%0 Journal Article
%T Structural disadvantage and culture, race, and ethnicity in early psychosis services: international provider survey
%J Psychiatric services
%D 2021
%A Compton, Michael T.
%A Manseau, Marc
%A Perry, Chris
%A Mascayano, Franco
%A Oluwoye, Oladunni
%A Kamens, Sarah
%A Jones, Nev
%V ePub
%N ePub
%P ePub-ePub
%X OBJECTIVE: Little is known about provider perspectives on programmatic responses to structural disadvantage and cultural differences within early intervention in  psychosis (EIP) services, programs, and models. The primary objective of this study  was to investigate providers' perspectives on the impacts of disadvantage and  minority race, ethnicity, and culture and to describe current practices and  perceived gaps and concerns. <br><br>METHODS: An online survey of specialized EIP providers  was disseminated in the United Kingdom, United States, Canada, Australia, and Chile. A total of 164 providers, representing 110 unique sites, completed the survey. Closed-ended questions gathered demographic and program data, including information  on formal assessment of trauma or adversity, integration of trauma-informed care,  integration of formal cultural assessment tools, training focused on culture,  programmatic changes to address culture-related issues, and consultation with  cultural insiders. Open-ended questions addressed the demographic mix of the  program's client population; the perceived role and influence of trauma, structural  disadvantage, and cultural differences; and concerns and needs related to these  topics. Frequencies were examined for closed-ended items; open-ended responses were  systematically coded. <br><br>RESULTS: Overall, survey findings suggested low levels of  implementation of a variety of assessment and support practices related to cultural  diversity in EIP programs. Coding of open-ended responses revealed numerous concerns  regarding the impacts of disadvantage and cultural difference on clients and  perceived gaps in policy and implementation. <br><br>CONCLUSIONS: An expansion of research  and service development aimed at better meeting the disadvantage- and  culture-related needs of young people with early psychosis and their families should  be a priority for the field.<p /> <p>Language: en</p>
%G en
%I American Psychiatric Association
%@ 1075-2730
%U http://dx.doi.org/10.1176/appi.ps.202000211