ArticlePloS one2026
Barriers and facilitators to establishing Early Psychosis Intervention (EPI) services in remote and rural communities across Canada.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Implementing Coordinated Specialty Care Programs for Psychosis Across the U.S.: State-Level Administrator and Provider Perspectives.Community mental health journal · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThere is a paucity of data on how Early Psychosis Intervention (EPI) services adapt to the challenges of rural practice, including geographical isolation and provider shortages. This qualitative study seeks to fill this gap by exploring the experiences of EPI programs in rural and remote communities in Canada.
methodsAn introductory email was sent to 117 EPI contacts, inviting them to first complete a survey and then participate in a semi-structured interview if their program contained a rural component. The interviews were conducted between June 2023-January 2024 via Zoom or phone by a member of our research team, while another member took detailed notes. Qualitative data was analyzed using thematic analysis.
resultsTwenty-five representatives from seventeen distinct EPI programs with a rural and remote component across seven Canadian provinces and one Canadian territory participated in the interviews. Several barriers to establishing EPI programs in rural and remote areas were identified, including limited access to care, challenges in referral processes, geographical and technological constraints, and funding limitations. Facilitators of successful program delivery included the use of virtual care, standardized care models, strong leadership and teamwork, and adaptive resourcefulness in addressing local needs.
conclusionIdentifying and addressing these barriers and leveraging facilitators can enhance the accessibility and effectiveness of EPI service delivery in rural and remote areas.
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