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First-episode psychosis: factors associated with delayed access to care in a rural Egyptian setting

Published online by Cambridge University Press:  02 January 2018

Mamdouh El-Adl ,
Mohammed El-Mahdy  and
Musheera Anis
Mamdouh El-Adl
Affiliation:
Northamptonshire Healthcare NHS Trust, Northampton, UK, email [email protected]
Mohammed El-Mahdy
Affiliation:
Al-Azhar University, Dhumyatt, Egypt
Musheera Anis
Affiliation:
Mansoura General Hospital, Egypt
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Over the past few decades there has been a growing interest in first-episode psychosis (FEP), help-seeking behaviour and pathways to care. Treating psychotic disorders in their earliest stages has become a key focus for research and clinical care (Yung & McGorry, 2007). FEP studies show that the average time between onset of symptoms and first effective treatment is often 1 year or more (McGlashan, 1987). This long duration of untreated psychosis (DUP) is undesirable. Early treatment helps minimise the risk of the serious consequences of untreated psychosis, in terms of changes in mental state and behaviour (Larsen et al, 1998; Wyatt et al, 1998) and can reduce suffering (Ho et al, 2003). Some early results suggested that an ‘early intervention in psychosis’ (EIP) service is more cost-effective than generic services (Mihalopoulos et al, 1999).

Type
Original Paper
Information
International Psychiatry , Volume 5 , Issue 4 , October 2008 , pp. 95 - 97
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2008

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