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Published on: November 21, 2013
Ethnic variations in pathways into early intervention services for psychosis
Sharif Ghali1, Helen L Fisher, John Joyce
1Berkshire Healthcare NHS Foundation Trust, UK. sharifghali@doctors.org.uk
Ethnic differences impact access to early intervention services for psychosis. White British individuals experienced longer durations of untreated psychosis compared to other groups, highlighting service access disparities.
Area of Science:
- Psychiatry
- Mental Health Services Research
- Public Health
Background:
- Ethnic variations in duration of untreated psychosis (DUP) and service pathways are documented.
- These variations have not been studied within early intervention services (EIS).
- EIS may influence psychosis treatment trajectories.
Purpose of the Study:
- To investigate ethnic disparities in pathways to early intervention services.
- To examine differences in the duration and nature of these pathways.
Main Methods:
- Naturalistic cohort study design.
- Inclusion of 1024 individuals with psychotic disorders.
- Data collected from eight London-based early intervention services.
Main Results:
- White British individuals had a longer duration of untreated psychosis compared to most other ethnic groups.
- White British individuals more frequently contacted general practitioners and less often used emergency medical services.
- Black patient groups were more likely than White British individuals to have involvement with criminal justice agencies.
Conclusions:
- Significant ethnic variations persist in accessing early intervention services.
- These access differences may contribute to disparities in the duration of untreated psychosis.
- Understanding these pathways is crucial for equitable mental healthcare delivery.
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