Journal article : Review
Identifying individuals at risk of developing psychosis: A systematic review of the literature in primary care services
- Abstract:
- Aim Psychosis and related disorders are a major public health issue. Early identification and prevention for those at high risk (at-risk-mental-state, ARMS) is important. General practitioners (GPs) are often the first point of contact for health services. In this review we aim to identify (1) the most common methods for identifying individuals with an ARMS in primary care, (2) the methods for improving identification of individuals with an ARMS in primary care, and (3) the most common barriers that prevent GPs from screening for individuals with an ARMS. Methods We conducted a systematic review (PROSPERO 42021245095) of quantitative and qualitative studies with no date restriction. Searches were performed in September 2021. Studies' quality was appraised using Mixed Methods Appraisal tool (MMAT). Results We identified 16 eligible studies, and all but one provided quantitative data. Nearly two-thirds of studies were classified as ‘medium’ quality. Employing narrative synthesis, we identified three themes relating to (1) improving GP knowledge and confidence in identifying individuals with an ARMS, (2) balancing the over- and under-identification of individuals with an ARMS in primary care, and (3) supporting GPs as significant stakeholders in early diagnosis and treatment of individuals with an ARMS. Conclusions Improved identification of individuals with an ARMS is needed. We identified various strategies, including development and implementation of identification methods (e.g., screening measures), educational interventions for GPs (e.g., workshops), and systemic interventions (e.g., simplifying referrals to secondary care, developing integrated services). When implemented successfully, these interventions may help facilitate the access to appropriate care for individuals with an ARMS.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
-
-
(Preview, Version of record, pdf, 1.4MB, Terms of use)
-
- Publisher copy:
- 10.1111/eip.13365
Authors
- Publisher:
- Wiley
- Journal:
- Early Intervention in Psychiatry More from this journal
- Volume:
- 17
- Issue:
- 5
- Pages:
- 429-446
- Publication date:
- 2023-01-11
- Acceptance date:
- 2023-01-02
- DOI:
- EISSN:
-
1751-7893
- ISSN:
-
1751-7885
- Pmid:
-
36632681
- Language:
-
English
- Keywords:
- Subtype:
-
Review
- Pubs id:
-
1322097
- Local pid:
-
pubs:1322097
- Deposit date:
-
2023-01-17
Terms of use
- Copyright holder:
- Radez et al.
- Copyright date:
- 2023
- Rights statement:
- © 2023 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Licence:
- CC Attribution (CC BY)
If you are the owner of this record, you can report an update to it here: Report update to this record