Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge
Objective:The study compared engagement in treatment and medication adherence of immigrants and nonimmigrants in early intervention services for persons with first-episode psychosis.Methods:This two-year longitudinal prospective cohort study recruited patients with first-episode psychosis who were e...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2015-07, Vol.66 (7), p.757-759 |
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| container_title | Psychiatric services (Washington, D.C.) |
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| creator | Ouellet-Plamondon, Clairélaine Rousseau, Cecile Nicole, Luc Abdel-Baki, Amal |
| description | Objective:The study compared engagement in treatment and medication adherence of immigrants and nonimmigrants in early intervention services for persons with first-episode psychosis.Methods:This two-year longitudinal prospective cohort study recruited patients with first-episode psychosis who were entering early intervention services in Montreal, Canada (N=223). Data on sociodemographic characteristics, symptoms, and social functioning were collected annually.Results:At two years, immigrants had more than three times the odds of attrition than nonimmigrants after the analysis controlled for potential confounding factors (first-generation immigrants: odds ratio [OR]=3.11, 95% confidence interval [CI]=1.01–9.57, p=.049); second-generation immigrants: OR=3.65, CI=1.07–12.50, p=.039). Medication adherence was similar among those who remained in the programs.Conclusions:During the two years after entering a program for first-episode psychosis, immigrants were more likely than nonimmigrants to disengage from treatment. Further research is warranted to understand this phenomenon and to improve the ability of services to engage immigrants with first-episode psychosis. |
| doi_str_mv | 10.1176/appi.ps.201300284 |
| format | Article |
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Data on sociodemographic characteristics, symptoms, and social functioning were collected annually.Results:At two years, immigrants had more than three times the odds of attrition than nonimmigrants after the analysis controlled for potential confounding factors (first-generation immigrants: odds ratio [OR]=3.11, 95% confidence interval [CI]=1.01–9.57, p=.049); second-generation immigrants: OR=3.65, CI=1.07–12.50, p=.039). Medication adherence was similar among those who remained in the programs.Conclusions:During the two years after entering a program for first-episode psychosis, immigrants were more likely than nonimmigrants to disengage from treatment. Further research is warranted to understand this phenomenon and to improve the ability of services to engage immigrants with first-episode psychosis.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.201300284</identifier><identifier>PMID: 25828871</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Adolescent ; Adult ; Canada - ethnology ; Comparative studies ; Early Medical Intervention ; Emigrants and Immigrants - statistics & numerical data ; Female ; Humans ; Intervention ; Logistic Models ; Longitudinal Studies ; Male ; Mental disorders ; Mental health care ; Participation ; Patient Acceptance of Health Care - ethnology ; Prospective Studies ; Psychosis ; Psychotic Disorders - therapy ; Social Adjustment ; Time-to-Treatment - statistics & numerical data ; Young Adult</subject><ispartof>Psychiatric services (Washington, D.C.), 2015-07, Vol.66 (7), p.757-759</ispartof><rights>Copyright © 2015 by the American Psychiatric Association 2015</rights><rights>Copyright American Psychiatric Publishing, Inc. Jul 1, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a368t-fffef970a88084db93c9a466abe77fc1dd19b3ba64372b1c35c2aed3fab0869d3</citedby><cites>FETCH-LOGICAL-a368t-fffef970a88084db93c9a466abe77fc1dd19b3ba64372b1c35c2aed3fab0869d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.201300284$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.201300284$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,21626,21627,21628,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25828871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ouellet-Plamondon, Clairélaine</creatorcontrib><creatorcontrib>Rousseau, Cecile</creatorcontrib><creatorcontrib>Nicole, Luc</creatorcontrib><creatorcontrib>Abdel-Baki, Amal</creatorcontrib><title>Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>Objective:The study compared engagement in treatment and medication adherence of immigrants and nonimmigrants in early intervention services for persons with first-episode psychosis.Methods:This two-year longitudinal prospective cohort study recruited patients with first-episode psychosis who were entering early intervention services in Montreal, Canada (N=223). Data on sociodemographic characteristics, symptoms, and social functioning were collected annually.Results:At two years, immigrants had more than three times the odds of attrition than nonimmigrants after the analysis controlled for potential confounding factors (first-generation immigrants: odds ratio [OR]=3.11, 95% confidence interval [CI]=1.01–9.57, p=.049); second-generation immigrants: