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Understanding the role of the family physician in early psychosis intervention

BACKGROUND: The family physician is key to facilitating access to psychiatric treatment for young people with first-episode psychosis, and this involvement can reduce aversive events in pathways to care. Those who seek help from primary care tend to have longer intervals to psychiatric care, and som...

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Autores principales: Anderson, Kelly K., Archie, Suzanne, Booth, Richard G., Cheng, Chiachen, Lizotte, Daniel, MacDougall, Arlene G., Norman, Ross M. G., Ryan, Bridget L., Terry, Amanda L., Rodrigues, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235978/
https://www.ncbi.nlm.nih.gov/pubmed/30450223
http://dx.doi.org/10.1192/bjo.2018.67
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author Anderson, Kelly K.
Archie, Suzanne
Booth, Richard G.
Cheng, Chiachen
Lizotte, Daniel
MacDougall, Arlene G.
Norman, Ross M. G.
Ryan, Bridget L.
Terry, Amanda L.
Rodrigues, Rebecca
author_facet Anderson, Kelly K.
Archie, Suzanne
Booth, Richard G.
Cheng, Chiachen
Lizotte, Daniel
MacDougall, Arlene G.
Norman, Ross M. G.
Ryan, Bridget L.
Terry, Amanda L.
Rodrigues, Rebecca
author_sort Anderson, Kelly K.
collection PubMed
description BACKGROUND: The family physician is key to facilitating access to psychiatric treatment for young people with first-episode psychosis, and this involvement can reduce aversive events in pathways to care. Those who seek help from primary care tend to have longer intervals to psychiatric care, and some people receive ongoing psychiatric treatment from the family physician. AIMS: Our objective is to understand the role of the family physician in help-seeking, recognition and ongoing management of first-episode psychosis. METHOD: We will use a mixed-methods approach, incorporating health administrative data, electronic medical records (EMRs) and qualitative methodologies to study the role of the family physician at three points on the pathway to care. First, help-seeking: we will use health administrative data to examine access to a family physician and patterns of primary care use preceding the first diagnosis of psychosis; second, recognition: we will identify first-onset cases of psychosis in health administrative data, and look back at linked EMRs from primary care to define a risk profile for undetected cases; and third, management: we will examine service provision to identified patients through EMR data, including patterns of contacts, prescriptions and referrals to specialised care. We will then conduct qualitative interviews and focus groups with key stakeholders to better understand the trends observed in the quantitative data. DISCUSSION: These findings will provide an in-depth description of first-episode psychosis in primary care, informing strategies to build linkages between family physicians and psychiatric services to improve transitions of care during the crucial early stages of psychosis. DECLARATION OF INTEREST: None.
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spelling pubmed-62359782018-11-16 Understanding the role of the family physician in early psychosis intervention Anderson, Kelly K. Archie, Suzanne Booth, Richard G. Cheng, Chiachen Lizotte, Daniel MacDougall, Arlene G. Norman, Ross M. G. Ryan, Bridget L. Terry, Amanda L. Rodrigues, Rebecca BJPsych Open Papers BACKGROUND: The family physician is key to facilitating access to psychiatric treatment for young people with first-episode psychosis, and this involvement can reduce aversive events in pathways to care. Those who seek help from primary care tend to have longer intervals to psychiatric care, and some people receive ongoing psychiatric treatment from the family physician. AIMS: Our objective is to understand the role of the family physician in help-seeking, recognition and ongoing management of first-episode psychosis. METHOD: We will use a mixed-methods approach, incorporating health administrative data, electronic medical records (EMRs) and qualitative methodologies to study the role of the family physician at three points on the pathway to care. First, help-seeking: we will use health administrative data to examine access to a family physician and patterns of primary care use preceding the first diagnosis of psychosis; second, recognition: we will identify first-onset cases of psychosis in health administrative data, and look back at linked EMRs from primary care to define a risk profile for undetected cases; and third, management: we will examine service provision to identified patients through EMR data, including patterns of contacts, prescriptions and referrals to specialised care. We will then conduct qualitative interviews and focus groups with key stakeholders to better understand the trends observed in the quantitative data. DISCUSSION: These findings will provide an in-depth description of first-episode psychosis in primary care, informing strategies to build linkages between family physicians and psychiatric services to improve transitions of care during the crucial early stages of psychosis. DECLARATION OF INTEREST: None. Cambridge University Press 2018-10-30 /pmc/articles/PMC6235978/ /pubmed/30450223 http://dx.doi.org/10.1192/bjo.2018.67 Text en © The Royal College of Psychiatrists 2018 http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Papers
Anderson, Kelly K.
Archie, Suzanne
Booth, Richard G.
Cheng, Chiachen
Lizotte, Daniel
MacDougall, Arlene G.
Norman, Ross M. G.
Ryan, Bridget L.
Terry, Amanda L.
Rodrigues, Rebecca
Understanding the role of the family physician in early psychosis intervention
title Understanding the role of the family physician in early psychosis intervention
title_full Understanding the role of the family physician in early psychosis intervention
title_fullStr Understanding the role of the family physician in early psychosis intervention
title_full_unstemmed Understanding the role of the family physician in early psychosis intervention
title_short Understanding the role of the family physician in early psychosis intervention
title_sort understanding the role of the family physician in early psychosis intervention
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235978/
https://www.ncbi.nlm.nih.gov/pubmed/30450223
http://dx.doi.org/10.1192/bjo.2018.67
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