{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T19:26:40Z","timestamp":1792524400786,"version":"4.5.0"},"reference-count":92,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T00:00:00Z","timestamp":1687478400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003547","name":"Bangor University","doi-asserted-by":"publisher","award":["Undergraduate Intern Award"],"award-info":[{"award-number":["Undergraduate Intern Award"]}],"id":[{"id":"10.13039\/501100003547","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec id=\"S2056472423005057_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>The classification of mental disorders used to be based only on people seen by hospital psychiatrists. In fact, most people with a mental disorder were, and are, not seen by psychiatrists because of decisions made prior to psychiatric consultation. The first description of this \u2018pathway\u2019 to care and its levels and filters was published by Goldberg and Huxley in 1980.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005057_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To conduct a review of papers relevant to the application of the Goldberg\u2013Huxley model in the 21st century.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005057_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>Systematic review (PROSPERO registration CRD42021270603) of the pathway to psychiatric care in the 21st century. The review concentrates on community surveys and passage through the first filter (consultation in primary care or its equivalent). Ten databases were searched for papers meeting the defined inclusion criteria published between 2000 and 2019 and completed on 15 February 2020.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005057_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>In total, 1824 papers were retrieved, 137 screened fully and 31 included in this review. The results are presented in a table comparing them with previous research. Despite major social, economic and health service changes since 1980, community prevalence and consultation rates remain remarkably consistent and in line with World Health Organization findings. Passage through the first filter is largely unchanged and there is evidence that the same factors operate internationally, especially gender and social parameters.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005057_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The Goldberg\u2013Huxley model remains applicable internationally, but this may change owing to an increasingly mixed mental health economy and reduced access to primary care services.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2023.505","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T03:44:17Z","timestamp":1687578257000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":9,"title":["The Goldberg\u2013Huxley model of the pathway to psychiatric care: 21st-century systematic review"],"prefix":"10.1192","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5152-8030","authenticated-orcid":false,"given":"Peter","family":"Huxley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1503-1734","authenticated-orcid":false,"given":"Anne","family":"Krayer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7914-3981","authenticated-orcid":false,"given":"Rob","family":"Poole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Gromadzka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-4044","authenticated-orcid":false,"given":"Daniel Lai","family":"Jie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadia","family":"Nafees","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,6,23]]},"reference":[{"key":"S2056472423005057_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700024363"},{"key":"S2056472423005057_ref5","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.170.4.317"},{"key":"S2056472423005057_ref58","doi-asserted-by":"publisher","DOI":"10.1080\/00048670902970882"},{"key":"S2056472423005057_ref6","volume-title":"Common Mental Disorder: A Biosocial Model","author":"Goldberg","year":"1992"},{"key":"S2056472423005057_ref37","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001943"},{"key":"S2056472423005057_ref10","first-page":"45","volume-title":"What is a Case? 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