Which Sociodemographic and Pathway to Care Factors Influence the Wait Time for Early Intervention for Psychosis? A Mental Health Electronic Health Records Analysis in South London

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-10-04 DOI:10.1111/eip.70087

Nikki Wood, Jo Hodgekins, Hitesh Shetty, Eduardo Iacoponi, Brian O'Donoghue, Rob Stewart, Sherifat Oduola

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Abstract

Aim

In 2016, the Access and Waiting Time Standard (AWTS) was introduced in England, UK, outlining that people with first-episode psychosis should receive treatment from an early intervention for psychosis (EIP) service within 2 weeks. We examined sociodemographic, pathways to care (PtC), and clinical factors associated with EIP service wait time.

Method

We collected de-identified data from a large mental health provider in South London, UK. We included patients referred and accepted to EIP services as inpatient or community contacts between 1 May 2016 and 30 April 2019, providing 3 years of data from the introduction of AWTS. Descriptive statistics and multivariable linear regression were performed.

Results

A total of 1806 patients were identified with a mean age of 30 (SD: 10.7) years, of whom 86.3% (n = 1559) accessed community EIP and 13.7% (n = 247) accessed inpatient EIP; of these, 26.7% were not seen within 2 weeks. Community EIP patients waited longer adj.β = 2.21 days (95% CI: 2.05–2.37) compared with inpatient EIP patients, and being older was associated with longer wait time. Conversely, a shorter wait time was associated with A&E [adj.β = −0.22 days (95% CI: −0.36, −0.10)] and ‘other’ [adj.β = −0.21 days (95% CI: −0.36, −0.03)] PtC characteristics. White non-British and South Asian patients had shorter wait times compared with White British patients; however, this difference diminished after adjusting for PtC and clinical factors.

Conclusions

Our findings indicate that individual factors, PtC, and mode of contact influence wait time for EIP services. More than a quarter of patients were not seen within 2 weeks, indicating that targeted support in community EIP services is needed to meet clinical guidelines.

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查看原文本刊更多论文

哪些社会人口和护理途径因素影响精神病早期干预的等待时间？伦敦南部的心理健康电子健康记录分析

2016年，英国英格兰引入了准入和等待时间标准（AWTS），概述了首发精神病患者应在2周内接受精神病早期干预（EIP）服务的治疗。我们研究了社会人口学、护理途径（PtC）和与EIP服务等待时间相关的临床因素。方法：我们从英国伦敦南部的一家大型心理健康服务机构收集去识别数据。我们纳入了2016年5月1日至2019年4月30日期间作为住院或社区接触者转介和接受EIP服务的患者，提供了自引入AWTS以来的3年数据。描述性统计和多变量线性回归分析。结果共纳入1806例患者，平均年龄为30岁（SD: 10.7）岁，其中86.3% （n = 1559）的患者使用了社区EIP， 13.7% （n = 247）的患者使用了住院EIP；其中，26.7%在2周内未见。与住院EIP患者相比，社区EIP患者等待时间更长[j] .β = 2.21天（95% CI: 2.05-2.37），且年龄越大等待时间越长。相反，较短的等待时间与A&；E [j.β = - 0.22天（95% CI: - 0.36, - 0.10）]和“其他”[j.β = - 0.21天（95% CI: - 0.36, - 0.03）] PtC特征相关。与英国白人患者相比，非英国白人和南亚患者的等待时间更短；然而，在调整PtC和临床因素后，这种差异减弱。结论个体因素、PtC和接触方式影响EIP服务的等待时间。超过四分之一的患者在两周内没有就诊，这表明需要在社区EIP服务中提供有针对性的支持，以满足临床指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.