Schlief, Merle;
Rich, Nathalie;
Rains, Luke Sheridan;
Baldwin, Helen;
Rojas-Garcia, Antonio;
Nyikavaranda, Patrick;
Persaud, Karen;
... Johnson, Sonia; + view all
(2023)
Ethnic differences in receipt of psychological interventions in Early Intervention in Psychosis services in England – a cross-sectional study.
Psychiatry Research
, 330
, Article 115529. 10.1016/j.psychres.2023.115529.
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Abstract
There is some evidence of differences in psychosis care provision by ethnicity. We investigated variations in the receipt of CBTp and family intervention across ethnic groups in Early Intervention in Psychosis (EIP) teams throughout England, where national policy mandates offering these interventions to all. We included data on 29,610 service users from the National Clinical Audit of Psychosis (NCAP), collected between 2018 and 2021. We conducted mixed effects logistic regression to examine odds ratios of receiving an intervention (CBTp, family intervention, either intervention) across 17 ethnic groups while accounting for the effect of years and variance between teams and adjusting for individual- (age, gender, occupational status) and team-level covariates (care-coordinator caseload, inequalities strategies). Compared with White British people, every minoritized ethnic group, except those of mixed Asian-White and mixed Black African-White ethnicities, had significantly lower adjusted odds of receiving CBTp. People of Black African, Black Caribbean, non-African/Caribbean Black, non-British/Irish White, and of “any other” ethnicity also experienced significantly lower adjusted odds of receiving family intervention. Pervasive inequalities in receiving CBTp for first episode psychosis exist for almost all minoritized ethnic groups, and family intervention for many groups. Investigating how these inequalities arise should be a research priority.
| Type: | Article |
|---|---|
| Title: | Ethnic differences in receipt of psychological interventions in Early Intervention in Psychosis services in England – a cross-sectional study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.psychres.2023.115529 |
| Publisher version: | https://doi.org/10.1016/j.psychres.2023.115529 |
| Language: | English |
| Additional information: | Copyright © 2023 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/). |
| Keywords: | First episode psychosis, ethnicity, inequalities, CBTp, family intervention |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10180572 |
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