psychosis. This study assessed the pathways to mental health care among patients with schizophrenia (n = 138), at their first contact with mental health services at the Federal Neuro-Psychiatric Hospital Yaba Lagos, Nigeria. Traditional and religious healers were the first contact for the majority (69%) of the patients. Service users who first contacted nonorthodox healers made a greater number of contacts in the course of seeking help, eventuating in a longer duration of untreated psychosis (P < 0.001). However, the delay between the onset of psychosis and contact with the first point of care was shorter in patients who patronized nonorthodox practitioners. The findings suggest that collaboration between orthodox and nonorthodox health services could facilitate the contact of patients with schizophrenia with appropriate treatment, thereby reducing the duration of untreated psychosis. The need for public mental health education is also indicated. Hindawi Publishing Corporation 2013 2013-12-31 /pmc/articles/PMC3893872/ /pubmed/24490072 http://dx.doi.org/10.1155/2013/769161 Text en Copyright © 2013 Increase Ibukun Adeosun et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Adeosun, Increase Ibukun
Adegbohun, Abosede Adekeji
Adewumi, Tomilola Adejoke
Jeje, Oyetayo O.
The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title_full The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title_fullStr The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title_full_unstemmed The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title_short The Pathways to the First Contact with Mental Health Services among Patients with Schizophrenia in Lagos, Nigeria
title_sort pathways to the first contact with mental health services among patients with schizophrenia in lagos, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3893872/
https://www.ncbi.nlm.nih.gov/pubmed/24490072
http://dx.doi.org/10.1155/2013/769161
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