ArticleSocial psychiatry and psychiatric epidemiology2013
Determinants of negative pathways to care and their impact on service disengagement in first-episode psychosis.
Article in Social psychiatry and psychiatric epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06410508 (Evaluation of a Brief Intervention to Improve Engagement and Recovery for At-risk Youth Enrolled in Early Intervention Services for Psychosis .), which is not on this map. Cited by 64 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluation of a Brief Intervention to Improve Engagement and Recovery for At-risk Youth Enrolled in Early Intervention Services for Psychosis .
Who cites it
64 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Defining disengagement from mental health services for individuals experiencing first episode psychosis: a systematic review.Social psychiatry and psychiatric epidemiology · 2019Pooled it
- Pathways to mental health services for young people: a systematic review.Social psychiatry and psychiatric epidemiology · 2018Pooled it
- A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis.Acta psychiatrica Scandinavica · 2014Pooled it
- Race, ethnicity, and the duration of untreated psychosis: a systematic review.Social psychiatry and psychiatric epidemiology · 2014Pooled it
- Trial
- Adaptation of a brief intervention to support engagement in early psychosis services: a service user-informed psychotherapy modification and study protocol.Frontiers in psychology · 2026Article
- Predictors of Service Engagement and Disengagement in Community-Based Coordinated Specialty Care for Early Psychosis in Texas.Community mental health journal · 2025Article
- Engagement, Disengagement and Re-Engagement in Mental Health Services Among Young Patients With First-Episode Psychosis: A Scoping Review.Early intervention in psychiatry · 2025Article
- Engaging with care in an early intervention for psychosis program: The role of language, communication, and culture.Transcultural psychiatry · 2025Article
- Disengagement from treatment and its socio-demographic and clinical predictors among patients with incident schizophrenia in a Nigerian psychiatric hospital: 8-year naturalistic follow-up analysis.PLOS mental health · 2025Article
- Referral pathways to early intervention services for psychosis and their influence on perceptions of care: An interpretive phenomenological analysis.Early intervention in psychiatry · 2025Article
- Clinical high risk for psychosis and service disengagement: Incidence and predictors across 2 years of follow-up.Early intervention in psychiatry · 2025Article
- Impact of family engagement on client participation in coordinated specialty care for first episodes of psychosis.BMC psychiatry · 2024Article
- Exploring the acceptability, barriers, and facilitators to psychosis screening in the integrated behavioral health primary care setting: a qualitative study.BMC health services research · 2024Article
- Early Psychosis Intervention and Primary Care: A Mixed Methods Study of Family Physician Knowledge, Attitudes, Preferences, and Needs.Community mental health journal · 2024Article
- Short-term disengagement from early intervention service for first-episode psychosis: findings from the "Parma Early Psychosis" program.Social psychiatry and psychiatric epidemiology · 2024Article
- The impact of early intervention psychosis services on hospitalisation experiences: a qualitative study with young people and their carers.BMC psychiatry · 2024Article
- The diagnostic accuracy of screening for psychosis spectrum disorders in behavioral health clinics integrated into primary care.Schizophrenia research · 2024Article
- The Burden of Psychosis in Black Communities in Canada: More than a Feeling, a Black Family Experience.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024Article
- Models of shared care for the management of psychotic disorder after first diagnosis in Ontario.Canadian family physician Medecin de famille canadien · 2023Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
purposeAlthough there have been numerous studies on pathways to care in first-episode psychosis (FEP), few have examined the determinants of the pathway to care and its impact on subsequent engagement with mental health services.
methodsUsing a sample of 324 FEP patients from a catchment area-based early intervention (EI) program in Montréal, we estimated the association of several socio-demographic, clinical, and service-level factors with negative pathways to care and treatment delay. We also assessed the impact of the pathway to care on time to disengagement from EI services.
resultsFew socio-demographic or clinical factors were predictive of negative pathways to care. Rather, service-level factors, such as contact with primary care providers, have a stronger impact on patterns of health service use across multiple indicators. Patients who were in contact with primary care had a reduced likelihood of negative pathways to care, but also had longer referral delays to EI services. Socio-demographic and clinical factors were more relevant for predicting subsequent engagement with EI services, and indicators of negative pathways to care were not associated with service disengagement.
conclusionsPrimary care providers may be an efficacious target for interventions aimed at reducing overall treatment delay. Increasing the uptake of primary care services may also reduce the likelihood of negative pathways to care. Our findings draw attention to the need for further investigations of the role that the primary care system plays in early intervention for FEP, and strategies for supporting service providers in this role.
Indexed as
Identifiers
22976337What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.