Racial-Ethnic Disparities in First-Episode Psychosis Treatment Outcomes From the RAISE-ETP Study

Psychiatric Services : a Journal of the American Psychiatric Association
Oladunni OluwoyeMichael G McDonell

Abstract

This study examined racial and ethnic differences in treatment outcomes among participants in a randomized controlled trial of an intervention for first-episode psychosis called NAVIGATE. Secondary data analyses were conducted for participants randomly assigned to usual community care (N=181) and NAVIGATE (N=223). Generalized estimating equations assessed whether race and ethnicity were associated with psychiatric symptoms and service use (medication management, family psychoeducation, and individual therapy) over a 24-month treatment period, accounting for baseline symptoms, duration of untreated psychosis, and insurance status. Among persons in usual community care, non-Hispanic blacks scored significantly higher throughout treatment on measures of positive symptoms (β=2.15, p=.010), disorganized thoughts (β=1.15, p=.033), and uncontrolled hostility (β=.74, p=.027), compared with non-Hispanic whites, and non-Hispanic blacks were less likely than non-Hispanic whites to receive individual therapy (OR=.45, p=.001). Families of Hispanic participants in usual community care were less likely than non-Hispanic white families to receive family psychoeducation (OR=.20, p=.01). For NAVIGATE participants, race and ethnicity were not ass...Continue Reading

Citations

Jul 19, 2020·Social Psychiatry and Psychiatric Epidemiology·Sherifat OduolaCraig Morgan
Feb 4, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Nev JonesLisa B Dixon
Feb 4, 2021·Current Opinion in Psychiatry·Lynn E DeLisi, Iris E C Sommer
Apr 7, 2021·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Doron Amsalem, Andrés Martin
Apr 21, 2021·Administration and Policy in Mental Health·Oladunni OluwoyeMichael G McDonell
Jun 3, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Bess Rose FriedmanAnnette S Crisanti

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GEE
NAVIGATE
SPSS

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