Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay
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-determin...
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Online Access: | https://hdl.handle.net/1956/16858 https://doi.org/10.1186/s12888-017-1345-8 |
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ftunivbergen:oai:bora.uib.no:1956/16858 2023-05-15T17:43:33+02:00 Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. 2017-09-29T12:12:47Z application/pdf https://hdl.handle.net/1956/16858 https://doi.org/10.1186/s12888-017-1345-8 eng eng BioMed Central urn:issn:1471-244X https://hdl.handle.net/1956/16858 https://doi.org/10.1186/s12888-017-1345-8 cristin:1487035 Attribution CC BY http://creativecommons.org/licenses/by/4.0 Copyright 2017 The Author(s) BMC Psychiatry Dup Treatment delay Pathways Accessibility Psychosis Peer reviewed Journal article 2017 ftunivbergen https://doi.org/10.1186/s12888-017-1345-8 2023-03-14T17:39:32Z 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. publishedVersion Article in Journal/Newspaper Northern Norway University of Bergen: Bergen Open Research Archive (BORA-UiB) Norway BMC Psychiatry 17 1 |
institution |
Open Polar |
collection |
University of Bergen: Bergen Open Research Archive (BORA-UiB) |
op_collection_id |
ftunivbergen |
language |
English |
topic |
Dup Treatment delay Pathways Accessibility Psychosis |
spellingShingle |
Dup Treatment delay Pathways Accessibility Psychosis Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. Geographical accessibility and duration of untreated psychosis: Distance as a determinant of treatment delay |
topic_facet |
Dup Treatment delay Pathways Accessibility Psychosis |
description |
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. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. |
author_facet |
Kvig, Erling Inge Brinchmann, Beate Moe, Cathrine Fredriksen Nilssen, Steinar Larsen, Tor Ketil Sørgaard, Knut W. |
author_sort |
Kvig, Erling Inge |
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 |
BioMed Central |
publishDate |
2017 |
url |
https://hdl.handle.net/1956/16858 https://doi.org/10.1186/s12888-017-1345-8 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
BMC Psychiatry |
op_relation |
urn:issn:1471-244X https://hdl.handle.net/1956/16858 https://doi.org/10.1186/s12888-017-1345-8 cristin:1487035 |
op_rights |
Attribution CC BY http://creativecommons.org/licenses/by/4.0 Copyright 2017 The Author(s) |
op_doi |
https://doi.org/10.1186/s12888-017-1345-8 |
container_title |
BMC Psychiatry |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766145652787511296 |