The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population
Abstract The duration of untreated psychosis (DUP) is a key determinant in the severity of symptoms in patients with schizophrenia. DUP is a modifiable factor that if reduced can improve patient outcome and treatment response. We sought to decrease DUP in rural Argentina by instituting annual traini...
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| Veröffentlicht in: | Schizophrenia research 2015-02, Vol.161 (2), p.184-187 |
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| container_title | Schizophrenia research |
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| creator | Padilla, Eduardo Molina, Juan Kamis, Danielle Calvo, Maria Stratton, Lee Strejilevich, Sergio Aleman, Gabriela Gonzalez Guerrero, Gonzalo Bourdieu, Mercedes Conesa, Horacio A Escobar, Javier I de Erausquin, Gabriel A |
| description | Abstract The duration of untreated psychosis (DUP) is a key determinant in the severity of symptoms in patients with schizophrenia. DUP is a modifiable factor that if reduced can improve patient outcome and treatment response. We sought to decrease DUP in rural Argentina by instituting annual training of local health agents to better identify signs of mental illness and offer earlier intervention. DUP was estimated using Schedules of Clinical Assessment in Neuropsychiatry (SCAN). Ongoing training was correlated with a reduction in DUP. Reducing DUP through better screening can decrease the psychosocial burden of disease and improve the trajectory of psychosis. |
| doi_str_mv | 10.1016/j.schres.2014.10.039 |
| format | Article |
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DUP is a modifiable factor that if reduced can improve patient outcome and treatment response. We sought to decrease DUP in rural Argentina by instituting annual training of local health agents to better identify signs of mental illness and offer earlier intervention. DUP was estimated using Schedules of Clinical Assessment in Neuropsychiatry (SCAN). Ongoing training was correlated with a reduction in DUP. Reducing DUP through better screening can decrease the psychosocial burden of disease and improve the trajectory of psychosis.</description><identifier>ISSN: 0920-9964</identifier><identifier>EISSN: 1573-2509</identifier><identifier>DOI: 10.1016/j.schres.2014.10.039</identifier><identifier>PMID: 25439394</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Argentina ; Community Health Workers - education ; Duration of untreated psychosis ; Early Medical Intervention ; Female ; Health Education - organization & administration ; Humans ; Male ; Outcome Assessment (Health Care) ; Primary care intervention ; Psychiatry ; Psychotic Disorders - diagnosis ; Psychotic Disorders - psychology ; Psychotic Disorders - therapy ; Retrospective Studies ; Rural Population ; Schedules of Clinical Assessment in Neuropsychiatry ; Schizophrenia ; Young Adult</subject><ispartof>Schizophrenia research, 2015-02, Vol.161 (2), p.184-187</ispartof><rights>Elsevier B.V.</rights><rights>2014 Elsevier B.V.</rights><rights>Copyright © 2014 Elsevier B.V. All rights reserved.</rights><rights>2014 Elsevier B.V. All rights reserved. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-438277f0fcd6edd96cdc490295b1c8c915450cfe181c0d9313a0753e361346b23</citedby><cites>FETCH-LOGICAL-c584t-438277f0fcd6edd96cdc490295b1c8c915450cfe181c0d9313a0753e361346b23</cites><orcidid>0000-0001-7238-1349</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0920996414006082$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25439394$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Padilla, Eduardo</creatorcontrib><creatorcontrib>Molina, Juan</creatorcontrib><creatorcontrib>Kamis, Danielle</creatorcontrib><creatorcontrib>Calvo, Maria</creatorcontrib><creatorcontrib>Stratton, Lee</creatorcontrib><creatorcontrib>Strejilevich, Sergio</creatorcontrib><creatorcontrib>Aleman, Gabriela Gonzalez</creatorcontrib><creatorcontrib>Guerrero, Gonzalo</creatorcontrib><creatorcontrib>Bourdieu, Mercedes</creatorcontrib><creatorcontrib>Conesa, Horacio A</creatorcontrib><creatorcontrib>Escobar, Javier I</creatorcontrib><creatorcontrib>de Erausquin, Gabriel A</creatorcontrib><title>The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population</title><title>Schizophrenia research</title><addtitle>Schizophr Res</addtitle><description>Abstract The duration of untreated psychosis (DUP) is a key determinant in the severity of symptoms in patients with schizophrenia. DUP is a modifiable factor that if reduced can improve patient outcome and treatment response. We sought to decrease DUP in rural Argentina by instituting annual training of local health agents to better identify signs of mental illness and offer earlier intervention. DUP was estimated using Schedules of Clinical Assessment in Neuropsychiatry (SCAN). Ongoing training was correlated with a reduction in DUP. Reducing DUP through better screening can decrease the psychosocial burden of disease and improve the trajectory of psychosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Argentina</subject><subject>Community Health Workers - education</subject><subject>Duration