ArticlePsychiatric services (Washington, D.C.)2021
Structural Disadvantage and Culture, Race, and Ethnicity in Early Psychosis Services: International Provider Survey.
Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- A Systematic Review Exploring the Relationship Between Family Factors and Symptom Severity, Relapse and Social or Occupational Functioning in First-Episode Psychosis.Early intervention in psychiatry · 2025Pooled it
- Pathways Through Early Psychosis Care for U.S. Youths From Ethnically and Racially Minoritized Groups: A Systematic Review.Psychiatric services (Washington, D.C.) · 2023Pooled it
- The Relationship Between Trauma Exposure and Nonclinical Psychosis: A Systematic Review and Meta-Analysis.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026Article
- Who Gets FIp? Understanding Contextual Factors in EIP Provision.Early intervention in psychiatry · 2026Article
- Pathways to Mental Health Care: The Role of Religion and Spirituality in Help Seeking for Psychosis.Psychiatric services (Washington, D.C.) · 2026Review
- Social Determinants and Mental Health Care Utilization Among Individuals at Clinical High Risk for Psychosis.Psychiatric services (Washington, D.C.) · 2026Article
- Article
- A Brief Engagement Intervention Adapted for Racial and Ethnic Minority Young Adults in Mental Health Services: Protocol for a Pilot Optimization Trial.JMIR research protocols · 2025Article
- Building the Plane as We Fly: Considerations for Scaling Out Coordinated Specialty Care for Early Psychosis in the Rural United States.Rural mental health · 2025Article
- Reasons for Discharge in a National Network of Early Psychosis Intervention Programs.Schizophrenia bulletin · 2025Article
- An Overview of Early Psychosis Care in New Zealand-A Need for Culturally Adapted Service Models.Early intervention in psychiatry · 2025Article
- Reflections on the explanations of higher psychosis rates among migrant and ethnic minority populations: A critical discourse analysis.Transcultural psychiatry · 2025Review
- From Rhetoric to Action: Justice, Equity, Diversity, and Inclusion in Coordinated Specialty Care for Early Psychosis.Psychiatric services (Washington, D.C.) · 2024Article
- A Mixed Methods Study of Ethnic Identity and Mental Health Recovery Processes in Minoritized Young Adults.Healthcare (Basel, Switzerland) · 2024Article
- Adapting the Parent Connector program for caregivers of adults with SMI: the Family Connector experience.Npj mental health research · 2024Article
- Barriers to care for mental health conditions in Canada.PLOS mental health · 2024Article
- Racial and Ethnic Disparities in the Diagnosis and Early Treatment of First-Episode Psychosis.Schizophrenia bulletin open · 2024Article
- Cycles of reform in the history of psychosis treatment in the United States.SSM. Mental health · 2023Article
- Place of Birth and Cognition among Older Americans: Findings from the Harmonized Cognitive Assessment Protocol.medRxiv : the preprint server for health sciences · 2023Article
- Review of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United States.Frontiers in psychiatry · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveLittle is known about provider perspectives on programmatic responses to structural disadvantage and cultural differences within early intervention in psychosis (EIP) services, programs, and models. The primary objective of this study was to investigate providers' perspectives on the impacts of disadvantage and minority race, ethnicity, and culture and to describe current practices and perceived gaps and concerns.
methodsAn online survey of specialized EIP providers was disseminated in the United Kingdom, United States, Canada, Australia, and Chile. A total of 164 providers, representing 110 unique sites, completed the survey. Closed-ended questions gathered demographic and program data, including information on formal assessment of trauma or adversity, integration of trauma-informed care, integration of formal cultural assessment tools, training focused on culture, programmatic changes to address culture-related issues, and consultation with cultural insiders. Open-ended questions addressed the demographic mix of the program's client population; the perceived role and influence of trauma, structural disadvantage, and cultural differences; and concerns and needs related to these topics. Frequencies were examined for closed-ended items; open-ended responses were systematically coded.
resultsOverall, survey findings suggested low levels of implementation of a variety of assessment and support practices related to cultural diversity in EIP programs. Coding of open-ended responses revealed numerous concerns regarding the impacts of disadvantage and cultural difference on clients and perceived gaps in policy and implementation.
conclusionsAn expansion of research and service development aimed at better meeting the disadvantage- and culture-related needs of young people with early psychosis and their families should be a priority for the field.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.