Measuring pathways to care in first-episode psychosis : a systematic review
Singh, Swaran P. and Grange, Tom. (2006) Measuring pathways to care in first-episode psychosis : a systematic review. Schizophrenia Research, Vol.81 (No.1). pp. 75-82. ISSN 0920-9964
WRAP_Singh_Pathways_paper_revised5.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1016/j.schres.2005.09.018
Adequately understanding and measuring pathways to care is a prerequisite for early detection and effective treatment of first-episode psychosis.
We conducted a systematic review of studies on pathways to care in first-episode psychosis to establish what measures currently exist to assess pathways in first-episode psychosis and to compare these measures.
We identified 15 studies which had used six different measures of pathways to care. Differences in aims, methodology and lack of psychometric data did not allow a direct comparison of pathways measures but certain common themes emerged.
Pathways to care in first-episode psychosis are diverse and varied. There is no measure with established psychometric properties that has been devised on a well-developed theoretical or conceptual framework and had its psychometric properties established. The conflict between exploring the patient's narrative and journey through the healthcare system and developing an empirical measure of pathways with optimal outcomes has hindered the development of such a measure.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RC Internal medicine|
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||Psychoses -- Diagnosis, Psychoses -- Treatment, Mental health planning|
|Journal or Publication Title:||Schizophrenia Research|
|Official Date:||1 January 2006|
|Page Range:||pp. 75-82|
|Access rights to Published version:||Open Access|
Addington, J., Van Mastrigt, S., Hutchinson, J. and Addington, D. (2002) Acta Psychiatr Scand, 106, 358-64.
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