first episode psychosis factors associated with delayed access to care in a rural egyptian setting n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting PowerPoint Presentation
Download Presentation
First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting

Loading in 2 Seconds...

play fullscreen
1 / 21

First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting - PowerPoint PPT Presentation


  • 198 Views
  • Uploaded on

First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting. Dr Mamdouh EL-Adl, Princess Marina Hospital, Northampton, UK. Dr Mohammed EL-Mahdy, AL-Azhar University, Egypt. Dr Musheera Anis, Mansoura General Hospital, Egypt. Aim:.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting' - redford


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
first episode psychosis factors associated with delayed access to care in a rural egyptian setting
First Episode Psychosis: Factors associated with delayed access to care in a rural Egyptian setting
  • Dr Mamdouh EL-Adl, Princess Marina Hospital, Northampton, UK.
  • Dr Mohammed EL-Mahdy, AL-Azhar University, Egypt.
  • Dr Musheera Anis, Mansoura General Hospital, Egypt.
slide2
Aim:

To identify factors associated with delayed access of individuals diagnosed with First Episode Psychosis (FEP) to Psychiatric Care.

background
Background:
  • FEP: Growing interest over past few decades.
  • DUP:- Duration of Untreated Psychosis.

- Average: one year or more (McGlashan,1998).

- Long DUP: undesirable.

  • Early Treatment:

- Reduces suffering (Ho et al, 2003).

- Minimises risks (Larsen et al,1998; Wyatt et al, 1998).

method
Method:
  • Study sample: FEP.
  • Study period: 6 months.
  • Study centre: Psychiatric Dept., MGH.
  • Study team: Drs EL-Adl, EL-Mahdy & Anis.
  • Study tool:A semi-structured interview.
  • FEP cases & relevant others were interviewed.
mansoura city
Mansoura City:
  • Established 1219
  • By King AL-Saleh Ayoub during his combat against the Crusades.
  • Capital of Eldakahlia province.
  • Surrounded by a large rural area.
  • Population: - Mansoura: 2 millions.

- Eldakahlia: 5 millions.

service model
Service Model
  • Primary care: underdeveloped.
  • Specialist care:

- MGH.: Psych dept.

- MUHs.: Psych dept.

- Central hospitals.: No Psych. Dept.

  • Mental Health Service: Hospital based.
psychiatric dept at mgh
Psychiatric Dept. at MGH
  • Catchment area: one million.
  • Inpatient: 8 beds.
  • OPC: 100 patients/day.
  • Staff:

- Psychiatrists: 2 SHO, 8 Specialists, 2 Consultants.

- Psychiatric Nurses: 8

- Psychologist: 1

- Social Worker: 1

results
Results
  • Total number of cases: 40
  • Diagnosis: - Schizophrenia: 14

- Affective disorders: 16

- Postpartum disorders: 5

- Others: 5

conclusion
Conclusion
  • Cultural factors, Lack of knowledge, Stigma & financial factors may play a significant role in delayed access to care.
  • Public education & anti-stigma programmes are needed.
  • A community oriented MH service is important.
  • Integration between Primary & Secondary care is essential.
clinical implications
Clinical implications
  • Public education & anti-stigma programmes are needed.
  • Early Intervention in Psychosis has to be promoted.
  • Exchange of experience & collaborative research between Arab Psychiatrists in home countries & abroad should be promoted.
limitations
Limitations
  • Sample size: small.
  • Service model: does not guarantee that all cases within the catchment’s area are included.
  • Study results: may not apply to other areas in Egypt or other Arab countries.
acknowledgment
Acknowledgment

Thanks to our patients & their families who were extremely helpful and agreed to participate in this study.