Centre for Mental Health Research and Education, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada.
Youth at ultra high risk for psychosis: using the Revised Network Episode Model to examine pathways to mental health care
Article first published online: 5 MAR 2012
© 2012 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry
Volume 7, Issue 2, pages 170–186, May 2013
How to Cite
Boydell, K. M., Volpe, T., Gladstone, B. M., Stasiulis, E. and Addington, J. (2013), Youth at ultra high risk for psychosis: using the Revised Network Episode Model to examine pathways to mental health care. Early Intervention in Psychiatry, 7: 170–186. doi: 10.1111/j.1751-7893.2012.00350.x
- Issue published online: 25 APR 2013
- Article first published online: 5 MAR 2012
- Received 29 June 2011; accepted 26 January 2012
- at-risk youth;
- case study;
- early psychosis;
- Network Episode Model;
- qualitative inquiry
Aim: This paper aims to identify the ways in which youth at ultra high risk for psychosis access mental health services and the factors that advance or delay help seeking, using the Revised Network Episode Model (REV NEM) of mental health care.
Methods: A case study approach documents help-seeking pathways, encompassing two qualitative interviews with 10 young people and 29 significant others. Theoretical propositions derived from the REV NEM are explored, consisting of the content, structure and function of the: (i) family; (ii) community and school; and (iii) treatment system.
Results: Although the aspects of the REV NEM are supported and shape pathways to care, we consider rethinking the model for help seeking with youth at ultra high risk for psychosis.
Conclusions: The pathway concept is important to our understanding of how services and supports are received and experienced over time. Understanding this process and the strategies that support positive early intervention on the part of youth and significant others is critical.