Improving access to specialized care for first-episode psychosis: an ecological model
Aubrey M Moe,1 Ellen B Rubinstein,2 Colin J Gallagher,3 David M Weiss,4 Amanda Stewart,1 Nicholas JK Breitborde1 1Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA; 2Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA; 3Department of P...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-08-01
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| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/improving-access-to-specialized-care-for-first-episode-psychosis-an-ec-peer-reviewed-article-RMHP |
| _version_ | 1819242741639413760 |
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| author | Moe AM Rubinstein EB Gallagher CJ Weiss DM Stewart A Breitborde NJK |
| author_facet | Moe AM Rubinstein EB Gallagher CJ Weiss DM Stewart A Breitborde NJK |
| author_sort | Moe AM |
| collection | DOAJ |
| description | Aubrey M Moe,1 Ellen B Rubinstein,2 Colin J Gallagher,3 David M Weiss,4 Amanda Stewart,1 Nicholas JK Breitborde1 1Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA; 2Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA; 3Department of Psychological Sciences, Kent State University, Kent, OH, USA; 4Department of Psychology, The Ohio State University, Columbus, OH, USA Abstract: Psychotic spectrum disorders are serious illnesses with symptoms that significantly impact functioning and quality of life. An accumulating body of literature has demonstrated that specialized treatments that are offered early after symptom onset are disproportionately more effective in managing symptoms and improving outcomes than when these same treatments are provided later in the course of illness. Specialized, multicomponent treatment packages are of particular importance, which are comprised of services offered as soon as possible after the onset of psychosis with the goal of addressing multiple care needs within a single care setting. As specialized programs continue to develop worldwide, it is crucial to consider how to increase access to such specialized services. In the current review, we utilize an ecological model of understanding barriers to care, with emphasis on understanding how individuals with first-episode psychosis interact with and are influenced by a variety of systemic factors that impact help-seeking behaviors and engagement with treatment. Future work in this area will be important in understanding how to most effectively design and implement specialized care for individuals early in the course of a psychotic disorder. Keywords: first-episode psychosis, early intervention, social ecology, emerging adulthood |
| first_indexed | 2024-12-23T14:44:37Z |
| format | Article |
| id | doaj.art-b92b9e1fc5a4438bb6d8b2091c779463 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-23T14:44:37Z |
| publishDate | 2018-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-b92b9e1fc5a4438bb6d8b2091c7794632022-12-21T17:43:08ZengDove Medical PressRisk Management and Healthcare Policy1179-15942018-08-01Volume 1112713840215Improving access to specialized care for first-episode psychosis: an ecological modelMoe AMRubinstein EBGallagher CJWeiss DMStewart ABreitborde NJKAubrey M Moe,1 Ellen B Rubinstein,2 Colin J Gallagher,3 David M Weiss,4 Amanda Stewart,1 Nicholas JK Breitborde1 1Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA; 2Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA; 3Department of Psychological Sciences, Kent State University, Kent, OH, USA; 4Department of Psychology, The Ohio State University, Columbus, OH, USA Abstract: Psychotic spectrum disorders are serious illnesses with symptoms that significantly impact functioning and quality of life. An accumulating body of literature has demonstrated that specialized treatments that are offered early after symptom onset are disproportionately more effective in managing symptoms and improving outcomes than when these same treatments are provided later in the course of illness. Specialized, multicomponent treatment packages are of particular importance, which are comprised of services offered as soon as possible after the onset of psychosis with the goal of addressing multiple care needs within a single care setting. As specialized programs continue to develop worldwide, it is crucial to consider how to increase access to such specialized services. In the current review, we utilize an ecological model of understanding barriers to care, with emphasis on understanding how individuals with first-episode psychosis interact with and are influenced by a variety of systemic factors that impact help-seeking behaviors and engagement with treatment. Future work in this area will be important in understanding how to most effectively design and implement specialized care for individuals early in the course of a psychotic disorder. Keywords: first-episode psychosis, early intervention, social ecology, emerging adulthoodhttps://www.dovepress.com/improving-access-to-specialized-care-for-first-episode-psychosis-an-ec-peer-reviewed-article-RMHPfirst-episode psychosisearly interventionsocial ecologyemerging adulthood. |
| spellingShingle | Moe AM Rubinstein EB Gallagher CJ Weiss DM Stewart A Breitborde NJK Improving access to specialized care for first-episode psychosis: an ecological model Risk Management and Healthcare Policy first-episode psychosis early intervention social ecology emerging adulthood. |
| title | Improving access to specialized care for first-episode psychosis: an ecological model |
| title_full | Improving access to specialized care for first-episode psychosis: an ecological model |
| title_fullStr | Improving access to specialized care for first-episode psychosis: an ecological model |
| title_full_unstemmed | Improving access to specialized care for first-episode psychosis: an ecological model |
| title_short | Improving access to specialized care for first-episode psychosis: an ecological model |
| title_sort | improving access to specialized care for first episode psychosis an ecological model |
| topic | first-episode psychosis early intervention social ecology emerging adulthood. |
| url | https://www.dovepress.com/improving-access-to-specialized-care-for-first-episode-psychosis-an-ec-peer-reviewed-article-RMHP |
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