Ethnic differences in receipt of psychological interventions in Early Intervention in Psychosis services in England: a cross-sectional study

• DOI: 10.1101/2023.03.14.23287199
• Publication Date: 2023-03-19T07:49:44Z
• Authors: Merle Schlief; Nathalie Rich; Luke Sheridan Rains; Helen Baldwin; Antonio Rojas-Garcia; Patrick Nyikavaranda; Karen Persaud; Ceri Dare; Paul French; Brynmor Lloyd-Evans; Mike Crawford; Jo Smith; James B. Kirkbride; Sonia Johnson
• Keywords: White British; Odds; Receipt

Abstract Background There is some evidence of inequitable psychosis care provision by ethnicity. We investigated variations in the receipt CBTp and family intervention across ethnic groups Early Intervention Psychosis (EIP) teams throughout England, where national policy mandates offering these interventions to all. Methods included data on 29,610 service users from National Clinical Audit (NCAP), collected between 2018 2021. conducted mixed effects logistic regression examine odds ratios receiving an (CBTp, intervention, or either intervention) 17 while accounting for effect years variance adjusting individual- (age, gender, occupational status) team-level covariates (care-coordinator caseload mental health inequalities strategies). Findings Compared with White British people, every minoritized group, except those Asian-White Black African-White ethnicities, had lower adjusted (aOR 0·39, 95%CI 0·32-0·47 0·80, 0·64-1·00). People African (0·61, 0·53-0·69), Caribbean (0·67, 0·56-0·81), non-African/Caribbean (0·63, 0·51-0·79), non-British/Irish (0·73, 0·64-0·84), “any other” (0·66, 0·54-0·81) ethnicity also experienced intervention. Interpretation Pervasive first episode exist almost all groups, many groups. Investigating how arise should be a research priority, allowing co-produced development testing approaches address them. Funding Independent commissioned funded Institute Health Research Policy Programme.