38. PSYCHOSIS AMONG MIGRANTS AND ETHNIC MINORITY GROUPS IN AUSTRALIA, EUROPE, AND NORTH AMERICA: DISPARITIES ACROSS THE SPECTRUM FROM ONSET TO OUTCOMES

Abstract

Disparities exist across the spectrum from onset to outcomes for some migrant and ethnic minority groups with first-episode psychosis. African and Caribbean groups, in particular, tend to have higher rates of psychotic disorder, experience more negative and coercive pathways to care, and may have poorer outcomes from treatment, including early intervention services. However, the majority of this research has been done in a European context, with less information on these disparities from other countries. This symposium will present data from Australia, Europe, and North America looking at the risk, access to care, and outcomes of first-episode psychosis among migrant and ethnic minority groups. Dr. Brian O'Donoghue will present data from Australia showing an increased risk of psychotic disorder among particular migrant groups, and also whether services are successfully detecting migrants at ultra-high risk for psychosis. Dr. Els van der Ven will then present data showing significant variation in rates of psychosis among migrants across five European countries, and the important role of contextual factors. Dr. Kelly Anderson will present data from Canada showing higher rates of hospitalization and involuntary admission among migrant and ethnic minority groups with first-episode psychosis, and that differences in clinical presentation and how it is perceived at the first hospitalization may be driving these trends. Finally, Dr. Oladunni Oluwoye will present data from the RAISE study in the United States demonstrating racial and ethnic disparities in family involvement in specialty care programs, and how that impacts on disparities in outcomes. Finally, Sir Robin Murray will discuss these findings and their implications for population health and service delivery.