The Determinants of Health Service Use and Outcomes for Young People with First-Episode Psychosis

Timely and adequate management of first-episode psychosis is critical to the wellbeing of young people with psychotic disorders.  However, prior research suggests that many people with first-episode psychosis have difficulty accessing psychiatric services.

This project examined the use of health services by young people with first-episode psychosis in Ontario. We used health administrative data from across the province to assess the follow-up that people receive after their first episode of psychosis. The findings from this project allowed us to identify where gaps in service provision exist for people with first-episode psychosis, as well as to identify particular groups who might have greater difficulties accessing care.

Project participants

Funding: Canadian Institutes of Health Research Fellowship

Principal Investigator: Kelly Anderson

Co-Investigators: Paul Kurdyak, Kwame McKenzie

Findings:

Anderson KK, Kurdyak P. (2017) Factors associated with timely physician follow-up after a first diagnosis of psychotic disorder. Canadian Journal of Psychiatry, 62(4), 268-277. PubMed

Anderson KK, McKenzie KJ, Kurdyak P. (2017) Examining the impact of migrant status on ethnic differences in mental health service use preceding a first diagnosis of schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 52(8), 949-961. PubMed

Anderson KK. (2018) Ethnic differences in physician follow-up after a first diagnosis of psychotic disorder. Schizophrenia Research, 193, 463-464. PubMed