Category: Schizophrenia / Psychotic Disorders

Symposium

Symposium 20 - From Engagement to Treatment: The Role of Culture and Race in the Treatment of Psychosis

Friday, November 17
10:15 AM - 11:45 AM
Location: Sapphire Ballroom O & P, Level 4, Sapphire Level

Keywords: Psychosis / Psychotic Disorders | Psychotherapy Outcome | Race / Ethnicity
Presentation Type: Symposium

Racial and ethnic disparities have been well documented in the US.  The disparities range from underutilization of mental health by persons from minority groups to difficulties in treatment engagement and attrition (Snowden, 2001; Sue et al., 1994).  Rates of attrition in the treatment of psychosis and schizophrenia range from 12 to 42% (Kreyenbuhl, et al., 2009; Villeneuve et al., 2010).  Individuals from ethnic and racial minorities that are lost to treatment during engagement or non-adherence often result in higher use of inpatient services and poorer long-term outcomes (Gilmer et al., 2004), however, there is little research that has examined how racial and ethnic factors affect treatment engagement in psychosocial treatments for psychosis. 


The focus of this symposium will be to explore how culture and race can impact the accessibility of treatment for psychosis, the differences across race in people engaged in a treatment for psychosis as well as how different cultural aspects influence treatment attrition and treatment outcomes.  In the first presentation, using data collected from a series of diverse ethnic/racial focus groups, we will discuss different cultural group recommendations to improve access to treatment for persons with first episode psychosis.  The second presentation will compare the baseline differences of Black Americans and Caucasians enrolled in a multi-treatment intervention for persons with first episode psychosis.  This presentation will highlight the need to address racial disparities in treatment.  The third presentation will present research on how religious coping can be linked to treatment attrition in a culturally-informed treatment for schizophrenia.  The presentation will highlight the importance of addressing culturally specific needs and traditional coping strategies in treatment.  Lastly, we will present results from a culturally-informed treatment for schizophrenia that found that family perceptions of cohesion contribute to a reduction in negative symptoms.  This will be followed by a review from an experienced clinician and researcher to provide an overview of the implications for future engagement and treatment as a discussant.


The aims of this symposium are to 1) discuss how race and culture can impact treatment engagement and outcomes for persons with psychosis; 2) describe strategies that can be helpful to improve outcomes for psychosocial treatments of psychosis for ethnically diverse populations; and 3) explore factors to increase treatment adherence and decrease attrition in the treatment of psychosis for persons from ethnically diverse backgrounds.


 


 

Learning Objectives:

Piper S. Meyer-Kalos

Executive Director, Minnesota Center for Chemical and Mental Health
University of Minnesota

Presentation(s):

Send Email for Piper Meyer-Kalos

Amy Weisman de Mamani

Associate Professor
University of Miami

Presentation(s):

Send Email for Amy Weisman de Mamani

Piper S. Meyer-Kalos

Executive Director, Minnesota Center for Chemical and Mental Health
University of Minnesota

Presentation(s):

Send Email for Piper Meyer-Kalos

Kayla Gurak

Graduate Student
VA Boston Healthcare System and University of Miami

Presentation(s):

Send Email for Kayla Gurak

Caitlin A. Brown

Ph.D. Candidate
University of Miami

Presentation(s):

Send Email for Caitlin Brown

Roberto Zarate

David Geffen School of Medicine at UCLA

Presentation(s):

Send Email for Roberto Zarate


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