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"I felt like that was a safe place to go": a qualitative study of help-seeking experiences for early psychosis in primary care.

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Title: "I felt like that was a safe place to go": a qualitative study of help-seeking experiences for early psychosis in primary care.
Authors: Rodrigues, Rebecca (AUTHOR), Madakadze, Candice (AUTHOR), Edwards, Jordan (AUTHOR), Booth, Richard (AUTHOR), Archie, Suzanne (AUTHOR), Palaniyappan, Lena (AUTHOR), Chan, Sarah (AUTHOR), Nagy, Kerri (AUTHOR), Anderson, Kelly K. (AUTHOR)
Source: Journal of Mental Health. Apr2026, Vol. 35 Issue 2, p199-207. 9p.
Subjects: Research funding, Qualitative research, Mental health, Primary health care, Interviewing, Content analysis, Help-seeking behavior, Descriptive statistics, Cultural values, Tertiary care, Sound recordings, Thematic analysis, Research methodology, Psychoses, Social support, Data analysis software, Patients' attitudes, Caregiver attitudes
Abstract: Background: Contacts with primary care for early psychosis are common, and there is a need for further insight into help-seeking patterns. Aims: We sought to describe the help-seeking experiences in primary care for people with early psychosis and their caregivers. Methods: Using a qualitative descriptive approach, we recruited 22 clients with first-episode psychosis and 13 caregivers from seven specialized clinics to participate in a semi-structured interview. Interviews were audio recorded, transcribed, and coded thematically using conventional content analysis. Results: Help-seeking experiences in primary care were varied. We identified themes describing client- and caregiver-level challenges and supports: impaired mental state, help-seeking decisions and support, and conflicting cultural beliefs and values (between clients and physicians). We also identified physician-level challenges and supports: physician knowledge (perceived as adequate or inadequate), follow-up (close or lack thereof), and supportive relationship with the client and/or caregiver. Finally, we identified health system-level themes: appointment availability and virtual care (described as insufficient). Conclusions: Interventions to increase help-seeking for early psychosis more broadly may facilitate earlier primary care help-seeking. Primary care physician education, closer follow-up of young people with mental health issues, timely access, and in-person care could improve pathways to care in early psychosis. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: "I felt like that was a safe place to go": a qualitative study of help-seeking experiences for early psychosis in primary care.
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  Data: <searchLink fieldCode="AR" term="%22Rodrigues%2C+Rebecca%22">Rodrigues, Rebecca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Madakadze%2C+Candice%22">Madakadze, Candice</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Edwards%2C+Jordan%22">Edwards, Jordan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Booth%2C+Richard%22">Booth, Richard</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Archie%2C+Suzanne%22">Archie, Suzanne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Palaniyappan%2C+Lena%22">Palaniyappan, Lena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chan%2C+Sarah%22">Chan, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nagy%2C+Kerri%22">Nagy, Kerri</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson%2C+Kelly+K%2E%22">Anderson, Kelly K.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Mental+Health%22">Journal of Mental Health</searchLink>. Apr2026, Vol. 35 Issue 2, p199-207. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Help-seeking+behavior%22">Help-seeking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cultural+values%22">Cultural values</searchLink><br /><searchLink fieldCode="DE" term="%22Tertiary+care%22">Tertiary care</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Caregiver+attitudes%22">Caregiver attitudes</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Contacts with primary care for early psychosis are common, and there is a need for further insight into help-seeking patterns. Aims: We sought to describe the help-seeking experiences in primary care for people with early psychosis and their caregivers. Methods: Using a qualitative descriptive approach, we recruited 22 clients with first-episode psychosis and 13 caregivers from seven specialized clinics to participate in a semi-structured interview. Interviews were audio recorded, transcribed, and coded thematically using conventional content analysis. Results: Help-seeking experiences in primary care were varied. We identified themes describing client- and caregiver-level challenges and supports: impaired mental state, help-seeking decisions and support, and conflicting cultural beliefs and values (between clients and physicians). We also identified physician-level challenges and supports: physician knowledge (perceived as adequate or inadequate), follow-up (close or lack thereof), and supportive relationship with the client and/or caregiver. Finally, we identified health system-level themes: appointment availability and virtual care (described as insufficient). Conclusions: Interventions to increase help-seeking for early psychosis more broadly may facilitate earlier primary care help-seeking. Primary care physician education, closer follow-up of young people with mental health issues, timely access, and in-person care could improve pathways to care in early psychosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192584939
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      – Type: doi
        Value: 10.1080/09638237.2025.2595617
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 199
    Subjects:
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Help-seeking behavior
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Cultural values
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      – SubjectFull: Tertiary care
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      – SubjectFull: Sound recordings
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Research methodology
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      – SubjectFull: Psychoses
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      – SubjectFull: Data analysis software
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      – SubjectFull: Patients' attitudes
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      – SubjectFull: Caregiver attitudes
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              Text: Apr2026
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