Early Psychosis Intervention and Primary Care: A Mixed Methods Study of Family Physician Knowledge, Attitudes, Preferences, and Needs
- PMID: 38441824
- DOI: 10.1007/s10597-024-01242-1
Early Psychosis Intervention and Primary Care: A Mixed Methods Study of Family Physician Knowledge, Attitudes, Preferences, and Needs
Abstract
Family physicians (FPs) play an important but underappreciated role in the pathways to care for people with early psychosis. We conducted a mixed-methods study to describe the knowledge, attitudes, preferences, and needs of FPs towards the recognition and management of early psychosis. We sent a cross-sectional postal survey to a random sample of FPs in Ontario, Canada, and conducted in-depth qualitative interviews with twenty. FPs were generally aware of important early psychosis symptoms, however, there were some knowledge gaps. Among surveyed FPs, 25% were unsure of the availability of early psychosis intervention services in their region, and most (80%) would prefer to co-manage with specialists. In the qualitative interviews, FPs expressed varied comfort levels in recognizing psychosis, and that timely access to psychiatry was a main concern. Our findings suggest that FPs require better support in recognizing and managing early psychosis and facilitating connections with specialized care.
Keywords: Early psychosis; Family physicians; Primary care; Qualitative.
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
References
-
- Anderson, K. K., Archie, S., Booth, R. G., Cheng, C., Lizotte, D., MacDougall, A. G., Norman, R. M. G., Ryan, B. L., Terry, A. L., & Rodrigues, R. (2018a). Understanding the role of the family physician in early psychosis intervention. Bjpsych Open, 4(6), 447–453. https://doi.org/10.1192/bjo.2018.67 - DOI - PubMed - PMC
-
- Anderson, K. K., Fuhrer, R., Schmitz, N., & Malla, A. K. (2012). Determinants of negative pathways to care and their impact on service disengagement in first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 48(1), 125–136. https://doi.org/10.1007/s00127-012-0571-0 - DOI - PubMed
-
- Anderson, K. K., Norman, R., MacDougall, A., Edwards, J., Palaniyappan, L., Lau, C., & Kurdyak, P. (2018b). Effectiveness of early psychosis intervention: Comparison of service users and nonusers in population-based health administrative data. American Journal of Psychiatry, 175(5), 443–452. https://doi.org/10.1176/APPI.AJP.2017.17050480/ASSET/IMAGES/LARGE/APPI.A... - DOI - PubMed
-
- Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4, 1–8. https://doi.org/10.1177/2333393617742282 - DOI
-
- Durbin, J., Selick, A., Hierlihy, D., Moss, S., & Cheng, C. (2016). A first step in system improvement: A survey of Early Psychosis Intervention Programmes in Ontario. Early Intervention in Psychiatry, 10(6), 485–493. https://doi.org/10.1111/eip.12201 - DOI - PubMed
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