Prolonged duration of untreated psychosis: a problem that needs addressing

Early Intervention in Psychiatry
Jack CotterAlison R Yung

Abstract

The duration of untreated psychosis (DUP) refers to the period of time between the emergence of psychotic symptoms and the initiation of appropriate clinical treatment. Prolonged DUP is associated with a range of adverse consequences, including more severe illness course, cognitive deficits and poor functioning. Problems with recognition of illness and in seeking help contribute to DUP, but another major cause of prolonged DUP is delays within secondary mental health services. In an attempt to reduce these delays, National Health Service England and the Department of Health have set new targets to improve access to early intervention services which will come into effect in April 2016. Given this background, we aimed to examine the DUP and pathways to care of new patients entering an early intervention service. We also examined whether they were receiving National Institute for Health and Care Excellence (NICE) concordant treatment. This will enable us to establish a baseline so that the impact of the new targets can be determined and to assess the degree of change that will be required to implement these. De-identified electronic records of 165 patients accepted into the service over a 12-month period were analysed. Median DUP ...Continue Reading

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Citations

Jan 13, 2018·Annual Review of Clinical Psychology·Lisa B DixonJohn M Kane
May 1, 2018·Journal of Mental Health·Kate V HardyShannon Wiltsey Stirman
Jun 8, 2018·Angiology·Theodora A ManolisAntonis S Manolis
May 22, 2019·Early Intervention in Psychiatry·Clio BerryDavid Fowler
Mar 16, 2017·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Deepak K SarpalAnil K Malhotra
Jun 27, 2019·American Journal of Public Health·Ashok Malla, Patrick McGorry
Oct 8, 2020·Research in Psychotherapy : Psychopathology, Process, and Outcome·Marco SolmiCarla Cremonese
Mar 25, 2021·Current Psychiatry Reports·Amy L DonahueJay H Shore

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