Journal article
History of Legal Involvement Among Individuals With First Episode Psychosis in the Connection Learning Healthcare System Hub of the Early Psychosis Intervention Network
Early intervention in psychiatry, v 19(S1), 16302
May 2025
Abstract
Aims: We aim to expand the currently limited knowledge of the prevalence and characteristics of first episode of psychosis (FEP) program participants in Coordinated Specialty Care (CSC) with a history of legal involvement (HLI).
Methods: Participants (n = 1959) experiencing FEP admitted to Pennsylvania and Maryland (USA) CSC programs were assessed using a standardized core assessment battery, including history of legal involvement (HLI). Sociodemographic characteristics and clinical features were compared in adolescents/young adults with (n = 288) and without (n = 1671) HLI, through chi-square, Fisher's exact, and Mann–Whitney U tests.
Results and Conclusion: Participants with HLI were disproportionately Black (49.7%), and less likely to be enrolled in school (19.4%) than those without HLI (40.3%; 41.7%). Those with HLI were older (age M = 22.6, SD = 4.13) with a longer duration of untreated psychosis (DUP M = 15.03, SD = 23.56), and more likely to have a previous psychiatric hospitalization (87.5%) than those without HLI (age M = 20.73, SD = 4.18; DUP M = 12.49, SD = 19.46; hospitalization = 77.8%; p's < 0.05). Participants with HLI had lower baseline Global Function Role and Social (Role M = 4.03, SD = 2.52; Social M = 4.89, SD = 1.91) than those without HLI (Role M = 4.98, SD = 2.46; Social M = 5.53, SD = 1.92; p's < 0.05). Results reflect associations among the pathways to, and timing of, a history of legal involvement and FEP program admission. Notably, CSC participants with HLI have experienced a longer DUP and higher likelihood of hospitalization than those without HLI. Our findings underscore the importance of access to early intervention, particularly in USA. Black communities, to potentially reduce legal involvement and acute entry into the mental health system.
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Details
- Title
- History of Legal Involvement Among Individuals With First Episode Psychosis in the Connection Learning Healthcare System Hub of the Early Psychosis Intervention Network
- Creators
- Jessie Riggs - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaMegan Jumper - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaArielle Ered - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaCatherine Conroy - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaHailey Mileen Fasone - Drexel University, Psychological and Brain Sciences (Psychology)Chelsea R Jackson - Drexel University, College of Arts and SciencesChristian G. Kohler - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaMelanie Bennett - University of Maryland School of MedicineMonica E. Calkins - Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania
- Publication Details
- Early intervention in psychiatry, v 19(S1), 16302
- Publisher
- Wiley
- Number of pages
- 1
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Arts and Sciences
- Web of Science ID
- WOS:001718326500901
- Other Identifier
- 991022170440304721