Systematic review of pathways to care in the U.S. for Black individuals with early psychosis

Abstract The pathway to receiving specialty care for first episode psychosis (FEP) among Black youth in the US has received little attention despite documented challenges that negatively impact engagement in care and clinical outcomes. We conducted a systematic review of US-based research, reporting...

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Autores principales:	Oladunni Oluwoye, Beshaun Davis, Franchesca S. Kuhney, Deidre M. Anglin
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/349c8f57816f4cee8a1b324d1319a807
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spelling	oai:doaj.org-article:349c8f57816f4cee8a1b324d1319a8072021-12-05T12:10:27ZSystematic review of pathways to care in the U.S. for Black individuals with early psychosis10.1038/s41537-021-00185-w2334-265Xhttps://doaj.org/article/349c8f57816f4cee8a1b324d1319a8072021-12-01T00:00:00Zhttps://doi.org/10.1038/s41537-021-00185-whttps://doaj.org/toc/2334-265XAbstract The pathway to receiving specialty care for first episode psychosis (FEP) among Black youth in the US has received little attention despite documented challenges that negatively impact engagement in care and clinical outcomes. We conducted a systematic review of US-based research, reporting findings related to the pathway experiences of Black individuals with FEP and their family members. A systematic search of PubMed, PsycInfo, and Embase/Medline was performed with no date restrictions up to April 2021. Included studies had samples with at least 75% Black individuals and/or their family members or explicitly examined racial differences. Of the 80 abstracts screened, 28 peer-reviewed articles met the inclusion criteria. Studies were categorized into three categories: premordid and prodromal phase, help-seeking experiences, and the duration of untreated psychosis (DUP). Compounding factors such as trauma, substance use, and structural barriers that occur during the premorbid and prodromal contribute to delays in treatment initiation and highlight the limited use of services for traumatic childhood experiences (e.g., sexual abuse). Studies focused on help-seeking experiences demonstrated the limited use of mental health services and the potentially traumatic entry to services (e.g., law enforcement), which is associated with a longer DUP. Although the majority of studies focused on help-seeking experiences and predictors of DUP, findings suggests that for Black populations, there is a link between trauma and substance use in the pathway to care that impacts the severity of symptoms, initiation of treatment, and DUP. The present review also identifies the need for more representative studies of Black individuals with FEP.Oladunni OluwoyeBeshaun DavisFranchesca S. KuhneyDeidre M. AnglinNature PortfolioarticlePsychiatryRC435-571ENnpj Schizophrenia, Vol 7, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Oladunni Oluwoye Beshaun Davis Franchesca S. Kuhney Deidre M. Anglin Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
description	Abstract The pathway to receiving specialty care for first episode psychosis (FEP) among Black youth in the US has received little attention despite documented challenges that negatively impact engagement in care and clinical outcomes. We conducted a systematic review of US-based research, reporting findings related to the pathway experiences of Black individuals with FEP and their family members. A systematic search of PubMed, PsycInfo, and Embase/Medline was performed with no date restrictions up to April 2021. Included studies had samples with at least 75% Black individuals and/or their family members or explicitly examined racial differences. Of the 80 abstracts screened, 28 peer-reviewed articles met the inclusion criteria. Studies were categorized into three categories: premordid and prodromal phase, help-seeking experiences, and the duration of untreated psychosis (DUP). Compounding factors such as trauma, substance use, and structural barriers that occur during the premorbid and prodromal contribute to delays in treatment initiation and highlight the limited use of services for traumatic childhood experiences (e.g., sexual abuse). Studies focused on help-seeking experiences demonstrated the limited use of mental health services and the potentially traumatic entry to services (e.g., law enforcement), which is associated with a longer DUP. Although the majority of studies focused on help-seeking experiences and predictors of DUP, findings suggests that for Black populations, there is a link between trauma and substance use in the pathway to care that impacts the severity of symptoms, initiation of treatment, and DUP. The present review also identifies the need for more representative studies of Black individuals with FEP.
format	article
author	Oladunni Oluwoye Beshaun Davis Franchesca S. Kuhney Deidre M. Anglin
author_facet	Oladunni Oluwoye Beshaun Davis Franchesca S. Kuhney Deidre M. Anglin
author_sort	Oladunni Oluwoye
title	Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
title_short	Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
title_full	Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
title_fullStr	Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
title_full_unstemmed	Systematic review of pathways to care in the U.S. for Black individuals with early psychosis
title_sort	systematic review of pathways to care in the u.s. for black individuals with early psychosis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/349c8f57816f4cee8a1b324d1319a807
work_keys_str_mv	AT oladunnioluwoye systematicreviewofpathwaystocareintheusforblackindividualswithearlypsychosis AT beshaundavis systematicreviewofpathwaystocareintheusforblackindividualswithearlypsychosis AT franchescaskuhney systematicreviewofpathwaystocareintheusforblackindividualswithearlypsychosis AT deidremanglin systematicreviewofpathwaystocareintheusforblackindividualswithearlypsychosis
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Systematic review of pathways to care in the U.S. for Black individuals with early psychosis

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