ArticleSchizophrenia bulletin2010
Ethnic diversity and pathways to care for a first episode of psychosis in Ontario.
Article in Schizophrenia bulletin, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 7 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 7 syntheses or guidelines pooled it, 102 citations in OpenAlex.
- Early intervention in psychosis services: A systematic review and narrative synthesis of barriers and facilitators to seeking access.European psychiatry : the journal of the Association of European Psychiatrists · 2023Pooled it
- Differences in duration of untreated psychosis for racial and ethnic minority groups with first-episode psychosis: an updated systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2019Pooled it
- Ethnic variations in compulsory detention under the Mental Health Act: a systematic review and meta-analysis of international data.The lancet. Psychiatry · 2019Pooled it
- Pathways to mental health services for young people: a systematic review.Social psychiatry and psychiatric epidemiology · 2018Pooled it
- A meta-analysis of ethnic differences in pathways to care at the first episode of psychosis.Acta psychiatrica Scandinavica · 2014Pooled it
- A systematic review of ethnic variations in hospital admission and compulsory detention in first-episode psychosis.Journal of mental health (Abingdon, England) · 2014Pooled it
- Race, ethnicity, and the duration of untreated psychosis: a systematic review.Social psychiatry and psychiatric epidemiology · 2014Pooled it
- Sex-specific drivers of non-affective psychotic disorders within migrant groups: A 25-year retrospective cohort study of 2 million migrants.Social psychiatry and psychiatric epidemiology · 2026Article
- Insidious systems: a scoping review of Black youth and the criminal justice system in Canada.Health & justice · 2026Review
- Article
- Racialised experience of detention under the Mental Health Act: a photovoice investigation.BMJ mental health · 2025Article
- A comparison of pathways to care in at-risk mental states and first episode psychosis: a mental health electronic clinical records analysis in the East of England, UK.Social psychiatry and psychiatric epidemiology · 2025Article
- Identifying Barriers and Pathways to Care Among College Students at Risk of or Diagnosed with First Episode Psychosis.Psychiatry international · 2025Article
- Professional experiences on use of the mental health act in ethnically diverse populations: a photovoice study.BMJ mental health · 2025Article
- Ethnoracial Differences in Family Members' Early Contact with Formal and Informal Resources on the Pathway to Care during the Early Stages of Psychosis.Community mental health journal · 2024Article
- Sociodemographic and clinical predictors of delay to and length of stay with early intervention for psychosis service: findings from the CRIS-FEP study.Social psychiatry and psychiatric epidemiology · 2024Article
- Incidence, Racial Disparities and Factors Related to Psychosis among Black Individuals in Canada: A Scoping Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Sampling from different populations: Sociodemographic, clinical, and functional differences between samples of first episode psychosis individuals and clinical high-risk individuals who progressed to psychosis.Schizophrenia research · 2023Article
- Online Knowledge Translation Program Involving Video Games and University Student-Led Tutorials About Cannabis and Psychosis for Black Youth: Mixed Method Feasibility Study.JMIR formative research · 2022Article
- Insights About Cannabis and Psychosis Using Video Games for Young People With a First Episode of Psychosis, Particularly Those From Black Racialized Communities: Protocol for a Mixed Methods Study.JMIR research protocols · 2022Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine ethnic variations in the pathways to care for persons accessing early intervention (EI) services in Ontario.
methodThe pathways to care and the duration of untreated psychosis were assessed for first-episode psychosis patients who entered specialized EI services in Ontario. The sample was assigned to the following ethnic classifications: the White (Caucasian), Black (African descent), and Asian (ancestry from the continent) groups, plus all the "other ethnicities" group.
resultsThere were 200 participants: 78% were male; 61% from the White, 15% Black, 13% Asian, and 11% were from the other ethnicities group. At the first point of contact, more participants used nonmedical contacts (12%), such as clergy and naturopathic healers, than psychologists (8%) or psychiatrists (7%). There were no ethnic differences for duration of untreated psychosis (median 22 weeks) or for initiation of help seeking by family/friends (53%), police (15%), or self (33%). After adjusting for relevant clinical and demographic factors, the Asian and other ethnicities groups were 4 and 3 times (respectively) more likely than the White or Black groups (P = .017) to use emergency room services as the first point of contact in the pathways to care. Participants from the Asian group experienced less involuntary hospitalizations (P = .023) than all the other groups. Yet overall, there were many more similarities than significant differences in the pathways to care.
conclusionEI services should monitor the pathways to care for young people of diverse ethnic backgrounds to address any disparities in accessing care.
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