Disengagement in immigrant groups receiving services for a first episode of psychosis

Maraj, Anika; Veru, Franz; Morrison, Laura; Joober, Ridha; Malla, Ashok; Iyer, Srividya N.; Shah, Jai

doi:10.1016/j.schres.2017.07.054

Cited by 50 publications

(17 citation statements)

References 30 publications

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“…In terms of treatment continuation, a survey conducted by the World Health Organization showed that the discontinuation rate for psychiatric treatments was about 20% [52]. In a Canadian study of first-episode psychosis, disengagement rates did not differ significantly between immigrant and non-immigrant groups (23% vs. 25%) [53]. Although it remains uncertain whether immigrants are more likely to discontinue treatment than the general population, the discontinuation rate in the present study (32.2%) appeared to be fairly high (Table 1).…”

Section: Treatment Outcomementioning

confidence: 99%

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: a multicentre study in a metropolitan area

et al. 2020

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Background International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognised as a risk factor for multiple mental-health related issues, there are few regional reports on foreign nationals accessing the psychiatric services in Japan. We aimed to reveal their current status and provide information to develop an optimal service system. Methods A multicentre retrospective document review research was conducted. The subjects were foreign nationals who resided in Japan and presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of 3 years. We investigated the patients’ demographic and clinical information including country/region of origin, spoken language, use of a medical interpreter, pathway to hospitals and outcome. Results The percentage of foreign patients among all patients (1.4%) was quite low. Their age distribution (45.8 years on average) was dissociated from the age distribution of foreign nationals who resided in Japan. Regarding the country/region of origin, China (35.1%) was the most common country, followed by the Philippines, Korea and Brazil. Several subjects (22.9%) could not speak Japanese; therefore, interpretation was required by family members/friends (17.1%) or a professional interpreter (5.4%). Neurotic and stress-related disorders were the most common diagnosis (24.4%). The proportion of psychoactive substance use was higher than that for Japanese national data as immigrants are known to be at risk for it. Conclusions The results suggest that foreign nationals who reside in Japan are less likely to contact appropriate services for mental illness, especially young people at relatively high risk of mental illness do not access services. Furthermore, lack of medical interpreters may impede the mental health conditions of foreign nationals. The development of a community-based integrated care system accessible to foreign nationals seems to be indispensable.

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Section: Treatment Outcomementioning

confidence: 99%

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: a multicentre study in a metropolitan area

et al. 2020

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“…In terms of treatment continuation, a survey conducted by the World Health Organization showed that the discontinuation rate for psychiatric treatments was about 20 percent [52]. In a Canadian study of rstepisode psychosis, disengagement rates did not differ signi cantly between immigrant and nonimmigrant groups (23% vs. 25%) [53]. Although it remains uncertain whether immigrants are more likely to discontinue treatment than the general population, the discontinuation rate in the present study (32.2%) appeared to be fairly high (Table 1).…”

Section: Treatment Outcomementioning

confidence: 99%

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Takubo

Nemoto

Iwai

et al. 2020

Preprint

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Background: International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognized as a risk factor for multiple mental-health related issues, there are few regional reports on foreign residents who visit a hospital for mental health problems in Japan. We aimed to examine such patients’ characteristics.Methods: A multicenter retrospective study using medical records was conducted. The subjects were foreign patients who presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of three years. We investigated the patients’ demographic and clinical information including country/region of origin, spoken language, use of a medical interpreter, pathway to hospitals, and outcome.Results: The percentage of foreign individuals among all patients was 1.4% (205/14511). The mean age of the foreign patients was 45.8 years, and the sex ratio was 1:1.9 (men: women). Regarding the country/region of origin, China (35.1%) was the most common country, followed by the Philippines (18.5%), Korea (16.1%), and Brazil (4.9%). Several subjects (22.9%) could not speak Japanese; therefore, interpretation was required by family members/friends (17.1%) or a professional interpreter (5.4%). Neurotic disorder (ICD-10 code: F4) was the most common diagnosis (24.4%).Conclusions: The percentage of foreign patients seeking psychiatric treatment (1.4%) was relatively low, compared with the percentage of foreign residents living in the Keihin region (4.4%). The age distribution of foreign residents who visited psychiatric department was dissociated from the age distribution of foreign residents in Japan. This suggests that young foreign residents with a relatively high risk for mental illness are not accessing appropriate services. The development of a community-based integrated care system accessible to foreign residents seems to be indispensable.

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“…In terms of treatment continuation, a survey conducted by the World Health Organization showed that the discontinuation rate for psychiatric treatments was about 20% [50]. In a Canadian study of rst-episode psychosis, disengagement rates did not differ signi cantly between immigrant and non-immigrant groups (23% vs. 25%) [51]. Although it remains uncertain whether immigrants are more likely to discontinue treatment than the general population, the discontinuation rate in the present study (32.2%) appeared to be fairly high (Table 1).…”

Section: Treatment Outcomementioning

confidence: 99%

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: a multicenter study in a metropolitan area

Takubo

Nemoto

Iwai

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognized as a risk factor for multiple mental-health related issues, there are few regional reports on foreign residents who visit a hospital for mental health problems in Japan. We aimed to examine such patients’ characteristics. Methods: A multicenter retrospective study using medical records was conducted. The subjects were foreign patients who presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of three years. We investigated the patients’ demographic and clinical information including nationality/region, spoken language, use of a medical interpreter, pathway to hospitals, and outcome. Results: The percentage of foreign individuals among all patients was 1.4% (205/14511). The mean age of the foreign patients was 45.8 years, and the sex ratio was 1:1.9 (men: women). China (35.1%) was the most common nationality, followed by the Philippines (18.5%), Korea (16.1%), and Brazil (4.9%). About one-fourth of the subjects could not speak Japanese; therefore, interpretation was required by family members/friends (17.1%) or a professional interpreter (5.4%). Neurotic disorder (ICD code: F4) was the most common diagnosis (24.4%). Conclusions: The percentage of foreign patients seeking psychiatric treatment (1.4%) was relatively low, compared with the percentage of foreign residents living in the Keihin region (4.4%). The age distribution of foreign residents who visited psychiatric department was dissociated from the age distribution of foreign residents in Japan. This suggests that young foreign residents with a relatively high risk for mental illness are not accessing appropriate services. The development of a community-based integrated care system accessible to foreign residents seems to be indispensable.

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Disengagement in immigrant groups receiving services for a first episode of psychosis

Cited by 50 publications

References 30 publications

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: a multicentre study in a metropolitan area

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: a multicentre study in a metropolitan area

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: a multicenter study in a metropolitan area

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