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Don’t turn your back on the symptoms of psychosis : the results of a proof-of-principle, quasi-experimental intervention to reduce duration of untreated psychosis
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Connor, Charlotte, Birchwood, M. J., Freemantle, Nick, Palmer, Colin, Channa, Sunita, Barker, Clare, Patterson, Paul and Singh, Swaran P. (2016) Don’t turn your back on the symptoms of psychosis : the results of a proof-of-principle, quasi-experimental intervention to reduce duration of untreated psychosis. BMC Psychiatry, 16 (1). 127. doi:10.1186/s12888-016-0816-7 ISSN 1471-244X.
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Official URL: http://dx.doi.org/10.1186/s12888-016-0816-7
Abstract
Background
No evidence based approach to reduce duration of untreated psychosis (DUP) has been effective in the UK. Existing interventions have many components and have been difficult to replicate. The majority of DUP in Birmingham, UK is accounted for by delays within mental health services (MHS) followed by help-seeking delay and, we hypothesise, these require explicit targeting. This study examined the feasibility and impact of an intervention to reduce DUP, targeting help-seeking and MHSs delays.
Methods
A dual-component intervention, comprising a direct care pathway, for 16-25 year olds, and a community psychosis awareness campaign, using our youth-friendly website as the central hub, was implemented, targeting the primary sources of care pathway delays experienced by those with long DUP. Evaluation, using a quasi-experimental, design compared DUP of cases in two areas of the city receiving early detection vs detection as usual, controlling for baseline DUP in each area.
Results
DUP in the intervention area was reduced from a median 71 days (mean 285) to 39 days (mean 104) following the intervention, with no change in the control area. Relative risk for the reduction in DUP was 0.74 (95 % CI 0.35 to 0.89; p = .004). Delays in MHSs and help-seeking were also reduced.
Conclusions
Our targeted approach appears to be successful in reducing DUP and could provide a generalizable methodology applicable in a variety of healthcare contexts with differing sources of delay. More research is needed, however, to establish whether our approach is truly effective.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Psychoses -- Diagnosis -- Treatment, Mental health services -- Birmingham (England) , Mental health facilities -- Waiting lists, Psychotherapy patients | ||||||||
| Journal or Publication Title: | BMC Psychiatry | ||||||||
| Publisher: | BioMed Central Ltd. | ||||||||
| ISSN: | 1471-244X | ||||||||
| Official Date: | 4 May 2016 | ||||||||
| Dates: |
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| Volume: | 16 | ||||||||
| Number: | 1 | ||||||||
| Article Number: | 127 | ||||||||
| DOI: | 10.1186/s12888-016-0816-7 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 16 May 2016 | ||||||||
| Date of first compliant Open Access: | 17 May 2016 | ||||||||
| Funder: | National Institute for Health Research (Great Britain) (NIHR) |
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