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ToolsMurden, Rhiannon, Allan, Sophie M., Hodgekins, Jo and Oduola, Sheri (2025) A comparison of pathways to care in at-risk mental states and first episode psychosis: A mental health electronic clinical records analysis in the East of England, UK. Social Psychiatry and Psychiatric Epidemiology. ISSN 0933-7954
Full text not available from this repository. (Request a copy)Abstract
Purpose: Delays in treatment for individuals experiencing early signs of psychosis are associated with poorer outcomes. Few people presenting with first episode psychosis (FEP) access early intervention in psychosis (EIP) services during the prodromal stage. In this study, we compared pathways to care (PtC) in people with At-Risk Mental States (ARMS) and FEP and explored the sociodemographic factors associated with accessing EIP during ARMS or FEP. Methods: Sociodemographic and PtC data were collected from the Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) Research Database. All individuals referred and accepted to CPFT EIP services as either ARMS or FEP between 1st April 2018 and 31st October 2019 (N = 158) were included. Results: There was strong evidence that ARMS patients accessing EIP were younger and were less likely to have a minority ethnic status than FEP patients. In terms of PtC, ARMS patients had fewer numbers of contacts, were less likely to be referred via the acute services, less likely to be involuntarily admitted and had reduced family involvement in their help-seeking. No differences were identified between ARMS and FEP in terms of living circumstances, area-level deprivation, urbanicity, employment status, duration of PtC, or police involvement in PtC. Conclusion: Our findings highlight that disparities exist between ARMS and FEP patients in terms of sociodemographic and PtC characteristics. Further research is required to replicate these findings and investigate the effectiveness of interventions to encourage and facilitate access to EIP at an earlier stage to improve outcomes.
| Item Type: | Article |
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| Additional Information: | Data availability statement: CPFTRD data cannot be made publicly available. Funding information: The CPFT Research Database is supported by the NIHR Cambridge Biomedical Research Centre (NIHR203312) and the NIHR Applied Research Collaboration East of England; the views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. SO is supported by the National Institute for Health Research (Ref: NIHR HS&DR 131871 and PDG 203683). |
| Uncontrolled Keywords: | at risk mental states,early intervention,first episode psychosis,pathways to care,sociodemographic determinants,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 > Norwich Medical School Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Population Health 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 Groups > Mental Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
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| Depositing User: | LivePure Connector |
| Date Deposited: | 03 Mar 2025 12:30 |
| Last Modified: | 28 Mar 2025 13:14 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/98630 |
| DOI: | 10.1007/s00127-025-02833-3 |
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