Early intervention for everyone ? Two reviews of cross‐cultural issues in UHR cohorts and DUP retrospective studies

Poster A33, Monday, October 8, 11:30 am - 1:00 pm, Essex Ballroom

Laelia Benoit1, Valentina Deriu1, Robin Martin1, Marie Rose Moro1; 1Maison de Solenn, CESP, Inserm, Hôpital Cochin, Paris Descartes University, Paris, France

Aim: Early management of psychosis has become both a research and policy priority. In Western countries, psychotic disorders appear more prevalent in migrant and minority ethnic groups than in native or dominant groups. Moreover, disparities exist in health conditions and access to care among immigrants and minority ethnic groups, compared with native‐born and majority groups. Appropriate early detection tools are necessary for the different groups. Methods : This poster provides a synthesis of two published reviews assessing transcultural issues in early intervention research. The first review included prospective UHR cohort studies that used the Comprehensive Assessment of At‐Risk Mental States (CAARMS). The second one included retrospective studies of the duration of untreated psychosis (DUP). Results : In the first review, UHR cohort studies that used the CAARMS, transcultural data (native language, ethnicity, place of birth, migration) are rarely collected, and inadequate ability to speak the dominant language is a common exclusion criterion. When they are included, the CAARMS scores differ between some minorities and the native‐born majority group. In the second review, studies of the DUP showed similar biases. Conclusions : Both reviews demonstrate barriers to the access to participation in early intervention research for migrants and ethnic minorities. This selection bias may result in lower validity for the CAARMS among these populations and thus in inadequate intervention programs. Along with targeted studies, minorities’ access to participation in studies should be improved through 3 tools: interpreters at recruitment and during participation in the study, a guide to cultural formulation and transcultural data collection.

Topic Area: Ethical Issues

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