Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use

Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-hi...
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Autor*in:	Fordham, Eliza [verfasserIn] Gao, Caroline X. [verfasserIn] Filia, Kate [verfasserIn] O'Donoghue, Brian [verfasserIn] Smith, Catherine [verfasserIn] Francey, Shona [verfasserIn] Rickwood, Debra [verfasserIn] Telford, Nic [verfasserIn] Thompson, Andrew [verfasserIn] Brown, Ellie [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services

Übergeordnetes Werk:	Enthalten in: Psychiatry research - Amsterdam [u.a.] : Elsevier Science, 1979, 328
Übergeordnetes Werk:	volume:328

DOI / URN:	10.1016/j.psychres.2023.115478

Katalog-ID:	ELV064900517

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520			\|a Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services.
650		4	\|a First episode psychosis
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650		4	\|a Young people
650		4	\|a Social disadvantage
650		4	\|a Early psychosis services
700	1		\|a Gao, Caroline X. \|e verfasserin \|0 (orcid)0000-0002-0987-2759 \|4 aut
700	1		\|a Filia, Kate \|e verfasserin \|0 (orcid)0000-0001-6581-5890 \|4 aut
700	1		\|a O'Donoghue, Brian \|e verfasserin \|4 aut
700	1		\|a Smith, Catherine \|e verfasserin \|0 (orcid)0000-0001-9327-0154 \|4 aut
700	1		\|a Francey, Shona \|e verfasserin \|4 aut
700	1		\|a Rickwood, Debra \|e verfasserin \|4 aut
700	1		\|a Telford, Nic \|e verfasserin \|4 aut
700	1		\|a Thompson, Andrew \|e verfasserin \|0 (orcid)0000-0002-0567-6013 \|4 aut
700	1		\|a Brown, Ellie \|e verfasserin \|0 (orcid)0000-0002-1645-5443 \|4 aut
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allfields	10.1016/j.psychres.2023.115478 doi (DE-627)ELV064900517 (ELSEVIER)S0165-1781(23)00428-6 DE-627 ger DE-627 rda eng 610 VZ 44.91 bkl Fordham, Eliza verfasserin (orcid)0009-0003-9005-8854 aut Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services. First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services Gao, Caroline X. verfasserin (orcid)0000-0002-0987-2759 aut Filia, Kate verfasserin (orcid)0000-0001-6581-5890 aut O'Donoghue, Brian verfasserin aut Smith, Catherine verfasserin (orcid)0000-0001-9327-0154 aut Francey, Shona verfasserin aut Rickwood, Debra verfasserin aut Telford, Nic verfasserin aut Thompson, Andrew verfasserin (orcid)0000-0002-0567-6013 aut Brown, Ellie verfasserin (orcid)0000-0002-1645-5443 aut Enthalten in Psychiatry research Amsterdam [u.a.] : Elsevier Science, 1979 328 Online-Ressource (DE-627)306661446 (DE-600)1500675-X (DE-576)08198698X 1872-7123 nnns volume:328 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 Psychiatrie Psychopathologie VZ AR 328
spelling	10.1016/j.psychres.2023.115478 doi (DE-627)ELV064900517 (ELSEVIER)S0165-1781(23)00428-6 DE-627 ger DE-627 rda eng 610 VZ 44.91 bkl Fordham, Eliza verfasserin (orcid)0009-0003-9005-8854 aut Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services. First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services Gao, Caroline X. verfasserin (orcid)0000-0002-0987-2759 aut Filia, Kate verfasserin (orcid)0000-0001-6581-5890 aut O'Donoghue, Brian verfasserin aut Smith, Catherine verfasserin (orcid)0000-0001-9327-0154 aut Francey, Shona verfasserin aut Rickwood, Debra verfasserin aut Telford, Nic verfasserin aut Thompson, Andrew verfasserin (orcid)0000-0002-0567-6013 aut Brown, Ellie verfasserin (orcid)0000-0002-1645-5443 aut Enthalten in Psychiatry research Amsterdam [u.a.] : Elsevier Science, 1979 328 Online-Ressource (DE-627)306661446 (DE-600)1500675-X (DE-576)08198698X 1872-7123 nnns volume:328 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 Psychiatrie Psychopathologie VZ AR 328
allfields_unstemmed	10.1016/j.psychres.2023.115478 doi (DE-627)ELV064900517 (ELSEVIER)S0165-1781(23)00428-6 DE-627 ger DE-627 rda eng 610 VZ 44.91 bkl Fordham, Eliza verfasserin (orcid)0009-0003-9005-8854 aut Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services. First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services Gao, Caroline X. verfasserin (orcid)0000-0002-0987-2759 aut Filia, Kate verfasserin (orcid)0000-0001-6581-5890 aut O'Donoghue, Brian verfasserin aut Smith, Catherine verfasserin (orcid)0000-0001-9327-0154 aut Francey, Shona verfasserin aut Rickwood, Debra verfasserin aut Telford, Nic verfasserin aut Thompson, Andrew verfasserin (orcid)0000-0002-0567-6013 aut Brown, Ellie verfasserin (orcid)0000-0002-1645-5443 aut Enthalten in Psychiatry research Amsterdam [u.a.] : Elsevier Science, 1979 328 Online-Ressource (DE-627)306661446 (DE-600)1500675-X (DE-576)08198698X 1872-7123 nnns volume:328 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 Psychiatrie Psychopathologie VZ AR 328
allfieldsGer	10.1016/j.psychres.2023.115478 doi (DE-627)ELV064900517 (ELSEVIER)S0165-1781(23)00428-6 DE-627 ger DE-627 rda eng 610 VZ 44.91 bkl Fordham, Eliza verfasserin (orcid)0009-0003-9005-8854 aut Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services. First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services Gao, Caroline X. verfasserin (orcid)0000-0002-0987-2759 aut Filia, Kate verfasserin (orcid)0000-0001-6581-5890 aut O'Donoghue, Brian verfasserin aut Smith, Catherine verfasserin (orcid)0000-0001-9327-0154 aut Francey, Shona verfasserin aut Rickwood, Debra verfasserin aut Telford, Nic verfasserin aut Thompson, Andrew verfasserin (orcid)0000-0002-0567-6013 aut Brown, Ellie verfasserin (orcid)0000-0002-1645-5443 aut Enthalten in Psychiatry research Amsterdam [u.a.] : Elsevier Science, 1979 328 Online-Ressource (DE-627)306661446 (DE-600)1500675-X (DE-576)08198698X 1872-7123 nnns volume:328 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 Psychiatrie Psychopathologie VZ AR 328
