Intersecting disadvantage: Unpacking poor outcomes within early intervention in psychosis services

Early Intervention in Psychiatry
Nev JonesLarry Davidson

Abstract

In order to strengthen specialized early intervention in psychosis (EIP) services, a contextually nuanced understanding of psychosocial forces driving suboptimal treatment response is critical. This study sought to examine factors driving poor outcomes through a systematic emic coding of psychosocial assessments for discharged EIP clients categorized as leaving with all treatment goals met (AG) or no treatment goals met (NG). Psychosocial assessments at baseline, 1 year, 2 years and discharge were extracted from an EIP research registry and systematically coded. One hundred and thirty clients met the study's inclusion criteria (72 NG, 58 AG) from a larger pool of 278. Assessments were coded, quantized and analysed using a combination of basic inferential statistics and thematic analysis. Structural adversity, individual trauma, history of aggression/violence, limited insight and long treatment histories prior to EIP, were strong and significant predictors of poor client outcomes (NG), while motivation for treatment, college goals or preparedness at baseline, baseline engagement in constructive activities, social strengths, individual strengths, talents and family support strongly predicted better outcomes (AG). Race/ethnicity a...Continue Reading

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Citations

Aug 2, 2018·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Anika MarajJai L Shah
Jan 13, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Nev JonesMichael T Compton
Feb 4, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Nev JonesLisa B Dixon

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