Social Determinants and Mental Health Care Utilization Among Individuals at Clinical High Risk for Psychosis

Associations between self-reported race-ethnicity and mental health care utilization persisted even when analyses accounted for distressing positive symptoms, social support, and discrimination. As CHR-P research and practice increasingly focus on early intervention, study findings underscore the importance of better understanding contextual factors and social determinants that are associated with mental health service use among youths at CHR-P.

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Publication Details

Journal
Psychiatric Services
Published
2026-01-30
DOI
https://doi.org/10.1176/appi.ps.20240420
Primary Topic
Mental Health Treatment and Access
Type
article
Field-Weighted Citation Impact
0.00
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article

Social Determinants and Mental Health Care Utilization Among Individuals at Clinical High Risk for Psychosis

Nicole R. Karcher, Madeline E. Snyder, Maksim Giljen, Franchesca S. Kuhney et al.
Psychiatric Services
Mental Health Treatment and Access
article

Social Determinants and Mental Health Care Utilization Among Individuals at Clinical High Risk for Psychosis

Nicole R. Karcher, Madeline E. Snyder, Maksim Giljen, Franchesca S. Kuhney, Emily Petti, Miranda A. Bridgwater, Jack D. Rogers, Ceouna M. Hegwood, Elizabeth A. Martin, Pamela Rakhshan Rouhakhtar, LeeAnn Akouri-Shan, Jason Schiffman, Vijay A. Mittal
article en

Abstract

Associations between self-reported race-ethnicity and mental health care utilization persisted even when analyses accounted for distressing positive symptoms, social support, and discrimination. As CHR-P research and practice increasingly focus on early intervention, study findings underscore the importance of better understanding contextual factors and social determinants that are associated with mental health service use among youths at CHR-P.

Psychiatric Services
Northwestern University (US), Children's Hospital of Philadelphia (US), University of California, Los Angeles (US), University of California, Irvine (US), Washington University in St. Louis (US), University of Illinois Chicago (US), University of Chicago (US), Neurobehavioral Systems (US), Irvine University (US), University of Maryland, Baltimore County (US), Temple University (US), Center for Autism and Related Disorders (US)
Reduced inequalities
Openalex Percentile: Top 77%
Mental Health Treatment and Access
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