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Oduola, Sherifat 
ORCID: https://orcid.org/0000-0002-7227-9536, Craig, Tom K. J., Iacoponi, Eduardo, Macdonald, Alastair and Morgan, Craig
(2024)
Sociodemographic and clinical predictors of delay to and length of stay with early intervention for psychosis service: findings from the CRIS-FEP study.
Social Psychiatry and Psychiatric Epidemiology, 59.
pp. 25-36.
ISSN 0933-7954
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Abstract
Purpose: We investigated the influence of sociodemographic and clinical characteristics on delay to early intervention service (EIS) and the length of stay (LOS) with EIS. Methods: We used incidence data linked to the Clinical Record Interactive Search—First Episode Psychosis (CRIS-FEP) study. We followed the patients from May 2010 to March 2016. We performed multivariable Cox regression to estimate hazard ratios of delay to EIS. Negative binomial regression was used to determine LOS with EIS by sociodemographic and clinical characteristics, controlling for confounders. Results: 343 patients were eligible for an EIS, 34.1% of whom did not receive the service. Overall, the median delay to EIS was 120 days (IQR; 15–1668); and the median LOS was 130.5 days (IQR 0–663). We found that women (adj.HR 0.58; 95%C I 0.42–0.78), living alone (adj.HR: 0.63; 95% CI 0.43–0.92) and ethnicity (‘Other’: adj.HR 0.47; 95% CI 0.23–0.98) were associated with prolonged delay to EIS. However, family involvement in help-seeking for psychosis (adj.HR 1.37; 95% CI 1.01–1.85) was strongly associated with a shorter delay to EIS. Patients who have used mental health services previously also experienced long delays to EIS. Conclusions: Our analyses highlight the link between sociodemographic status, help-seeking behaviours, and delay to EIS. Our findings also show the vulnerability faced by those with a previous mental health problem who later develop psychosis in receiving specialist treatment for psychosis. Initiatives that ameliorate indicators of social disadvantage are urgently needed to reduce health inequalities and improve clinical outcomes.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding information: This work was supported by UK Medical Research Council (Ref: G0500817), the Wellcome Trust (Grant Number: WT087417), the European Union (European Community’s Seventh Framework Program (grant agreement No. HEALTH-F2-2009–241909) (Project EU-GEI)). The views expressed are those of the authors and not necessarily those of the funding bodies. |
| Uncontrolled Keywords: | early intervention psychosis,first episode psychosis,length of stay,pathways to care,treatment delays,health(social science),psychiatry and mental health,social psychology,epidemiology,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3300/3306 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 26 Jun 2023 08:30 |
| Last Modified: | 01 Feb 2024 03:06 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/92490 |
| DOI: | 10.1007/s00127-023-02522-z |
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