Ethnic Variations in Pathways to Care in North Carolina, United States
Background “Pathway to Care (PtC)” is the term used to describe the onset of psychiatric illness until the initiation of treatment or defined endpoint. Mapping patients’ PtC is critical for understanding how to improve early recognition and treatment of mental disorders. However, little is known abo...
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ftcarolinadr:cdr.lib.unc.edu:1v53k3741 2023-06-11T04:11:45+02:00 Ethnic Variations in Pathways to Care in North Carolina, United States Ojo, Enioluwafe University of North Carolina at Chapel Hill. Graduate School Tolleson-Rinehart, Sue 2020-07-25 https://doi.org/10.17615/f5r2-zm71 https://cdr.lib.unc.edu/downloads/6395wd442?file=thumbnail https://cdr.lib.unc.edu/downloads/6395wd442 English eng https://doi.org/10.17615/f5r2-zm71 https://cdr.lib.unc.edu/downloads/6395wd442?file=thumbnail https://cdr.lib.unc.edu/downloads/6395wd442 http://rightsstatements.org/vocab/InC/1.0/ Masters Paper 2020 ftcarolinadr https://doi.org/10.17615/f5r2-zm71 2023-05-28T20:57:24Z Background “Pathway to Care (PtC)” is the term used to describe the onset of psychiatric illness until the initiation of treatment or defined endpoint. Mapping patients’ PtC is critical for understanding how to improve early recognition and treatment of mental disorders. However, little is known about the pathways to care among individuals experiencing first-episode psychosis in the United States. The few studies that have investigated pathways in the United States have not commented on ethnic variations within pathways. Objective This study's objective was to describe the ethnic variations in the pathway to care among first-episode psychosis individuals by using patients’ narratives as elicited by interviews with them. My hypotheses were that self-reported race is associated with differences in number of help-seeking events prior to psychotic diagnosis and specific differences in external (i.e. not self-motivated) pathways to care for patients experiencing psychotic episodes. Methods All interviews were conducted by two masters-level clinicians who had clinical experience treating first-episode psychosis under the supervision of the second reader of this paper. The duration of undiagnosed psychosis was calculated from the date of the onset of psychosis to time of diagnosis. The subject was given a psychotic disorder diagnosis. Here, I am conducting a secondary analysis of these data. Results The study comprised 167 patients, 108 identified as Caucasian, 33 identified as African American, and 7 identified as interracial. Nine participants identified as Asian: East Asian, Southeast Asia, and South Asian. Three participants identified as First Nations, 1 was Central/South American, and 1 was Native Hawaiian or Pacific Islander. Each ethnic group was assigned a numerical label. I performed a statistical analysis that showed that the Black group (Ethnic group 5) had significantly more “reported events, ” (i.e. help-seeking episodes motivated by the patient or others) than did the Caucasian group (Ethnic group 8), ... Master Thesis First Nations Carolina Digital Repository (UNC - University of North Carolina) Pacific |
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Carolina Digital Repository (UNC - University of North Carolina) |
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ftcarolinadr |
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English |
description |
Background “Pathway to Care (PtC)” is the term used to describe the onset of psychiatric illness until the initiation of treatment or defined endpoint. Mapping patients’ PtC is critical for understanding how to improve early recognition and treatment of mental disorders. However, little is known about the pathways to care among individuals experiencing first-episode psychosis in the United States. The few studies that have investigated pathways in the United States have not commented on ethnic variations within pathways. Objective This study's objective was to describe the ethnic variations in the pathway to care among first-episode psychosis individuals by using patients’ narratives as elicited by interviews with them. My hypotheses were that self-reported race is associated with differences in number of help-seeking events prior to psychotic diagnosis and specific differences in external (i.e. not self-motivated) pathways to care for patients experiencing psychotic episodes. Methods All interviews were conducted by two masters-level clinicians who had clinical experience treating first-episode psychosis under the supervision of the second reader of this paper. The duration of undiagnosed psychosis was calculated from the date of the onset of psychosis to time of diagnosis. The subject was given a psychotic disorder diagnosis. Here, I am conducting a secondary analysis of these data. Results The study comprised 167 patients, 108 identified as Caucasian, 33 identified as African American, and 7 identified as interracial. Nine participants identified as Asian: East Asian, Southeast Asia, and South Asian. Three participants identified as First Nations, 1 was Central/South American, and 1 was Native Hawaiian or Pacific Islander. Each ethnic group was assigned a numerical label. I performed a statistical analysis that showed that the Black group (Ethnic group 5) had significantly more “reported events, ” (i.e. help-seeking episodes motivated by the patient or others) than did the Caucasian group (Ethnic group 8), ... |
author2 |
University of North Carolina at Chapel Hill. Graduate School Tolleson-Rinehart, Sue |
format |
Master Thesis |
author |
Ojo, Enioluwafe |
spellingShingle |
Ojo, Enioluwafe Ethnic Variations in Pathways to Care in North Carolina, United States |
author_facet |
Ojo, Enioluwafe |
author_sort |
Ojo, Enioluwafe |
title |
Ethnic Variations in Pathways to Care in North Carolina, United States |
title_short |
Ethnic Variations in Pathways to Care in North Carolina, United States |
title_full |
Ethnic Variations in Pathways to Care in North Carolina, United States |
title_fullStr |
Ethnic Variations in Pathways to Care in North Carolina, United States |
title_full_unstemmed |
Ethnic Variations in Pathways to Care in North Carolina, United States |
title_sort |
ethnic variations in pathways to care in north carolina, united states |
publishDate |
2020 |
url |
https://doi.org/10.17615/f5r2-zm71 https://cdr.lib.unc.edu/downloads/6395wd442?file=thumbnail https://cdr.lib.unc.edu/downloads/6395wd442 |
geographic |
Pacific |
geographic_facet |
Pacific |
genre |
First Nations |
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First Nations |
op_relation |
https://doi.org/10.17615/f5r2-zm71 https://cdr.lib.unc.edu/downloads/6395wd442?file=thumbnail https://cdr.lib.unc.edu/downloads/6395wd442 |
op_rights |
http://rightsstatements.org/vocab/InC/1.0/ |
op_doi |
https://doi.org/10.17615/f5r2-zm71 |
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1768387036238053376 |