Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access
Abstract Background The duration of untreated psychosis (DUP) continues to be a global priority. Early intervention services were established to reduce treatment delays but have had limited impact. This systematic review examines barriers and facilitators to seeking access to these services, to iden...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823024653/type/journal_article |
| _version_ | 1797502700319932416 |
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| author | Jacqui Tiller Tess Maguire Katherine Newman-Taylor |
| author_facet | Jacqui Tiller Tess Maguire Katherine Newman-Taylor |
| author_sort | Jacqui Tiller |
| collection | DOAJ |
| description | Abstract
Background
The duration of untreated psychosis (DUP) continues to be a global priority. Early intervention services were established to reduce treatment delays but have had limited impact. This systematic review examines barriers and facilitators to seeking access to these services, to identify targets for service level change.
Methods
We conducted a systematic review of relevant databases (PsychINFO, MEDLINE, CINAHL, and PsychARTICLES) using pre-defined search terms for psychosis, early intervention, and barriers and facilitators. Given the majority of qualitative studies, a thematic synthesis rather than meta-analysis was indicated.
Results
The search yielded 10 studies. Mental health stigma and discrimination predict DUP, compounded by structural barriers which limit the impact of early intervention services on timely access to recommended treatments. Synthesis of the qualitative studies generated three themes: knowledge, relationships, and stigma. Lack of knowledge, absence of supportive relationships (social and professional), and self-stigma constitute significant barriers to seeking access to early intervention services.
Conclusions
This is the first review of the barriers and facilitators to seeking access to early intervention services. The findings highlight public health and secondary care service targets to expedite access to recommended treatments and thereby reduce the DUP.
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| first_indexed | 2024-03-10T03:38:51Z |
| format | Article |
| id | doaj.art-2d5c2b2691bf401082e2f6e4a2d742f6 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-10T03:38:51Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-2d5c2b2691bf401082e2f6e4a2d742f62023-11-23T09:22:01ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2023.2465Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking accessJacqui Tiller0https://orcid.org/0000-0002-5929-7756Tess Maguire1https://orcid.org/0000-0002-9355-6985Katherine Newman-Taylor2https://orcid.org/0000-0003-1579-79591School of Psychology, University of Southampton, Southampton, UK1School of Psychology, University of Southampton, Southampton, UK 2Psychology Department, Southern Health NHS Foundation Trust, Southampton, UK1School of Psychology, University of Southampton, Southampton, UK 2Psychology Department, Southern Health NHS Foundation Trust, Southampton, UKAbstract Background The duration of untreated psychosis (DUP) continues to be a global priority. Early intervention services were established to reduce treatment delays but have had limited impact. This systematic review examines barriers and facilitators to seeking access to these services, to identify targets for service level change. Methods We conducted a systematic review of relevant databases (PsychINFO, MEDLINE, CINAHL, and PsychARTICLES) using pre-defined search terms for psychosis, early intervention, and barriers and facilitators. Given the majority of qualitative studies, a thematic synthesis rather than meta-analysis was indicated. Results The search yielded 10 studies. Mental health stigma and discrimination predict DUP, compounded by structural barriers which limit the impact of early intervention services on timely access to recommended treatments. Synthesis of the qualitative studies generated three themes: knowledge, relationships, and stigma. Lack of knowledge, absence of supportive relationships (social and professional), and self-stigma constitute significant barriers to seeking access to early intervention services. Conclusions This is the first review of the barriers and facilitators to seeking access to early intervention services. The findings highlight public health and secondary care service targets to expedite access to recommended treatments and thereby reduce the DUP. https://www.cambridge.org/core/product/identifier/S0924933823024653/type/journal_articlebarriersduration of untreated psychosisearly interventionfacilitatorspsychosisqualitative synthesissystematic review |
| spellingShingle | Jacqui Tiller Tess Maguire Katherine Newman-Taylor Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access European Psychiatry barriers duration of untreated psychosis early intervention facilitators psychosis qualitative synthesis systematic review |
| title | Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access |
| title_full | Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access |
| title_fullStr | Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access |
| title_full_unstemmed | Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access |
| title_short | Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access |
| title_sort | early intervention in psychosis services a systematic review and narrative synthesis of barriers and facilitators to seeking access |
| topic | barriers duration of untreated psychosis early intervention facilitators psychosis qualitative synthesis systematic review |
| url | https://www.cambridge.org/core/product/identifier/S0924933823024653/type/journal_article |
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