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Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme
BACKGROUND: Little is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an “at risk mental state” (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to pr...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574213/ https://www.ncbi.nlm.nih.gov/pubmed/28841826 http://dx.doi.org/10.1186/s12888-017-1468-y |
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author | Ajnakina, Olesya Morgan, Craig Gayer-Anderson, Charlotte Oduola, Sherifat Bourque, François Bramley, Sally Williamson, Jessica MacCabe, James H. Dazzan, Paola Murray, Robin M. David, Anthony S. |
author_facet | Ajnakina, Olesya Morgan, Craig Gayer-Anderson, Charlotte Oduola, Sherifat Bourque, François Bramley, Sally Williamson, Jessica MacCabe, James H. Dazzan, Paola Murray, Robin M. David, Anthony S. |
author_sort | Ajnakina, Olesya |
collection | PubMed |
description | BACKGROUND: Little is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an “at risk mental state” (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to prodromal services in the ARMS state, and to compare these FEP patients with FEP patients who did not have prior contact with prodromal services. METHODS: In this study information on 338 patients aged ≤37 years who presented to mental health services between 2010 and 2012 with a FEP was examined. The data on pathways to care, clinical and socio-demographic characteristics were extracted from the Biomedical Research Council Case Register for the South London and Maudsley NHS Trust. RESULTS: Over 2 years, 14 (4.1% of n = 338) young adults presented with FEP and had been seen previously by the prodromal services. These ARMS patients were more likely to enter their pathway to psychiatric care via referral from General Practice, be born in the UK and to have had an insidious mode of illness onset than FEP patients without prior contact with the prodromal services. CONCLUSIONS: In the current pathways to care configuration, prodromal services are likely to prevent only a few at-risk individuals from transitioning to psychosis even if effective preventative treatments become available. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-017-1468-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5574213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55742132017-08-30 Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme Ajnakina, Olesya Morgan, Craig Gayer-Anderson, Charlotte Oduola, Sherifat Bourque, François Bramley, Sally Williamson, Jessica MacCabe, James H. Dazzan, Paola Murray, Robin M. David, Anthony S. BMC Psychiatry Research Article BACKGROUND: Little is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an “at risk mental state” (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to prodromal services in the ARMS state, and to compare these FEP patients with FEP patients who did not have prior contact with prodromal services. METHODS: In this study information on 338 patients aged ≤37 years who presented to mental health services between 2010 and 2012 with a FEP was examined. The data on pathways to care, clinical and socio-demographic characteristics were extracted from the Biomedical Research Council Case Register for the South London and Maudsley NHS Trust. RESULTS: Over 2 years, 14 (4.1% of n = 338) young adults presented with FEP and had been seen previously by the prodromal services. These ARMS patients were more likely to enter their pathway to psychiatric care via referral from General Practice, be born in the UK and to have had an insidious mode of illness onset than FEP patients without prior contact with the prodromal services. CONCLUSIONS: In the current pathways to care configuration, prodromal services are likely to prevent only a few at-risk individuals from transitioning to psychosis even if effective preventative treatments become available. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-017-1468-y) contains supplementary material, which is available to authorized users. BioMed Central 2017-08-25 /pmc/articles/PMC5574213/ /pubmed/28841826 http://dx.doi.org/10.1186/s12888-017-1468-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Ajnakina, Olesya Morgan, Craig Gayer-Anderson, Charlotte Oduola, Sherifat Bourque, François Bramley, Sally Williamson, Jessica MacCabe, James H. Dazzan, Paola Murray, Robin M. David, Anthony S. Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title | Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title_full | Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title_fullStr | Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title_full_unstemmed | Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title_short | Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme |
title_sort | only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large uk mental health programme |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574213/ https://www.ncbi.nlm.nih.gov/pubmed/28841826 http://dx.doi.org/10.1186/s12888-017-1468-y |
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