Pathways to care for those at clinical high risk of developing psychosis


Ms Jacqueline Stowkowy, Centre for Mental Health Research and Education, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, Canada T2N 4Z6. Email:


Aim: Understanding the pathways to care is a prerequisite for early detection in first-episode patients with psychosis. Less in known about the pathways to care for individuals at clinical high risk for psychosis.

Methods: A sample of 35 clinical high risks for psychosis individuals were administered a semistructured questionnaire inquiring about pathways to care.

Results: The majority of contacts were made to general practitioners (32.8%). Various symptoms of concern were reported among the sample, the most common being depression (15.9%) followed by anxiety (11.0%). Delusions/paranoia were the most frequent symptoms associated with successful referral to contacts (14.3%).

Conclusion: Education on the pathway to successful access to care and treatment in a putatively prodromal for psychosis group of individuals is valuable information that can potentially aid in a faster discovery of these individuals and their access to treatment and care.