The Impact of Community-Level Interventions on Improving Help Seeking and Access to Support Among Ethnic Minority People Living With Psychotic Disorders in Non-Secondary Care Settings: A Systematic Review

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-08-23 DOI:10.1111/eip.70078

Nikki Wood, Jo Hodgekins, Sherifat Oduola

{"title":"The Impact of Community-Level Interventions on Improving Help Seeking and Access to Support Among Ethnic Minority People Living With Psychotic Disorders in Non-Secondary Care Settings: A Systematic Review","authors":"Nikki Wood, Jo Hodgekins, Sherifat Oduola","doi":"10.1111/eip.70078","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Research has shown that people from ethnic minority backgrounds living with psychosis are less likely to seek support from healthcare professionals (e.g., GP), but more likely to seek support from non-healthcare professionals (e.g., faith leaders). This systematic review assessed the impact of community-level interventions aimed at improving help seeking and access to support for psychosis in non-secondary care settings among ethnic minority populations.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The EMBASE, PsychINFO, Medline Ultimate, CINAHL Ultimate and Scopus databases were searched in December 2023. Studies were included if published in English, conducted in high-income countries, reported on psychosis and minority ethnic groups aged 18–65 years, and interventions targeted at people from minority ethnic groups with or at risk of psychosis, caregivers, or the general public. Outcomes of interest were changes in help-seeking behaviours, pathways to care characteristics, and barriers and facilitators of intervention implementation.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Five studies (pooled n, participants = 332) reporting two interventions met the inclusion criteria. All studies were conducted in the United States. Narrative synthesis revealed mixed results about the effectiveness of interventions on help seeking and duration of untreated psychosis. The results show promise for professional help-seeking recommendations post-intervention across the studies. Barriers and facilitators were identified for intervention implementation.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Community-level interventions have some success in promoting help-seeking for psychosis in ethnic minority populations. However, research in this area was limited. Future research could include studies across different countries, ethnicities, genders, and socioeconomic status to ensure generalisable results.</p>\n </section>\n </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 8","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.70078","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/eip.70078","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

Research has shown that people from ethnic minority backgrounds living with psychosis are less likely to seek support from healthcare professionals (e.g., GP), but more likely to seek support from non-healthcare professionals (e.g., faith leaders). This systematic review assessed the impact of community-level interventions aimed at improving help seeking and access to support for psychosis in non-secondary care settings among ethnic minority populations.

Methods

The EMBASE, PsychINFO, Medline Ultimate, CINAHL Ultimate and Scopus databases were searched in December 2023. Studies were included if published in English, conducted in high-income countries, reported on psychosis and minority ethnic groups aged 18–65 years, and interventions targeted at people from minority ethnic groups with or at risk of psychosis, caregivers, or the general public. Outcomes of interest were changes in help-seeking behaviours, pathways to care characteristics, and barriers and facilitators of intervention implementation.

Results

Five studies (pooled n, participants = 332) reporting two interventions met the inclusion criteria. All studies were conducted in the United States. Narrative synthesis revealed mixed results about the effectiveness of interventions on help seeking and duration of untreated psychosis. The results show promise for professional help-seeking recommendations post-intervention across the studies. Barriers and facilitators were identified for intervention implementation.

Conclusions

Community-level interventions have some success in promoting help-seeking for psychosis in ethnic minority populations. However, research in this area was limited. Future research could include studies across different countries, ethnicities, genders, and socioeconomic status to ensure generalisable results.

Abstract Image

查看原文本刊更多论文

社区干预对改善非二级医疗机构中少数民族精神障碍患者寻求帮助和获得支持的影响：一项系统综述

研究表明，少数民族精神病患者不太可能向医疗保健专业人员（如全科医生）寻求支持，但更有可能向非医疗保健专业人员（如宗教领袖）寻求支持。本系统综述评估了社区层面干预措施的影响，这些干预措施旨在改善少数民族人群在非二级医疗机构中寻求帮助和获得精神病支持的机会。方法于2023年12月检索EMBASE、PsychINFO、Medline Ultimate、CINAHL Ultimate和Scopus数据库。在高收入国家进行的以英语发表的研究，报告了18-65岁的精神病和少数民族人群，以及针对患有或有精神病风险的少数民族人群、护理人员或普通公众的干预措施。结果感兴趣的是寻求帮助行为的改变，护理特征的途径，以及干预实施的障碍和促进因素。结果5项研究（共n项，参与者= 332）报告了两种干预措施符合纳入标准。所有的研究都在美国进行。叙述性综合揭示了关于寻求帮助和未治疗精神病持续时间干预的有效性的混合结果。研究结果表明，在所有研究中，干预后寻求专业帮助的建议是有希望的。确定了实施干预措施的障碍和促进因素。结论社区干预在促进少数民族人群精神病求助方面取得了一定成效。然而，这方面的研究是有限的。未来的研究可能包括对不同国家、种族、性别和社会经济地位的研究，以确保结果的普遍性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.