Pathways to Care, Ethnicity and Psychotic Disorders: Examining Policy Impacts and Community-Based Interventions

Wood, Nikki (2024) Pathways to Care, Ethnicity and Psychotic Disorders: Examining Policy Impacts and Community-Based Interventions. Doctoral thesis, University of East Anglia.

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Abstract

Background: Outcomes for psychosis improve if people access early support and treatment. There are several sociodemographic, pathways to care (PtC) and clinical factors that are associated with delays in treatment. This thesis examines community-level interventions aimed at improving these delays within community and primary care settings for people from minority ethnic groups. Furthermore, it explores the impact of ethnicity, age, sex, relationship status, educational level, employment status, occupation, referral source and primary diagnosis on wait time for early intervention for psychosis (EIP) services.

Methods: A systematic review of community-level interventions aimed at improving PtC to psychosis treatment for minority ethnic communities was executed. An empirical study that explored wait time across sociodemographic, PtC and clinical factors was completed. Data from non-identifiable clinical records were analysed using descriptive statistics and regression models.

Results: Five studies met the inclusion criteria and reported on two interventions. Both interventions were conducted in the United States. Some increases in views of professional help-seeking were observed. Barriers and facilitators of the interventions were also identified. A total of 1806 patients were included in the empirical study. Results showed 73% of patients were not seen by the community EIP team within two weeks. Longer wait time for EIP services was associated with increases in age and contact via community EIP services and shorter wait time was associated with A&E or ‘other’ referrals. White non-British and South Asian groups had shorter wait times due to them being more represented in inpatient admission.

Conclusions: The empirical paper highlights ongoing disparities for minority ethnic groups, and the systematic review highlighted that community-level interventions could be valuable for improving help-seeking in minority ethnic groups (caution is needed due to limited evidence). Further research is required to develop and implement interventions for minority groups to reduce disparities in psychosis care and treatment.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Chris White
Date Deposited:	07 Nov 2024 08:39
Last Modified:	07 Nov 2024 08:39
URI:	https://ueaeprints.uea.ac.uk/id/eprint/97501
DOI:

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