Socioeconomic Heterogeneity in the Impact of Psychiatric Care: A Secondary Analysis of the RAISE-ETP Trial for Patients with First-Episode Psychosis

社会经济异质性对精神科护理的影响：针对首发精神病患者的 RAISE-ETP 试验的二次分析

• 批准号: 10305685
• 负责人: Daniel Mark Bennett
• 金额: $ 8.25万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-01 至 2022-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10305685
• 关键词: Address; Adherence; Adult; Affect; Caring; Characteristics; Clinical; Clinical Trials; Cognition; Data; Early Intervention; Early intervention trials; Economics; Education; Effectiveness; Employment Opportunities; Equilibrium; Health Services Accessibility; Heterogeneity; Homelessness; Individual; Inequality; Intervention; Lead; Life; Measures; Mental Health; Mental Health Services; National Institute of Mental Health; Occupational; Patients; Pattern; Persons; Policies; Population; Population Heterogeneity; Psychiatric therapeutic procedure; Psychoses; Quality of life; Race; Rehabilitation therapy; Research; Research Personnel; Schizophrenia; Site; Socioeconomic Factors; Socioeconomic Status; Source; Substance abuse problem; Symptoms; Treatment Effectiveness; Treatment Factor; Unemployment; Violence; base; clinical research site; effective intervention; effective therapy; empowerment; experience; falls; first episode psychosis; health disparity; health inequalities; improved; indexing; intervention effect; intervention program; low socioeconomic status; psychiatric rehabilitation; response; secondary analysis; severe mental illness; social; social stigma; socioeconomics; substance use; treatment adherence; treatment effect

Using data from the NIMH-sponsored RAISE-ETP trial, this study examines socioeconomic barriers to the effec- tive provision of psychiatric care. RAISE investigators found modest benefits of an early-intervention program for patients with first-episode psychosis. Our preliminary analysis suggests a large and statistically significant gap in which only high-SES patients benefitted from the intervention. We will examine possible explanations for this pattern, including SES differences in initial mental health, stigma, treatment adherence, cognition, substance abuse, and economic empowerment. Finally we will quantify the contribution of this pattern for the SES gap in mental health. This inquiry is distinct from any analysis that the RAISE investigators have proposed or carried out.

利用nimh赞助的RAISE-ETP试验的数据，本研究考察了影响效果的社会经济障碍