allfieldsSound	10.1016/j.psychres.2023.115478 doi (DE-627)ELV064900517 (ELSEVIER)S0165-1781(23)00428-6 DE-627 ger DE-627 rda eng 610 VZ 44.91 bkl Fordham, Eliza verfasserin (orcid)0009-0003-9005-8854 aut Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services. First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services Gao, Caroline X. verfasserin (orcid)0000-0002-0987-2759 aut Filia, Kate verfasserin (orcid)0000-0001-6581-5890 aut O'Donoghue, Brian verfasserin aut Smith, Catherine verfasserin (orcid)0000-0001-9327-0154 aut Francey, Shona verfasserin aut Rickwood, Debra verfasserin aut Telford, Nic verfasserin aut Thompson, Andrew verfasserin (orcid)0000-0002-0567-6013 aut Brown, Ellie verfasserin (orcid)0000-0002-1645-5443 aut Enthalten in Psychiatry research Amsterdam [u.a.] : Elsevier Science, 1979 328 Online-Ressource (DE-627)306661446 (DE-600)1500675-X (DE-576)08198698X 1872-7123 nnns volume:328 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 Psychiatrie Psychopathologie VZ AR 328
language	English
source	Enthalten in Psychiatry research 328 volume:328
sourceStr	Enthalten in Psychiatry research 328 volume:328
format_phy_str_mv	Article
bklname	Psychiatrie Psychopathologie
institution	findex.gbv.de
topic_facet	First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services
dewey-raw	610
isfreeaccess_bool	false
container_title	Psychiatry research
authorswithroles_txt_mv	Fordham, Eliza @@aut@@ Gao, Caroline X. @@aut@@ Filia, Kate @@aut@@ O'Donoghue, Brian @@aut@@ Smith, Catherine @@aut@@ Francey, Shona @@aut@@ Rickwood, Debra @@aut@@ Telford, Nic @@aut@@ Thompson, Andrew @@aut@@ Brown, Ellie @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	306661446
dewey-sort	3610
id	ELV064900517
language_de	englisch
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author	Fordham, Eliza
spellingShingle	Fordham, Eliza ddc 610 bkl 44.91 misc First episode psychosis misc Ultra high risk misc Young people misc Social disadvantage misc Early psychosis services Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
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topic_title	610 VZ 44.91 bkl Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use First episode psychosis Ultra high risk Young people Social disadvantage Early psychosis services
topic	ddc 610 bkl 44.91 misc First episode psychosis misc Ultra high risk misc Young people misc Social disadvantage misc Early psychosis services
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title	Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
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title_full	Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
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title_sort	social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
title_auth	Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
abstract	Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services.
abstractGer	Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services.
abstract_unstemmed	Incidence of psychosis varies geographically due to factors such as social disadvantage. Whether this influences the clinical presentation and/or engagement of those experiencing psychosis remains relatively understudied. This study analysed data from young people across Australia accessing ultra-high risk (UHR) or first episode psychosis (FEP) services delivered through the headspace Early Psychosis (hEP) program between June 2017 and March 2021. The cohort was categorised into low, middle, and high tertiles of social disadvantage using the Index of Relative Socioeconomic Disadvantage (IRSD). Data from 3089 participants aged 15–25 were included (1515 UHR, 1574 FEP). The low and middle tertiles for both cohorts had greater percentages of those not in education or employment (NEET), with First Nations or culturally and linguistically diverse backgrounds. Clinical presentations to services were similar across all tertiles in both cohorts, however, functioning at presentation varied significantly within the FEP cohort. Significantly lower numbers of direct services were provided in the low tertile of both cohorts, with significantly poorer engagement in the initial three-months also occurring for these young people. This variation in early psychosis service patterns associated with geographical variation in social deprivation demonstrates the need for further research and fine tuning of national early psychosis services.
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title_short	Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use
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up_date	2024-07-06T21:08:10.141Z
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Social disadvantage in early psychosis and its effect on clinical presentation and service access, engagement and use

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