Skip to main content
Article thumbnail
Location of Repository

Measuring pathways to care in first-episode psychosis : a systematic review

By Swaran P. Singh and Tom Grange


Background\ud Adequately understanding and measuring pathways to care is a prerequisite for early detection and effective treatment of first-episode psychosis.\ud \ud Method\ud We conducted a systematic review of studies on pathways to care in first-episode psychosis to establish what measures currently exist to assess pathways in first-episode psychosis and to compare these measures.\ud \ud Results\ud We identified 15 studies which had used six different measures of pathways to care. Differences in aims, methodology and lack of psychometric data did not allow a direct comparison of pathways measures but certain common themes emerged.\ud \ud Discussion\ud Pathways to care in first-episode psychosis are diverse and varied. There is no measure with established psychometric properties that has been devised on a well-developed theoretical or conceptual framework and had its psychometric properties established. The conflict between exploring the patient's narrative and journey through the healthcare system and developing an empirical measure of pathways with optimal outcomes has hindered the development of such a measure.\ud \u

Topics: RC
Publisher: Elsevier BV
Year: 2006
OAI identifier:

Suggested articles


  1. (1992). Common Mental Disorders: a Bio-Social Model, doi
  2. (2001). Initiative to reduce the impact of schizophrenia audit tool kit., Northern Birmingham Mental Health NHS Trust,
  3. (2000). Integrated Care Pathways,
  4. (2005). Schizophr Res. doi
  5. (2004). Soc Psychiatry Psychiatr Epidemiol,
  6. (2001). Undertaking systematic reviews of research on effectiveness., York Publsihing Service Ltd.,

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.