What question did this study set out to answer?

To identify clinical, socio-demographic, and service delivery factors that influence the speed of access to psychiatric care, particularly following the launch of a community psychiatric service.

March 1, 1997Journal of Public HealthOpen Access

Access to psychiatric care; the results of the Pathways to Care study in Preston

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Authors

JHJon M. HarrisonHarvard University SKSteve KiselyGriffith University JJJ. JonesWestern University

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Implication

Observational study reveals factors influencing referral speed to mental health care, suggesting community service expansion increases access for mild conditions but lengthens specialist wait times.

Key Points

To identify clinical, socio-demographic, and service delivery factors that influence the speed of access to psychiatric care, particularly following the launch of a community psychiatric service.
Pathways to Care analysis detailing new referrals to mental health professionals across two 1-month periods 1 year apart, before and after introducing a community service (n = 279).
Conducted univariate analyses of socio-demographic, clinical, and service characteristics, followed by stepwise logistic regression on significant variables.
Establishment of community teams led to an overall 22% increase in patients seen, primarily driven by non-medical staff seeing patients with neurotic disorders.
Younger age and suicidal ideation were linked to shorter pathways (patients with suicidal ideation were seen within 3 days), whereas older age, marriage, somatic symptoms, anxiety, and depression correlated with slower pathways.
Introducing a community service was associated with an overall lengthening of time required to access specialist care.

Cite This Study

Harrison et al. (1997) studied this question.

synapsesocial.com/papers/6a74fe1833d16877c7f55a08 https://doi.org/10.1093/oxfordjournals.pubmed.a024592

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Implication

Observational study reveals factors influencing referral speed to mental health care, suggesting community service expansion increases access for mild conditions but lengthens specialist wait times.

Access to psychiatric care; the results of the Pathways to Care study in Preston

Discussion

Member takes

Implication

Key Points

Cite This Study

Access to psychiatric care; the results of the Pathways to Care study in Preston

Discussion

Member takes

Implication

Key Points

Cite This Study

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