Is early management of psychosis designed for migrants? Improving transcultural variable collection when measuring duration of untreated psychosis

Martin, Robin; Moro, Marie Rose; Benoit, Laelia

doi:10.1111/eip.12701

Cited by 10 publications

(10 citation statements)

References 67 publications

(163 reference statements)

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“…Including a transcultural dimension in early intervention programs, such as for psychosis (50,51), involves an adaptation of the standardized clinical tools (52) and institutions (53). Moreover, theoretical support in recognizing and dealing with transcultural contexts should be developed for personnel, first in their training courses and second by setting up practical guidelines, following examples already existing in the psychiatric field, such as the Cultural Formulation Interview (54,55). Afterwards, these same school personnel might usefully be offered close psychological supervision or intervention at their workplace.…”

Section: Addressing Diversity To Help Immigrant Youth With School Refmentioning

confidence: 99%

School Refusal or Truancy? A Qualitative Study of Misconceptions Among School Personnel About Absenteeism of Children From Immigrant Families

et al. 2020

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Background: School refusal is a form of school attendance problem (SAP) distinct from truancy, school withdrawal, and school exclusion; it requires specific mental health care. Schools' identification and referral to care of school refusers depends on school personnel's interpretation of the reasons for absences. Because cultural factors can induce misunderstanding of the young people's behavior and of their parents' attitudes toward school attendance, school personnel can have difficulty understanding these reasons for children with transcultural backgrounds (migrants or children of migrants). The aim of this study was to explore the experiences and opinions of school personnel, mainly teachers, related to school refusal among these students.Methods: Grounded theory methodology was used to conduct 52 qualitative interviews of school personnel in two regions of France. Their daily practices with students presenting with school refusal were addressed in general (i.e., in response to absence of all youth) and in transcultural contexts (i.e., absence of migrant children or children of migrants). This study analyzed the interviews of the 30 participants who reported working with students from transcultural backgrounds.Results: Many school personnel reported experiencing difficulties, ambivalence, and destabilizing feelings in situations involving immigrant families whose school culture differed from their own. Talking about culture appeared to be taboo for most participants. These situations challenged the participants' usual strategies and forced them to devise new ones to deal with these young people and their families. Although some personnel were at risk of developing exclusionary attitudes, others dealt with school refusal with both commitment and creativity. Conclusion:The tensions experienced by these participants reveal contradictions between the French universalist ideology and the reality of daily life in schools becoming increasingly multicultural. School personnel's attitudes toward children with transcultural backgrounds presenting with school refusal can affect children's access to care and shape social inequalities. Further research should develop, implement, and assess interventions including transcultural training of school personnel, improved use of interpreters at school for migrant families, and the addition of a transcultural dimension to SAP assessment scales, especially for school refusal.

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Section: Addressing Diversity To Help Immigrant Youth With School Refmentioning

confidence: 99%

School Refusal or Truancy? A Qualitative Study of Misconceptions Among School Personnel About Absenteeism of Children From Immigrant Families

et al. 2020

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“…The science of implementation provides a relevant framework for the analysis of these findings and may help explain the gap between evidence-based practices and what is provided to consumers in routine care [ 9 , 23 – 27 ]. Indeed, obstacles to change practices can arise at several levels in the healthcare system: the patient, the professional, team, organization, or environment.…”

Section: Discussionmentioning

confidence: 99%

Implementing organicity investigations in early psychosis: Spreading expertise

Kurukgy

Bourgin²,

Benoı̂t

et al. 2021

PLoS ONE

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Background Many medical disorders may contribute to adolescent psychoses. Although guidelines for thorough organicity investigations (OI) exist, their dissemination appears scarce in nonacademic healthcare facilities and some rare disorders remain undiagnosed, many of them presenting without easily recognized phenotypes. This study aims to understand the challenges underlying the implementation of OI in non-academic facilities by practitioners trained in expert centers. Methods Sixteen psychiatrists working at French non-academic facilities were interviewed about their use of OI for adolescents suspected of early psychosis. Interviews were analyzed with Grounded Theory. Results Organicity investigations were found to be useful in rationalizing psychiatric care for the young patient all the while building trust between the doctor and the patient’s parents. They also are reassuring for psychiatrists confronted with uncertainty about psychosis onset and the consequences of a psychiatric label. However, they commonly find themselves facing the challenges of implementation alone and thus enter a renunciation pathway: from idealistic missionaries, they become torn between their professional ethics and the non-academic work culture. Ultimately, they abandon the use of OI or delegate it to expert centers. Conclusion Specific hindrances to OI implementation must be addressed.

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“…Further research is merited, particularly in settings outside of Australia, to corroborate the rates of UHR identification and psychosis transition associated with migrant status. Furthermore, it needs to be ensured that the instruments used to determine UHR status and transition are culturally sensitive and applicable to migrant groups (22).…”

Section: Discussionmentioning

confidence: 99%

Migrant status and identification as ultra‐high risk for psychosis and transitioning to a psychotic disorder

Geros

Sizer

Mifsud

et al. 2019

Acta Psychiatr Scand

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Is early management of psychosis designed for migrants? Improving transcultural variable collection when measuring duration of untreated psychosis

Cited by 10 publications

References 67 publications

School Refusal or Truancy? A Qualitative Study of Misconceptions Among School Personnel About Absenteeism of Children From Immigrant Families

School Refusal or Truancy? A Qualitative Study of Misconceptions Among School Personnel About Absenteeism of Children From Immigrant Families

Implementing organicity investigations in early psychosis: Spreading expertise

Migrant status and identification as ultra‐high risk for psychosis and transitioning to a psychotic disorder

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