Adherence to Follow-Up in First-Episode Psychosis

Abstract

Although Canada is often perceived as tolerant of diversity, our data regarding poor follow-up in black patients indicate similar problems to those reported in the United Kingdom and United States. Clinicians may have low expectations for visible minority patients and thus notice more consistently when these patients adhere to treatment. This is the first study to examine ethnic differences in adherence to first-episode psychosis follow-up in a Canadian setting.

‘It Just Feels Like an Invasion’: Black First-Episode Psychosis Patients’ Experiences With Coercive Intervention and Its Influence on Help-Seeking Behaviours

“…outpatient programs). African-Caribbean patients with psychosis have been found to undergo more police or ambulance referrals to the Emergency Department when psychotic (Jarvis et al, 2005), report more social coercion than members of other immigrant groups (Tran et al, 2019), have less general practitioner involvement (Anderson et al, 2015; Rotenberg et al, 2017) and have worse follow-up in comparison to other patient groups (Anderson, 2018; Nikolitch et al, 2018). There is still a paucity of research on coercive intervention, especially among FEP patients in the Canadian context where there has been an assumption of multiculturalism and tolerance for minorities (Anderson et al, 2014).…”

Incidence, Racial Disparities and Factors Related to Psychosis among Black Individuals in Canada: A Scoping Review

“…Of the 15 studies, five focused primarily on Black individuals, 52 , 55 , 56 , 59 , 60 while three focused on immigrants, refugees and migrants, 51 , 62 , 63 and seven others focused on diverse ethnic populations. 49 , 50 , 53 , 54 , 57 , 58 , 61 …”

“…A single study explored the role of ethnicity in adherence to follow-up. 49 This mixed methods study focused on the quality of follow-up, in addition to interviewing case managers to research their perception of their patients’ adherence to various aspects of their treatment. They found that Black participants were 24% less likely to receive an effective follow-up compared to White participants ( P = 0.04).…”

“…A total of 15 studies were included in the present scoping review (see Table 1 for detailed information). There was only one mixed-methods study 49 and 14 quantitative studies. [50][51][52][53][54][55][56][57][58][59][60][61][62][63] Eight studies were conducted in Ontario, the most populous province in Canada, which contains more than half of the country's Black population.…”

“…[50][51][52][53][54][55][56][57][58][59][60][61][62][63] Eight studies were conducted in Ontario, the most populous province in Canada, which contains more than half of the country's Black population. 51,52,54,57,58,60,61,63 Seven studies were conducted in Montreal (Quebec), 49,50,53,55,56,59,62 including one that was set in both Montreal (Canada) and Padua (Italy). 56 The studies were published between 2005 and 2021.…”