Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay
Abstract Background The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-...
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ftdoajarticles:oai:doaj.org/article:6d1d3f6105e14bfba0043fede58f1790 2023-05-15T17:43:32+02:00 Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay Erling Inge Kvig Beate Brinchmann Cathrine Moe Steinar Nilssen Tor Ketil Larsen Knut Sørgaard 2017-05-01T00:00:00Z https://doi.org/10.1186/s12888-017-1345-8 https://doaj.org/article/6d1d3f6105e14bfba0043fede58f1790 EN eng BMC http://link.springer.com/article/10.1186/s12888-017-1345-8 https://doaj.org/toc/1471-244X doi:10.1186/s12888-017-1345-8 1471-244X https://doaj.org/article/6d1d3f6105e14bfba0043fede58f1790 BMC Psychiatry, Vol 17, Iss 1, Pp 1-10 (2017) Dup Treatment delay Pathways Accessibility Psychosis Psychiatry RC435-571 article 2017 ftdoajarticles https://doi.org/10.1186/s12888-017-1345-8 2022-12-31T15:05:08Z Abstract Background The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-determined by straight-line distance to hospital based specialist services in a mainly rural mental health context. Methods A naturalistic cross-sectional study was conducted among a sample of recent onset psychosis patients in northern Norway (n = 62). Data on patient and service related determinants were analysed. Results Half of the cohort had a treatment delay longer than 4.5 months. In a binary logistic regression model, straight-line distance was found to make an independent contribution to delay in which we controlled for other known risk factors. Conclusions The determinants of treatment delay are complex. This study adds to previous studies on treatment delay by showing that the spatial location of services also makes an independent contribution. In addition, it may be that insidious onset is a more important factor in treatment delay in remote areas, as the logistical implications of specialist referral are much greater than for urban dwellers. The threshold for making a diagnosis in a remote location may therefore be higher. Strategies to reduce the duration of untreated psychosis in rural areas would benefit from improving appropriate referral by crisis services, and the detection of insidious onset of psychosis in community based specialist services. Article in Journal/Newspaper Northern Norway Directory of Open Access Journals: DOAJ Articles Norway BMC Psychiatry 17 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Dup Treatment delay Pathways Accessibility Psychosis Psychiatry RC435-571 |
spellingShingle |
Dup Treatment delay Pathways Accessibility Psychosis Psychiatry RC435-571 Erling Inge Kvig Beate Brinchmann Cathrine Moe Steinar Nilssen Tor Ketil Larsen Knut Sørgaard Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
topic_facet |
Dup Treatment delay Pathways Accessibility Psychosis Psychiatry RC435-571 |
description |
Abstract Background The duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-determined by straight-line distance to hospital based specialist services in a mainly rural mental health context. Methods A naturalistic cross-sectional study was conducted among a sample of recent onset psychosis patients in northern Norway (n = 62). Data on patient and service related determinants were analysed. Results Half of the cohort had a treatment delay longer than 4.5 months. In a binary logistic regression model, straight-line distance was found to make an independent contribution to delay in which we controlled for other known risk factors. Conclusions The determinants of treatment delay are complex. This study adds to previous studies on treatment delay by showing that the spatial location of services also makes an independent contribution. In addition, it may be that insidious onset is a more important factor in treatment delay in remote areas, as the logistical implications of specialist referral are much greater than for urban dwellers. The threshold for making a diagnosis in a remote location may therefore be higher. Strategies to reduce the duration of untreated psychosis in rural areas would benefit from improving appropriate referral by crisis services, and the detection of insidious onset of psychosis in community based specialist services. |
format |
Article in Journal/Newspaper |
author |
Erling Inge Kvig Beate Brinchmann Cathrine Moe Steinar Nilssen Tor Ketil Larsen Knut Sørgaard |
author_facet |
Erling Inge Kvig Beate Brinchmann Cathrine Moe Steinar Nilssen Tor Ketil Larsen Knut Sørgaard |
author_sort |
Erling Inge Kvig |
title |
Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
title_short |
Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
title_full |
Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
title_fullStr |
Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
title_full_unstemmed |
Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
title_sort |
geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s12888-017-1345-8 https://doaj.org/article/6d1d3f6105e14bfba0043fede58f1790 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
BMC Psychiatry, Vol 17, Iss 1, Pp 1-10 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s12888-017-1345-8 https://doaj.org/toc/1471-244X doi:10.1186/s12888-017-1345-8 1471-244X https://doaj.org/article/6d1d3f6105e14bfba0043fede58f1790 |
op_doi |
https://doi.org/10.1186/s12888-017-1345-8 |
container_title |
BMC Psychiatry |
container_volume |
17 |
container_issue |
1 |
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1766145640070381568 |