Pathways to early intervention services involving police or ambulance and disengagement rates in racialized and immigrant youth compared to the White majority DOI Creative Commons

Inès Boujelben,

Giuseppe D’Andrea, Clairélaine Ouellet‐Plamondon

et al.

Schizophrenia Research, Journal Year: 2025, Volume and Issue: 280, P. 122 - 129

Published: April 25, 2025

Early-intervention services (EIS) are the gold standard for first-episode psychosis (FEP). Immigrants and racialized youth with FEP more likely to access EIS through adverse pathways (police and/or ambulance-mediated) disengage from treatment. We aimed use a comprehensive, intersectional approach examine inequalities in care disengagement, comparing immigrants stratified by generational minority status, White majority non-immigrants. Incident cases two Canadian were according immigrant generation status. Pathways disengagement examined using logistic regression models adjusted potential confounders. Of 567 participants, 173 (30.8 %) experienced an pathway. The proportion of pathway was highest among first-generation (N = 52, 38.2 %), followed non-racialized 13, 32.5 second-generation 23, 32.4 %). non-immigrants 77, 26.9 6, 23.1 presented lower rates. Odds only significantly increased (OR 1.72, 95 % CI 1.06-2.80) compared Disengagement associated 1.80, 1.09-2.97), but not groups. relationship between moderated Racialized encounter pathways. interplay systemic, cultural, individual factors, including perceived need mental healthcare knowledge trust towards institutions can hinder services. Racially differing practices emergency response may play role. Further research is needed understand inequities access.

Language: Английский

Health-Promoting Effects and Everyday Experiences With a Mental Health App Using Ecological Momentary Assessments and AI-Based Ecological Momentary Interventions Among Young People: Qualitative Interview and Focus Group Study DOI Creative Commons
Selina Hiller, Christian Götzl, Christian Rauschenberg

et al.

JMIR mhealth and uhealth, Journal Year: 2025, Volume and Issue: 13, P. e65106 - e65106

Published: April 29, 2025

Background Considering the high prevalence of mental health conditions among young people and technological advancements artificial intelligence (AI)–based approaches in services, mobile (mHealth) apps for are a promising way low-threshold large-scale promotion, prevention, intervention strategies, especially people. However, insufficient evidence on health-promoting effects deficient user-centric designs emphasize necessity participatory methods interventions’ development processes. Objective This study aimed to explore people’s everyday experiences using an AI-based mHealth app promotion based ecological momentary assessments interventions. Our analysis qualitative data focused exploring use patterns daily life health–promoting effects. Methods We conducted problem-centered interviews focus groups with subsample 27 aged 14 25 years, who were participants 2 microrandomized trials testing evaluating (AI4U training). used approach, “co- peer researchers” from dialogue population actively engaged research processes analysis. Structural content guided Results Participants reported enhanced emotional self-awareness regulation through Young appreciated AI4U training managing emotions stress. They had no trust issues regarding disclosing their via life. Some faced challenges integrating it into routines highlighted value autonomy decision-making Conclusions findings reveal that benefited awareness management training, appreciating its anonymity facilitating disclosure. The results suggest self-directed may improve integration, although noted they sometimes avoided during distress despite recognizing potential benefits. These indicate importance balancing directed digital interventions harmonize compliance effectiveness highlight tailored solutions.

Language: Английский

Citations

1

Geographic Variation in Racial Disparities in Age-Adjusted Mortality Rates in Mississippi DOI Creative Commons
Isaac M. E. Dodd, Yousaf Zafar, Malachi E. Scott

et al.

Journal of Racial and Ethnic Health Disparities, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Language: Английский

Citations

0

Towards person-centered care in global mental health: implications for meta-analyses and clinical trials DOI Creative Commons
Davide Papola, Vikram Patel

Epidemiology and Psychiatric Sciences, Journal Year: 2025, Volume and Issue: 34

Published: Jan. 1, 2025

Language: Английский

Citations

0

Pathways to early intervention services involving police or ambulance and disengagement rates in racialized and immigrant youth compared to the White majority DOI Creative Commons

Inès Boujelben,

Giuseppe D’Andrea, Clairélaine Ouellet‐Plamondon

et al.

Schizophrenia Research, Journal Year: 2025, Volume and Issue: 280, P. 122 - 129

Published: April 25, 2025

Early-intervention services (EIS) are the gold standard for first-episode psychosis (FEP). Immigrants and racialized youth with FEP more likely to access EIS through adverse pathways (police and/or ambulance-mediated) disengage from treatment. We aimed use a comprehensive, intersectional approach examine inequalities in care disengagement, comparing immigrants stratified by generational minority status, White majority non-immigrants. Incident cases two Canadian were according immigrant generation status. Pathways disengagement examined using logistic regression models adjusted potential confounders. Of 567 participants, 173 (30.8 %) experienced an pathway. The proportion of pathway was highest among first-generation (N = 52, 38.2 %), followed non-racialized 13, 32.5 second-generation 23, 32.4 %). non-immigrants 77, 26.9 6, 23.1 presented lower rates. Odds only significantly increased (OR 1.72, 95 % CI 1.06-2.80) compared Disengagement associated 1.80, 1.09-2.97), but not groups. relationship between moderated Racialized encounter pathways. interplay systemic, cultural, individual factors, including perceived need mental healthcare knowledge trust towards institutions can hinder services. Racially differing practices emergency response may play role. Further research is needed understand inequities access.

Language: Английский

Citations

0