Non-Indigenous Privilege in Health, Justice and Social Services Preceding First Episode Psychosis: A Population-Based Cohort Study

2021 ◽  
Author(s):  
Jennifer Manuel ◽  
Ruth Cunningham ◽  
Sheree Gibb ◽  
Richard J. Porter ◽  
Suzanne Pitama ◽  
...  

2018 ◽  
Vol 49 (12) ◽  
pp. 2091-2099 ◽  
Author(s):  
Kelly K. Anderson ◽  
Ross Norman ◽  
Arlene G. MacDougall ◽  
Jordan Edwards ◽  
Lena Palaniyappan ◽  
...  

AbstractBackgroundDiscrepancies between population-based estimates of the incidence of psychotic disorder and the treated incidence reported by early psychosis intervention (EPI) programs suggest additional cases may be receiving services elsewhere in the health system. Our objective was to estimate the incidence of non-affective psychotic disorder in the catchment area of an EPI program, and compare this to EPI-treated incidence estimates.MethodsWe constructed a retrospective cohort (1997–2015) of incident cases of non-affective psychosis aged 16–50 years in an EPI program catchment using population-based linked health administrative data. Cases were identified by either one hospitalization or two outpatient physician billings within a 12-month period with a diagnosis of non-affective psychosis. We estimated the cumulative incidence and EPI-treated incidence of non-affective psychosis using denominator data from the census. We also estimated the incidence of first-episode psychosis (people who would meet the case definition for an EPI program) using a novel approach.ResultsOur case definition identified 3245 cases of incident non-affective psychosis over the 17-year period. We estimate that the incidence of first-episode non-affective psychosis in the program catchment area is 33.3 per 100 000 per year (95% CI 31.4–35.1), which is more than twice as high as the EPI-treated incidence of 18.8 per 100 000 per year (95% CI 17.4–20.3).ConclusionsCase ascertainment strategies limited to specialized psychiatric services may substantially underestimate the incidence of non-affective psychotic disorders, relative to population-based estimates. Accurate information on the epidemiology of first-episode psychosis will enable us to more effectively resource EPI services and evaluate their coverage.







2014 ◽  
Vol 153 ◽  
pp. S343-S344
Author(s):  
Pirjo H. Mäki ◽  
Tatu-Pekka Laakso ◽  
Marika Kaakinen ◽  
Jouko Miettunen ◽  
Graham Murray ◽  
...  


2014 ◽  
Vol 157 (1-3) ◽  
pp. 1-7 ◽  
Author(s):  
C. Björkenstam ◽  
E. Björkenstam ◽  
A. Hjern ◽  
R. Bodén ◽  
J. Reutfors


2007 ◽  
Vol 90 (1-3) ◽  
pp. 338-343 ◽  
Author(s):  
A AYRES ◽  
G BUSATTO ◽  
P MENEZES ◽  
M SCHAUFELBERGER ◽  
L COUTINHO ◽  
...  


2012 ◽  
Vol 136 ◽  
pp. S86
Author(s):  
Pirjo H. Mäki ◽  
Jouko Miettunen ◽  
Irma Moilanen ◽  
Marika Kaakinen ◽  
Anja Taanila ◽  
...  


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Emanuela Martinuzzi ◽  
◽  
Susana Barbosa ◽  
Douglas Daoudlarian ◽  
Wafa Bel Haj Ali ◽  
...  


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