[Pathways-to-Care for First-Episode psychotic patients--an overview of international studies]

Schaffner, N; Schimmelmann, B G; Niedersteberg, A; Schultze-Lutter, F (2012). [Pathways-to-Care for First-Episode psychotic patients--an overview of international studies]. Fortschritte der Neurologie, Psychiatrie, 80(2), pp. 72-8. Stuttgart: Thieme 10.1055/s-0031-1273428

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A longer duration of untreated psychosis (DUP) as well as of untreated illness (DUI) was found to be associated with a negative course of psychosis. Thus, increasing efforts are made to reduce the DUP and provide adequate treatment as early as possible. But, in order to overcome obstacles to early help-seeking, these have to be identified first. Thus, an overview on initial help-seeking behaviour and predictors of DUP is given. Across 25 identified studies, the DUP, at about one year on average, is still unfavourably long and includes on average of three help-seeking contacts prior to the initiation of adequate treatment. Since negative factors in pathways-to-care involve features on all relevant levels (patient, social environment and health-care system), an optimisation of pathways-to-care will require the integration of services and continuous awareness programmes targeting the general population and mental health-care professionals.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Schimmelmann, Benno Karl Edgar and Schultze-Lutter, Frauke

ISSN:

0720-4299

Publisher:

Thieme

Language:

German

Submitter:

Myriam Pyrlik

Date Deposited:

04 Oct 2013 14:36

Last Modified:

06 Dec 2013 13:36

Publisher DOI:

10.1055/s-0031-1273428

PubMed ID:

21739407

Web of Science ID:

000300753900010

URI:

https://boris.unibe.ch/id/eprint/14648 (FactScience: 221721)

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