of untreated psychosis</subject><subject>Early Medical Intervention</subject><subject>Female</subject><subject>Health Education - organization & administration</subject><subject>Humans</subject><subject>Male</subject><subject>Outcome Assessment (Health Care)</subject><subject>Primary care intervention</subject><subject>Psychiatry</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic Disorders - therapy</subject><subject>Retrospective Studies</subject><subject>Rural Population</subject><subject>Schedules of Clinical Assessment in Neuropsychiatry</subject><subject>Schizophrenia</subject><subject>Young Adult</subject><issn>0920-9964</issn><issn>1573-2509</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsuO1DAQtBCIHRb-ACEfuWRoP_LwBQmtloe0EgeWs-WxOxMPmTjYzkrz9zjMsjwunCyXq6q7XU3ISwZbBqx5c9gmO0RMWw5MFmgLQj0iG1a3ouI1qMdkA4pDpVQjL8izlA4AwGpon5ILXkuhhJIbkm8HpNj33hp7oqGn2cQ9ZnR0QDPmgZo9TjlRdIs12YeJ5kDjekOai9Qt8QwX6TLliGbVzulkh5B8on6ihsZCGukc5mX8SX5OnvRmTPji_rwkX99f3159rG4-f_h09e6msnUncyVFx9u2h966Bp1TjXVWKuCq3jHbWcVqWYPtkXXMglOCCQNtLVA0TMhmx8UleXv2nZfdEZ0tk5RG9Bz90cSTDsbrv18mP-h9uNNSQCflavD63iCG7wumrI8-WRxHM2FYkmZNzSVjClihyjPVxpBSxP6hDAO9BqYP-hyYXgNb0RJYkb36s8UH0a-Efs-A5aPuPMbi4nGy6HxEm7UL_n8V_jWwo59K3uM3PGE6hCVOJQTNdOIa9Jd1adadYRKggY6LH4DSwGs</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Padilla, Eduardo</creator><creator>Molina, Juan</creator><creator>Kamis, Danielle</creator><creator>Calvo, Maria</creator><creator>Stratton, Lee</creator><creator>Strejilevich, Sergio</creator><creator>Aleman, Gabriela Gonzalez</creator><creator>Guerrero, Gonzalo</creator><creator>Bourdieu, Mercedes</creator><creator>Conesa, Horacio A</creator><creator>Escobar, Javier I</creator><creator>de Erausquin, Gabriel A</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7238-1349</orcidid></search><sort><creationdate>20150201</creationdate><title>The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population</title><author>Padilla, Eduardo ; Molina, Juan ; Kamis, Danielle ; Calvo, Maria ; Stratton, Lee ; Strejilevich, Sergio ; Aleman, Gabriela Gonzalez ; Guerrero, Gonzalo ; Bourdieu, Mercedes ; Conesa, Horacio A ; Escobar, Javier I ; de Erausquin, Gabriel A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-438277f0fcd6edd96cdc490295b1c8c915450cfe181c0d9313a0753e361346b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Argentina</topic><topic>Community Health Workers - education</topic><topic>Duration of untreated psychosis</topic><topic>Early Medical Intervention</topic><topic>Female</topic><topic>Health Education - organization & administration</topic><topic>Humans</topic><topic>Male</topic><topic>Outcome Assessment (Health Care)</topic><topic>Primary care intervention</topic><topic>Psychiatry</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - psychology</topic><topic>Psychotic Disorders - therapy</topic><topic>Retrospective Studies</topic><topic>Rural Population</topic><topic>Schedules of Clinical Assessment in Neuropsychiatry</topic><topic>Schizophrenia</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Padilla, Eduardo</creatorcontrib><creatorcontrib>Molina, Juan</creatorcontrib><creatorcontrib>Kamis, Danielle</creatorcontrib><creatorcontrib>Calvo, Maria</creatorcontrib><creatorcontrib>Stratton, Lee</creatorcontrib><creatorcontrib>Strejilevich, Sergio</creatorcontrib><creatorcontrib>Aleman, Gabriela Gonzalez</creatorcontrib><creatorcontrib>Guerrero, Gonzalo</creatorcontrib><creatorcontrib>Bourdieu, Mercedes</creatorcontrib><creatorcontrib>Conesa, Horacio A</creatorcontrib><creatorcontrib>Escobar, Javier I</creatorcontrib><creatorcontrib>de Erausquin, Gabriel A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Schizophrenia research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Padilla, Eduardo</au><au>Molina, Juan</au><au>Kamis, Danielle</au><au>Calvo, Maria</au><au>Stratton, Lee</au><au>Strejilevich, Sergio</au><au>Aleman, Gabriela Gonzalez</au><au>Guerrero, Gonzalo</au><au>Bourdieu, Mercedes</au><au>Conesa, Horacio A</au><au>Escobar, Javier I</au><au>de Erausquin, Gabriel A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population</atitle><jtitle>Schizophrenia research</jtitle><addtitle>Schizophr Res</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>161</volume><issue>2</issue><spage>184</spage><epage>187</epage><pages>184-187</pages><issn>0920-9964</issn><eissn>1573-2509</eissn><abstract>Abstract The duration of untreated psychosis (DUP) is a key determinant in the severity of symptoms in patients with schizophrenia. 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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Argentina Community Health Workers - education Duration of untreated psychosis Early Medical Intervention Female Health Education - organization & administration Humans Male Outcome Assessment (Health Care) Primary care intervention Psychiatry Psychotic Disorders - diagnosis Psychotic Disorders - psychology Psychotic Disorders - therapy Retrospective Studies Rural Population Schedules of Clinical Assessment in Neuropsychiatry Schizophrenia Young Adult |
| title | The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population |
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