OR=3.65, CI=1.07–12.50, p=.039). Medication adherence was similar among those who remained in the programs.Conclusions:During the two years after entering a program for first-episode psychosis, immigrants were more likely than nonimmigrants to disengage from treatment. Further research is warranted to understand this phenomenon and to improve the ability of services to engage immigrants with first-episode psychosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Canada - ethnology</subject><subject>Comparative studies</subject><subject>Early Medical Intervention</subject><subject>Emigrants and Immigrants - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Intervention</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Participation</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Prospective Studies</subject><subject>Psychosis</subject><subject>Psychotic Disorders - therapy</subject><subject>Social Adjustment</subject><subject>Time-to-Treatment - statistics & numerical data</subject><subject>Young Adult</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Pg0AQhjdGY2v1B3gxJF68gPsBu4s3Q1pt0kQP9UwGWOg2sOAuHPrvpbbWxMTTzOF535k8CN0SHBAi-CN0nQ46F1BMGMZUhmdoSqJI-LHA-HzcsYh8KhieoCvnthhjIgi_RBMaSSqlIFO0mJsKKm0qb9k0urJgeudp483B1jvv3e3yTeu089ZWQd8o0z95z15Sa6NzqL1kA3WtTKWu0UUJtVM3xzlDH4v5Onn1V28vy-R55QPjsvfLslTl-BxIiWVYZDHLYwg5h0wJUeakKEicsQx4yATNSM6inIIqWAkZljwu2Aw9HHo7234OyvVpo12u6hqMageXEh4zImnM2Ije_0G37WDN-N2eCgUVoeQjRQ5UblvnrCrTzuoG7C4lON1LTveS086lJ8lj5u7YPGSNKk6JH6sjEByA7-zv2X8bvwDKTYei</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Ouellet-Plamondon, Clairélaine</creator><creator>Rousseau, Cecile</creator><creator>Nicole, Luc</creator><creator>Abdel-Baki, Amal</creator><general>American Psychiatric Association</general><general>American Psychiatric Publishing, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20150701</creationdate><title>Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge</title><author>Ouellet-Plamondon, Clairélaine ; Rousseau, Cecile ; Nicole, Luc ; Abdel-Baki, Amal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a368t-fffef970a88084db93c9a466abe77fc1dd19b3ba64372b1c35c2aed3fab0869d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Canada - ethnology</topic><topic>Comparative studies</topic><topic>Early Medical Intervention</topic><topic>Emigrants and Immigrants - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Intervention</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental health care</topic><topic>Participation</topic><topic>Patient Acceptance of Health Care - ethnology</topic><topic>Prospective Studies</topic><topic>Psychosis</topic><topic>Psychotic Disorders - therapy</topic><topic>Social Adjustment</topic><topic>Time-to-Treatment - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ouellet-Plamondon, Clairélaine</creatorcontrib><creatorcontrib>Rousseau, Cecile</creatorcontrib><creatorcontrib>Nicole, Luc</creatorcontrib><creatorcontrib>Abdel-Baki, Amal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ouellet-Plamondon, Clairélaine</au><au>Rousseau, Cecile</au><au>Nicole, Luc</au><au>Abdel-Baki, Amal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>66</volume><issue>7</issue><spage>757</spage><epage>759</epage><pages>757-759</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>Objective:The study compared engagement in treatment and medication adherence of immigrants and nonimmigrants in early intervention services for persons with first-episode psychosis.Methods:This two-year longitudinal prospective cohort study recruited patients with first-episode psychosis who were entering early intervention services in Montreal, Canada (N=223). Data on sociodemographic characteristics, symptoms, and social functioning were collected annually.Results:At two years, immigrants had more than three times the odds of attrition than nonimmigrants after the analysis controlled for potential confounding factors (first-generation immigrants: odds ratio [OR]=3.11, 95% confidence interval [CI]=1.01–9.57, p=.049); second-generation immigrants: OR=3.65, CI=1.07–12.50, p=.039). Medication adherence was similar among those who remained in the programs.Conclusions:During the two years after entering a program for first-episode psychosis, immigrants were more likely than nonimmigrants to disengage from treatment. Further research is warranted to understand this phenomenon and to improve the ability of services to engage immigrants with first-episode psychosis.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>25828871</pmid><doi>10.1176/appi.ps.201300284</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals; EZB Electronic Journals Library |
| subjects | Adolescent Adult Canada - ethnology Comparative studies Early Medical Intervention Emigrants and Immigrants - statistics & numerical data Female Humans Intervention Logistic Models Longitudinal Studies Male Mental disorders Mental health care Participation Patient Acceptance of Health Care - ethnology Prospective Studies Psychosis Psychotic Disorders - therapy Social Adjustment Time-to-Treatment - statistics & numerical data Young Adult |
| title | Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge |
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