Review of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United States

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dc.contributor.authorBridgwater, Miranda A.
dc.contributor.authorPetti, Emily
dc.contributor.authorGiljen, Maksim
dc.contributor.authorAkouri-Shan, LeeAnn
dc.contributor.authorDeLuca, Joseph
dc.contributor.authorRouhakhtar, Pamela Rakhshan
dc.contributor.authorMillar, Caroline
dc.contributor.authorKarcher, Nicole R.
dc.contributor.authorMartin, Elizabeth A.
dc.contributor.authorDeVylder, Jordan
dc.contributor.authorAnglin, Deidre
dc.contributor.authorWilliams, Raquel
dc.contributor.authorEllman, Lauren M.
dc.contributor.authorMittal, Vijay A.
dc.contributor.authorSchiffman, Jason
dc.date.accessioned2023-08-23T22:03:26Z
dc.date.available2023-08-23T22:03:26Z
dc.date.issued2023-03-13
dc.description.abstractBackground: Since its inception, research in the clinical high-risk (CHR) phase of psychosis has included identifying and exploring the impact of relevant socio-demographic factors. Employing a narrative review approach and highlighting work from the United States, sociocultural and contextual factors potentially affecting the screening, assessment, and service utilization of youth at CHR were reviewed from the current literature. Results: Existing literature suggests that contextual factors impact the predictive performance of widely used psychosis-risk screening tools and may introduce systemic bias and challenges to differential diagnosis in clinical assessment. Factors reviewed include racialized identity, discrimination, neighborhood context, trauma, immigration status, gender identity, sexual orientation, and age. Furthermore, racialized identity and traumatic experiences appear related to symptom severity and service utilization among this population. Conclusions: Collectively, a growing body of research from the United States and beyond suggests that considering context in psychosis-risk assessment can provide a more accurate appraisal of the nature of risk for psychosis, render more accurate results improving the field's prediction of conversion to psychosis, and enhance our understanding of psychosis-risk trajectories. More work is needed in the U.S. and across the globe to uncover how structural racism and systemic biases impact screening, assessment, treatment, and clinical and functional outcomes for those at CHR.en_US
dc.description.sponsorshipThis research was funded by the National Institute of Mental Health (Grant Nos. R01MH112613, R01MH112612, and R01MH112545).en_US
dc.description.urihttps://www.frontiersin.org/articles/10.3389/fpsyt.2023.1117022/fullen_US
dc.format.extent14 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/m25cu3-hkez
dc.identifier.citationBridgwater, Miranda A., Emily Petti, Maksim Giljen, LeeAnn Akouri-Shan, Joseph S. DeLuca, Pamela Rakhshan Rouhakhtar, Caroline Millar, et al. “Review of Factors Resulting in Systemic Biases in the Screening, Assessment, and Treatment of Individuals at Clinical High-Risk for Psychosis in the United States.” Frontiers in Psychiatry 14 (2023). https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1117022.en_US
dc.identifier.urihttps://doi.org/10.3389/fpsyt.2023.1117022
dc.identifier.urihttp://hdl.handle.net/11603/29324
dc.language.isoen_USen_US
dc.publisherFrontiersen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Student Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0*
dc.titleReview of factors resulting in systemic biases in the screening, assessment, and treatment of individuals at clinical high-risk for psychosis in the United Statesen_US
dc.typeTexten_US
dcterms.creatorhttps://orcid.org/0000-0001-5485-5061en_US
dcterms.creatorhttps://orcid.org/0000-0002-5958-7219en_US
dcterms.creatorhttps://orcid.org/0000-0001-8008-3552en_US
dcterms.creatorhttps://orcid.org/0000-0002-1363-4497en_US

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