ArticleEarly intervention in psychiatry2025
"Young People Come to Youth Workers First": A Mixed Methods Evaluation of the Role of Youth Workers in Youth Psychosis Detection.
Article in Early intervention in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionReducing the duration of untreated psychosis (DUP) is a cornerstone of effective early intervention for psychosis (EIP) services. Delays in help seeking are a significant component of DUP, particularly among youth. Given their role as trusted adults in young people's lives, youth workers are uniquely positioned to play a role in early detection networks. However, their views regarding this remain largely unexamined.
aimThis study aimed to explore youth workers' perspectives on identifying and responding to psychosis in youth and the training needed to support them in this role.
methodsA sequential-independent mixed methods design was employed. A brief questionnaire was given to youth workers (n = 86) who attended a 1-day EIP training session, followed by semi-structured interviews with a subset of participants (n = 10) 3 months later.
resultsMost participants (98.8%) expressed confidence in recognising psychosis; however, stigma and challenging relationships with mental health services emerged as systemic barriers. Although most participants (98.8%) found the EIP training relevant to their role, they suggested it should form part of a broader mental health curriculum. There was a clear consensus among participants that such training is necessary and should be accessible, practical and actionable.
conclusionYouth workers are uniquely positioned in identifying and supporting young people at risk of psychosis, and this study underscores their willingness to take on this role. To best support them, training efforts should focus on trans-diagnostic approaches that enhance mental health literacy, address systemic barriers and promote multidisciplinary partnerships.
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