|Title:||Pathways to Care for Patients With First-Episode Psychosis in Singapore|
|Journal:||J Nerv Ment Dis|
|Alternate Journal:||The Journal of nervous and mental disease|
|Keywords:||Adolescent Adult Cooperative Behavior Cross-Cultural Comparison Female Health Services Accessibility/organization & administration/*statistics & numerical data Health Services Needs and Demand/organization & administration/utilization Humans Interdisciplinary Communication Male Mental Health Services/*utilization Patient Acceptance of Health Care/psychology/*statistics & numerical data Patient-Centered Care/organization & administration/utilization Police/organization & administration/*psychology/*utilization Primary Health Care/organization & administration/*utilization Psychotic Disorders/*epidemiology/*therapy Referral and Consultation/organization & administration/utilization Singapore Utilization Review Young Adult|
|Abstract:||In this study, we aim to describe the pathways to care for patients with first-episode psychosis in Singapore. We analyzed data from 900 individuals accepted by the Singapore Early Psychosis Intervention Programme between 2007 and 2012. The most common first contacts were specialist care (59%), primary care (27%), and the police (12%). Multivariate regression models showed that first contact with services varied according to demographic variables and diagnosis. The duration of untreated psychosis, total number of contacts before referral, and rate of referral to the Early Psychosis Intervention Programme varied according to demographic and clinical variables and first contact. We hope that this information will enable clinicians, managers, and other service providers to target interventions to streamline referrals, reduce distress, and improve the treatment of young people with psychotic illnesses.|
|Notes:||1539-736x Chesney, Edward Abdin, Edimansyah Poon, Lye Yin Subramaniam, Mythily Verma, Swapna Comparative Study Journal Article United States J Nerv Ment Dis. 2016 Apr;204(4):291-7. doi: 10.1097/NMD.0000000000000464.|
|Authors Address:||*Royal London Hospital, London, United Kingdom; and Departments of daggerResearch and double daggerEarly Psychosis Intervention, Institute of Mental Health, Singapore.|
|Appears in Collections:||2016|
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