Unmet need for mental health services among people screened but not admitted to an early psychosis intervention program

Jordan Edwards; Ross Norman; Paul Kurdyak; Arlene G MacDougall; Lena Palaniyappan; Cindy Lau; Kelly K Anderson

doi:10.1016/j.schres.2018.08.002

Unmet need for mental health services among people screened but not admitted to an early psychosis intervention program

Schizophr Res. 2019 Feb:204:55-57. doi: 10.1016/j.schres.2018.08.002. Epub 2018 Aug 16.

Authors

Jordan Edwards¹, Ross Norman², Paul Kurdyak³, Arlene G MacDougall², Lena Palaniyappan⁴, Cindy Lau⁵, Kelly K Anderson⁶

Affiliations

¹ Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada.
² Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada.
³ Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
⁴ Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada.
⁵ Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
⁶ Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada. Electronic address: [email protected].

PMID: 30121188
DOI: 10.1016/j.schres.2018.08.002

Abstract

Information is lacking on people screened for early psychosis intervention (EPI) but not admitted to the program. Using health administrative data, we constructed a retrospective cohort of incident cases of psychosis in the catchment of an EPI program. Use of mental health services was compared between people screened and not admitted with an EPI-admitted group. The non-admitted group had higher rates of subsequent emergency department visits, psychiatric hospitalizations, and involuntary admissions. These patterns are indicative of unmet need, and people screened but not admitted to EPI may benefit from protocols to improve transitions of care with other service providers.

Keywords: Early intervention; Health administrative data; Mental health services; Psychosis.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Early Medical Intervention / statistics & numerical data*
Female
Hospitalization / statistics & numerical data*
Hospitals, Psychiatric / statistics & numerical data*
Humans
Involuntary Commitment*
Male
Mental Health Services / statistics & numerical data*
Middle Aged
Ontario
Patient Acceptance of Health Care / statistics & numerical data*
Psychotic Disorders / diagnosis*
Psychotic Disorders / therapy*
Retrospective Studies
Young Adult