{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T11:03:38Z","timestamp":1789383818853,"version":"build-2803163510"},"reference-count":0,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"unspecified","delay-in-days":46,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0924933826101722_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The European Brain Council project \u201cRethinking Schizophrenia\u201d aims to examine the existing state of patient care pathways across Europe. The study objectives of Phase 2 were to evaluate the current models of schizophrenia care on mental health outcomes, access and satisfaction with care, and to identify the foundations of integrated care pathways for young people with first-episode psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826101722_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the care pathway, a questionnaire was developed and anonymously disseminated to mental health professionals in nine European countries (Belgium, Denmark, France, Germany, Hungary, Italy, Poland, Spain, and the United Kingdom). The survey included 45 questions and addressed the quality and continuity of care from the first onset of psychosis to long-term care, including assessment of the mental health care systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826101722_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 203 responses were obtained. The majority of mental health professionals were psychiatrists (75%), followed by psychologists (11%), nurses (7%), social workers (2%), and GPs and others (5%). The responses were analyzed qualitatively. The results revealed dissatisfaction with the current state of schizophrenia care systems and significant variability in quality of care. The factors that affect the care pathways most are assessment and early intervention services, continuity of care, availability of various types of services and treatments, collaborative decision-making, and utilization of new technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933826101722_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A comprehensive, integrated approach is essential to improve schizophrenia care across Europe. This strategy emphasizes early intervention, equitable access to treatments, coordinated care models, psychosocial support, and long-term recovery through a biopsychosocial framework and emerging technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2026.10172","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:02:31Z","timestamp":1771232551000},"source":"Crossref","is-referenced-by-count":0,"title":["Rethinking schizophrenia: Optimizing care pathways in Europe from the first episode of psychosis to long-term care"],"prefix":"10.1192","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9851-3271","authenticated-orcid":false,"given":"Pavel","family":"Mohr","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/024d6js02","id-type":"ROR","asserted-by":"publisher"}],"name":"Charles University"},{"id":[{"id":"https:\/\/ror.org\/05xj56w78","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institute of Mental Health: Narodni ustav dusevniho zdravi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-0429","authenticated-orcid":false,"given":"Geert","family":"Dom","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/008x57b05","id-type":"ROR","asserted-by":"publisher"}],"name":"Universiteit Antwerpen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Falkai","sequence":"additional","affiliation":[{"name":"LMU: Ludwig-Maximilians-Universitat Munchen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3382-4754","authenticated-orcid":false,"given":"Celso","family":"Arango","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01s1q0w69","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital Universitario La Paz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9464-4709","authenticated-orcid":false,"given":"Istv\u00e1n","family":"Bitter","sequence":"additional","affiliation":[{"name":"Semmelweis University: Semmelweis Egyetem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9857-1669","authenticated-orcid":false,"given":"Julian","family":"Beezhold","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03400ft78","id-type":"ROR","asserted-by":"publisher"}],"name":"Suffolk Mental Health Partnership NHS Trust: Norfolk and Suffolk NHS Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-2155","authenticated-orcid":false,"given":"Patrice","family":"Boyer","sequence":"additional","affiliation":[{"name":"Brain Research Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0418-7904","authenticated-orcid":false,"given":"Ana","family":"Catalan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/000xsnr85","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Basque Country: Universidad del Pais Vasco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1313-2788","authenticated-orcid":false,"given":"Boris","family":"Chaumette","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02g40zn06","id-type":"ROR","asserted-by":"publisher"}],"name":"INSERM U1266: Institut de Psychiatrie et Neurosciences de Paris"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6051-1748","authenticated-orcid":false,"given":"Sonia","family":"Dollfus","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/051kpcy16","id-type":"ROR","asserted-by":"publisher"}],"name":"Caen University: Universite de Caen Normandie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9dric","family":"Duarte","sequence":"additional","affiliation":[{"name":"Hopitaux Robert Schuman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3582-6788","authenticated-orcid":false,"given":"Paolo","family":"Fusar-Poli","sequence":"additional","affiliation":[{"name":"King\u2019s College London Section of Cognitive Neuropsychiatry: King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5751-9062","authenticated-orcid":false,"given":"Wolfgang","family":"Gaebel","sequence":"additional","affiliation":[{"name":"Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf: Heinrich-Heine-Universitat Dusseldorf"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1592-7656","authenticated-orcid":false,"given":"Silvana","family":"Galderisi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kqnpp86","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Campania Luigi Vanvitelli: Universita degli Studi della Campania Luigi Vanvitelli"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Howes","sequence":"additional","affiliation":[{"name":"King\u2019s College London Section of Cognitive Neuropsychiatry: King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Keri","sequence":"additional","affiliation":[{"name":"Semmelweis University: Semmelweis Egyetem"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5619-1123","authenticated-orcid":false,"given":"Andreas","family":"Meyer-Lindenberg","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01hynnt93","id-type":"ROR","asserted-by":"publisher"}],"name":"Central Institute of Mental Health: Zentralinstitut fur Seelische Gesundheit"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4895-7023","authenticated-orcid":false,"given":"Merete","family":"Nordentoft","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/035b05819","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Copenhagen Department of Clinical Medicine: Kobenhavns Universitet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0577-0381","authenticated-orcid":false,"given":"Janusz","family":"Rybakowski","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02zbb2597","id-type":"ROR","asserted-by":"publisher"}],"name":"Poznan University of Medical Sciences Faculty of Medicine: Uniwersytet Medyczny"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1438-583X","authenticated-orcid":false,"given":"Jerzy","family":"Samochowiec","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01v1rak05","id-type":"ROR","asserted-by":"publisher"}],"name":"Pomeranian Medical University in Szczecin: Pomorski Uniwersytet Medyczny w Szczecin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agata","family":"Szulc","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04p2y4s44","id-type":"ROR","asserted-by":"publisher"}],"name":"Medical University of Warsaw: Warszawski Uniwersytet Medyczny"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1218-5623","authenticated-orcid":false,"given":"Piotr","family":"Toczyski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4696-1002","authenticated-orcid":false,"given":"Joao","family":"Vasco Santos","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/043pwc612","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Porto Faculty of Medicine: Universidade do Porto Faculdade de Medicina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Vita","sequence":"additional","affiliation":[{"name":"University of Brescia Department of Medical and Surgical Sciences: Universita de Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4554-6432","authenticated-orcid":false,"given":"Vinciane","family":"Quoidbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,2,16]]},"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933826101722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T10:21:57Z","timestamp":1789381317000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933826101722\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S0924933826101722"],"URL":"https:\/\/doi.org\/10.1192\/j.eurpsy.2026.10172","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e93"}}