Pathways to Care for Patients with a First Episode of Psychosis: A Multicentric and Multiethnic Study
Abstract
The aim of this study is to describe the care pathways for patients with a recent onset of psychosis and to determine whether these routes are significantly affected by ethnicity and causal beliefs about this disorder. A total of 252 patients with schizophrenia in outpatient treatment (116 Aymara and 136 Non -Aymara) with a mean age of 35.6 years (SD = 12.5) from public mental health centers in Arica, Chile (33.6 %), Tacna, Peru (33.6 %) and La Paz, Bolivia (32.8 %) and their primary caregivers participated. They were interviewed regarding their help -seeking contacts using a semi -structured questionnaire. Out of the total patients, 64.7 % initially contacted a general practitioner for help, while only 14 % went to see a psychologist and 12 % sought a Yatiri (healers). The main factors associated with avoidance of a different route were the presence of a supportive family member or friend and the presence of a general practitioner. It is concluded that the main route of access to psychiatric services for patients with a recent onset of psychosis among Andean ethnic minorities is through a general practitioner, while a small portion of this population relies on community healers.
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Título según WOS: | ID WOS:001207666100002 Not found in local WOS DB |
Título de la Revista: | UNIVERSITAS PSYCHOLOGICA |
Volumen: | 22 |
Editorial: | PONTIFICA UNIV JAVERIANA, FAC PSYCH |
Fecha de publicación: | 2023 |
Página de inicio: | 1 |
Página final: | 12 |
DOI: |
10.11144/Javeriana.upsy22.pcpf |
Notas: | ISI |