Don’t turn your back on the symptoms of psychosis: a proof-of-principle, quasi-experimental public health trial to reduce the duration of untreated psychosis in Birmingham, UK
| Autor: | Charlotte Connor, Sunita Channa, Swaran P. Singh, Helen Lester, Paul Patterson, Maximillian Birchwood, Colin Palmer, Nick Freemantle |
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| Rok vydání: | 2013 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Psychosis Delayed Diagnosis Duration of untreated psychosis Health Promotion Study Protocol RA0421 Intervention (counseling) Health care medicine Humans Duration (project management) Psychiatry Public mental health campaign First episode business.industry Public health Early detection Patient Acceptance of Health Care First-episode psychosis medicine.disease R1 United Kingdom Benchmarking Psychiatry and Mental health Systematic review Psychotic Disorders Youth mental health dup RC0321 Critical Pathways business |
| Zdroj: | BMC Psychiatry |
| ISSN: | 1471-244X |
| DOI: | 10.1186/1471-244x-13-67 |
| Popis: | Background: Reducing the duration of untreated psychosis (DUP) is an aspiration of international guidelines for first episode psychosis; however, public health initiatives have met with mixed results. Systematic reviews suggest that greater focus on the sources of delay within care pathways, (which will vary between healthcare settings) is needed to achieve sustainable reductions in DUP (BJP 198: 256-263; 2011).\ud Methods/Design: A quasi-experimental trial, comparing a targeted intervention area with a ‘detection as usual’ area in the same city. A proof-of–principle trial, no a priori assumptions are made regarding effect size; key outcome will be an estimate of the potential effect size for a definitive trial. DUP and number of new cases will be collected over an 18-month period in target and control areas and compared; historical data on DUP collected in both areas over the previous three years, will serve as a benchmark. The intervention will focus on reducing two significant DUP component delays within the overall care pathway: delays within the mental health service and help-seeking delay.\ud Discussion: This pragmatic trial will be the first to target known delays within the care pathway for those with a first episode of psychosis. If successful, this will provide a generalizable methodology that can be implemented in a variety of healthcare contexts with differing sources of delay.\ud Trial registration: http://www.controlled-trials.com/ISRCTN45058713\ud Keywords: Public mental health campaign, First-episode psychosis, Early detection, Duration of untreated psychosis, Youth mental health\ud |
| Databáze: | OpenAIRE |
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