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A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.

BACKGROUND: Psychotic disorders carry a substantial burden on public health. There is divergence between high burden of mental illness and comparatively low likelihood of obtaining treatment. Hence, concept of pathway to care is being studied where the help seeking behaviour of patient and family; s...

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Autores principales: M S, Anusha, Mangalwedhe, Sameer Belvi, Desai, Mahesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129722/
http://dx.doi.org/10.4103/0019-5545.341577
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author M S, Anusha
Mangalwedhe, Sameer Belvi
Desai, Mahesh
author_facet M S, Anusha
Mangalwedhe, Sameer Belvi
Desai, Mahesh
author_sort M S, Anusha
collection PubMed
description BACKGROUND: Psychotic disorders carry a substantial burden on public health. There is divergence between high burden of mental illness and comparatively low likelihood of obtaining treatment. Hence, concept of pathway to care is being studied where the help seeking behaviour of patient and family; subsequent accessibility to health care services are evaluated. AIM: To find out pathways of help-seeking behaviour and to assess the association of socio-demographic, clinical and health care service factors with pathway of care of patients with psychotic spectrum disorders. METHODOLOGY: A cross sectional study was conducted on patients presenting to psychiatry OPD, KIMS, Hubballi diagnosed with schizophrenia and other psychotic spectrum disorders (as per ICD 10, F20-29). A semi-structured proforma was used to obtain socio-demographic, clinical details of the patient based on WHO encounter form. RESULTS: A total of 60 cases of first episode psychosis were assessed. Mean age of the patients was 33.87±10.94 years. Majority of them were females, belonged to rural background and were married. Mean duration of psychotic illness was 7.5 months. Majority of them 55% had first contact with a faith healer. Only 18.3% had their first contact to a psychiatrist. On an average, the first contact ever was initiated after 2 months of illness onset. CONCLUSION: Referral to psychiatric services is often delayed leading to increased duration of untreated psychosis and burden of care. The service providers and policy makers’ needs to be sensitised about appropriate and accessible psychiatric services, providing easy and favourable pathway of care for psychiatric patients.
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spelling pubmed-91297222022-05-25 A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders. M S, Anusha Mangalwedhe, Sameer Belvi Desai, Mahesh Indian J Psychiatry Free Papers Compiled BACKGROUND: Psychotic disorders carry a substantial burden on public health. There is divergence between high burden of mental illness and comparatively low likelihood of obtaining treatment. Hence, concept of pathway to care is being studied where the help seeking behaviour of patient and family; subsequent accessibility to health care services are evaluated. AIM: To find out pathways of help-seeking behaviour and to assess the association of socio-demographic, clinical and health care service factors with pathway of care of patients with psychotic spectrum disorders. METHODOLOGY: A cross sectional study was conducted on patients presenting to psychiatry OPD, KIMS, Hubballi diagnosed with schizophrenia and other psychotic spectrum disorders (as per ICD 10, F20-29). A semi-structured proforma was used to obtain socio-demographic, clinical details of the patient based on WHO encounter form. RESULTS: A total of 60 cases of first episode psychosis were assessed. Mean age of the patients was 33.87±10.94 years. Majority of them were females, belonged to rural background and were married. Mean duration of psychotic illness was 7.5 months. Majority of them 55% had first contact with a faith healer. Only 18.3% had their first contact to a psychiatrist. On an average, the first contact ever was initiated after 2 months of illness onset. CONCLUSION: Referral to psychiatric services is often delayed leading to increased duration of untreated psychosis and burden of care. The service providers and policy makers’ needs to be sensitised about appropriate and accessible psychiatric services, providing easy and favourable pathway of care for psychiatric patients. Wolters Kluwer - Medknow 2022-03 2022-03-24 /pmc/articles/PMC9129722/ http://dx.doi.org/10.4103/0019-5545.341577 Text en Copyright: © 2022 Indian Journal of Psychiatry https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Free Papers Compiled
M S, Anusha
Mangalwedhe, Sameer Belvi
Desai, Mahesh
A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title_full A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title_fullStr A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title_full_unstemmed A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title_short A cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
title_sort cross sectional study of pathway to psychiatric care in patients with first episode schizophrenia spectrum and other psychotic disorders.
topic Free Papers Compiled
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9129722/
http://dx.doi.org/10.4103/0019-5545.341577
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