title: Pathways to care for first-episode psychosis in an early detection healthcare sector: part of the Scandinavian TIPS study.
abstract: BACKGROUND
  Early detection programmes aim to reduce the duration of untreated psychosis (DUP) by public education and by prompt access to treatment via active outreach detection teams.
  
  
  OBJECTIVE
  To determine whether those with first-episode psychosis in an early detection healthcare area with existing referral channels differ from those who access care via detection teams.
  
  
  METHODS
  Those with first-episode psychosis recruited via detection teams were compared with those accessing treatment via conventional channels, at baseline and after 3 months of acute treatment.
  
  
  RESULTS
  Patients recruited via detection teams are younger males with a longer DUP, a less dramatic symptom picture and better functioning; however they recover more slowly, and have more symptoms at 3-month follow-up.
  
  
  CONCLUSIONS
  After establishing low threshold active case-seeking detection teams, we found clear differences between those patients entering treatment via detection teams v. those obtaining treatment via the usual channels. Such profiling may be informative for early detection service development.
authors.affiliation: Division of Psychiatry, General Hospital of Rogaland, Armauer Hanssens vei 20, 4000 Stavanger, Norway. jojo@sir.no
authors.forename: Jan Olav
authors.initials: JO
authors.lastname: Johannessen
authors.forename: Tor K
authors.initials: TK
authors.lastname: Larsen
authors.forename: Inge
authors.initials: I
authors.lastname: Joa
authors.forename: Ingrid
authors.initials: I
authors.lastname: Melle
authors.forename: Svein
authors.initials: S
authors.lastname: Friis
authors.forename: Stein
authors.initials: S
authors.lastname: Opjordsmoen
authors.forename: Bjørn Rishovd
authors.initials: BR
authors.lastname: Rund
authors.forename: Erik
authors.initials: E
authors.lastname: Simonsen
authors.forename: Per
authors.initials: P
authors.lastname: Vaglum
authors.forename: Thomas H
authors.initials: TH
authors.lastname: McGlashan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019091:Critical Pathways / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D042241:Early Diagnosis; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000458:organization & administration; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000628:therapy