TY  - JOUR
PY  - 2023//
TI  - Ethnic differences in receipt of psychological interventions in early intervention in psychosis services in England - a cross-sectional study
JO  - Psychiatry research
A1  - Schlief, Merle
A1  - Rich, Nathalie
A1  - Rains, Luke Sheridan
A1  - Baldwin, Helen
A1  - Rojas-García, Antonio
A1  - Nyikavaranda, Patrick
A1  - Persaud, Karen
A1  - Dare, Ceri
A1  - French, Paul
A1  - Lloyd-Evans, Brynmor
A1  - Crawford, Mike
A1  - Smith, Jo
A1  - Kirkbride, James B.
A1  - Johnson, Sonia
SP  - e115529
EP  - e115529
VL  - 330
IS  - 
N2  - There is some evidence of differences in psychosis care provision by ethnicity. We investigated variations in the receipt of Cognitive Behavioural Therapy for psychosis (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 analyses 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2023.115529
ID  - ref1
ER  -