Nina Flora1, Kelly K Anderson2, Manuela Ferrari3, Andrew Tuck1, Suzanne Archie4, Sean Kidd1,5, Kwame McKenzie1,5. 1. Health Equity Research Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada. 2. Departments of Epidemiology & Biostatistics and Psychiatry, The University of Western Ontario, London, Ontario, Canada. 3. School of Health Policy and Management, York University, Toronto, Ontario, Canada. 4. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada. 5. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Abstract
AIM: Understanding pathways to early intervention services for psychosis in the local context is crucial, as the structure and organization of services need to be considered. This study compared pathways to early intervention services in two Canadian cities. METHODS: Data on pathways to care and duration of untreated psychosis were collected from 171 people admitted to early intervention services in Toronto (n = 150) and Hamilton (n = 21). We compared the cities on several indicators of pathway to care and duration of untreated psychosis. RESULTS: Pathways to care were more complex in Toronto, where people saw a greater number of health care services (median = 6, interquartile range = 3-9) than those in Hamilton (median = 3, IQR = 1-4). General practitioner involvement was higher in Toronto (56.0% vs. 33.3%). We did not find differences in the median duration of untreated psychosis. CONCLUSIONS: Pathways to early intervention services could be streamlined, and general practitioners may be a target for strategies to improve pathways to care.
AIM: Understanding pathways to early intervention services for psychosis in the local context is crucial, as the structure and organization of services need to be considered. This study compared pathways to early intervention services in two Canadian cities. METHODS: Data on pathways to care and duration of untreated psychosis were collected from 171 people admitted to early intervention services in Toronto (n = 150) and Hamilton (n = 21). We compared the cities on several indicators of pathway to care and duration of untreated psychosis. RESULTS: Pathways to care were more complex in Toronto, where people saw a greater number of health care services (median = 6, interquartile range = 3-9) than those in Hamilton (median = 3, IQR = 1-4). General practitioner involvement was higher in Toronto (56.0% vs. 33.3%). We did not find differences in the median duration of untreated psychosis. CONCLUSIONS: Pathways to early intervention services could be streamlined, and general practitioners may be a target for strategies to improve pathways to care.
Authors: Leopoldo J Cabassa; Sarah Piscitelli; Morgan Haselden; Rufina J Lee; Susan M Essock; Lisa B Dixon Journal: Psychiatr Serv Date: 2018-03-01 Impact factor: 3.084
Authors: Atipatsa C Kaminga; Japhet Myaba; Wenjie Dai; Aizhong Liu; Harris K Chilale; Paul F Kubwalo; Precious Madula; Richard Banda; Xiongfeng Pan; Shi W Wen Journal: Early Interv Psychiatry Date: 2019-10-27 Impact factor: 2.732
Authors: Kelly K Anderson; Suzanne Archie; Richard G Booth; Chiachen Cheng; Daniel Lizotte; Arlene G MacDougall; Ross M G Norman; Bridget L Ryan; Amanda L Terry; Rebecca Rodrigues Journal: BJPsych Open Date: 2018-10-30