Ethnic variations in pathways into early intervention services for psychosis
Sharif Ghali, Helen L. Fisher, John Joyce, Barnaby Major, Lorna Hobbs, Sujata Soni, Brock Chisholm, Nikola Rahaman, Peggy Papada, Jo Lawrence, Sally Bloy, Karl Marlowe, Katherine J. Aitchison, Paddy Power, Sonia Johnson
  • Declaration of interest




Ethnic variations have previously been identified in the duration of untreated psychosis (DUP) and pathways into psychiatric services. These have not been examined in the context of early intervention services, which may alter these trajectories.


To explore ethnic differences in the nature and duration of pathways into early intervention services.


In a naturalistic cohort study, data were collected for 1024 individuals with psychotic disorders accepted for case management by eight London early intervention services.


Duration of untreated psychosis was prolonged in the White British group compared with most other ethnic groups. White British individuals were more likely to make contact with their general practitioner and less likely to be seen within emergency medical services. All Black patient groups were more likely than their White British counterparts to experience involvement of criminal justice agencies.


Variations continue to exist in how and when individuals from different ethnic groups access early intervention services. These may account for disparities in DUP.


  • Funding

    This work was supported by the London Development Centre for Mental Health. Initial pilot work within Camden & Islington early intervention services was supported by Islington Primary Care Trust. These funding bodies had no further role in study design, in the collection, analysis and interpretation of data, in the writing of the report and in the decision to submit the paper for publication. K.J.A. holds an Alberta Centennial Addiction and Mental Health Research Chair, funded by the Government of Alberta.

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