von Reventlow, Heinrich Graf, Krueger-Zguerdal, Seza, Ruhrmann, Stephan ORCID: 0000-0002-6022-2364, Schultze-Lutter, Frauke, Heinz, Andreas ORCID: 0000-0001-5405-9065, Patterson, Paul ORCID: 0000-0003-3310-8635, Heinimaa, Markus, Dingemans, Peter, French, Paul, Birchwood, Max ORCID: 0000-0002-7476-0171, Salokangas, Raimo K. R., Linszen, Don, Morrison, Anthony, Klosterkoetter, Joachim and Juckel, Georg (2014). Pathways to care in subjects at high risk for psychotic disorders - A European perspective. Schizophr. Res., 152 (2-3). S. 400 - 408. AMSTERDAM: ELSEVIER. ISSN 1573-2509

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Abstract

Evidence-based decisions on indicated prevention in early psychosis require large-scale studies on the pathways to care in high-risk subjects. EPOS (The European Prediction of Psychosis Study), a prospective multi-center, naturalistic field study in four European countries (Finland, Germany, The Netherlands and England), was designed to acquire accurate knowledge about pathways to care and delay in obtaining specialized high risk care. Our high risk sample (n = 233) reported on average 2.9 help-seeking contacts, with an average delay between onset of relevant problems to initial help-seeking contact of 72.6 weeks, and between initial help-seeking contact and reaching specialized high risk care of 110.9 weeks. This resulted in a total estimated duration of an unrecognized risk for psychosis of 31/2 years. Across EPOS EU regions, about 90% of care pathway contacts were within professional health care sectors. Between EPOS regions, differences in the pathways parameters including early detection and health-care systems were often very pronounced. High-risk participants who later made transition to a full psychotic disorder had significantly longer delays between initial help-seeking and receiving appropriate interventions. Our study underlines the need for regionally adapted implementation of early detection and intervention programs within respective mental health and health care networks, including enhancing public awareness of early psychosis. (C) 2013 Elsevier B.V. All rights reserved.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
von Reventlow, Heinrich GrafUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krueger-Zguerdal, SezaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruhrmann, StephanUNSPECIFIEDorcid.org/0000-0002-6022-2364UNSPECIFIED
Schultze-Lutter, FraukeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heinz, AndreasUNSPECIFIEDorcid.org/0000-0001-5405-9065UNSPECIFIED
Patterson, PaulUNSPECIFIEDorcid.org/0000-0003-3310-8635UNSPECIFIED
Heinimaa, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dingemans, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
French, PaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Birchwood, MaxUNSPECIFIEDorcid.org/0000-0002-7476-0171UNSPECIFIED
Salokangas, Raimo K. R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linszen, DonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Morrison, AnthonyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klosterkoetter, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Juckel, GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-447315
DOI: 10.1016/j.schres.2013.11.031
Journal or Publication Title: Schizophr. Res.
Volume: 152
Number: 2-3
Page Range: S. 400 - 408
Date: 2014
Publisher: ELSEVIER
Place of Publication: AMSTERDAM
ISSN: 1573-2509
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PSYCHIATRIC-CARE; UNTREATED PSYCHOSIS; PRODROMAL SYMPTOMS; 1ST EPISODE; SCHIZOPHRENIA; ADOLESCENTS; DURATIONMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/44731

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