Researchers of a recent study explored the detection and management of first psychotic episodes and established schizophrenia within the primary care setting of the Andalusian Health System in Spain. Delays in recognizing and treating psychosis can lead to slower recovery, higher relapse rates, and worse long-term outcomes. Primary care physicians play a crucial role in early identification, especially in Spain, where they are the primary point of contact for healthcare services. Despite their critical role, psychotic episodes often go unnoticed for years before diagnosis, highlighting the need for better early detection and management within primary care.

The study, conducted with 142 primary care physicians in the Malaga Guadalhorce Health District, found that most physicians were confident in managing schizophrenia, particularly with mental health consultancy support. However, only a small percentage had participated in recent psychiatric training, and physical health monitoring was often left to mental health services. Collaboration with mental health services was moderate, and the physicians found a patient list for severe mental disorders helpful. The study concluded that while family physicians are generally capable of managing psychosis and schizophrenia, there is a need for updated training and clearer guidelines. The authors also highlighted the importance of improved collaboration with mental health services to provide comprehensive care, addressing both mental and physical health needs.

Reference: Sepúlveda-Muñoz J, Quemada González C, Hurtado Lara MM, et al. Management of Psychosis and Schizophrenia by Primary Care GPs: A Cross-Sectional Study in Spain. J Prim Care Community Health. 2025;16:21501319241306177. doi: 10.1177/21501319241306177.