Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations
Abstract Background While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site...
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Cambridge University Press
2025-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425124000785/type/journal_article |
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| author | Els van der Ven Xinyu Yang Franco Mascayano Karl J Weinreich Eric YH Chen Charmaine YZ Tang Sung-Wan Kim Jonathan K Burns Bonginkosi Chiliza Greeshma Mohan Srividya N Iyer Thara Rangawsamy Ralph de Vries Ezra S Susser |
| author_facet | Els van der Ven Xinyu Yang Franco Mascayano Karl J Weinreich Eric YH Chen Charmaine YZ Tang Sung-Wan Kim Jonathan K Burns Bonginkosi Chiliza Greeshma Mohan Srividya N Iyer Thara Rangawsamy Ralph de Vries Ezra S Susser |
| author_sort | Els van der Ven |
| collection | DOAJ |
| description |
Abstract
Background
While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries in similar regions and (c) to outline some of the challenges and provide recommendations to overcome existing obstacles.
Methods
EIP programs in Africa, Asia and Latin America were identified through experts from the different target regions. We performed a systematic search in Medline, Embase, APA PsycInfo, Web of Science and Scopus up to February 6, 2024.
Results
Most EIP programs in these continents are small-scale, single-site programs that serve a limited section of the population. Population-based programs with widespread coverage and programs integrated into primary health care are rare. In Africa, EIP programs are virtually absent. Mainland China is one of the only LMICs that has begun to take steps toward developing a population-based EIP program. High-income Asian countries (e.g. Hong Kong and Singapore) have well-developed, comprehensive programs for individuals with early psychosis, while others with similar economies (e.g. South Korea and Japan) do not. In Latin America, Chile is the only country in the process of providing population-based EIP care.
Conclusions
Financial resources and integration in mental health care, as well as the availability of epidemiological data on psychosis, impact the implementation of EIP programs. Given the major treatment gap of early psychosis in Africa, Latin America and large parts of Asia, publicly funded, locally-led and accessible community-based EIP care provision is urgently needed.
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| format | Article |
| id | doaj-art-0ed61f180ffe459db21109893228416d |
| institution | Kabale University |
| issn | 2054-4251 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj-art-0ed61f180ffe459db21109893228416d2025-01-16T21:48:37ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2024.78Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendationsEls van der Ven0https://orcid.org/0000-0001-5103-7186Xinyu Yang1Franco Mascayano2https://orcid.org/0000-0002-3118-504XKarl J Weinreich3https://orcid.org/0009-0005-7115-3631Eric YH Chen4Charmaine YZ Tang5Sung-Wan Kim6Jonathan K Burns7Bonginkosi Chiliza8Greeshma Mohan9Srividya N Iyer10Thara Rangawsamy11Ralph de Vries12Ezra S Susser13https://orcid.org/0000-0001-7665-4826Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USANew York State Psychiatric Institute, New York, NY, USA Department of Psychiatry, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong KongDepartment of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Psychiatry, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong Key Laboratory of Brain and Cognitive Sciences, University of Hong Kong, Hong KongDepartment of Psychosis, Institute of Mental Health, SingaporeDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Korea Mindlink, Gwangju Bukgu Mental Health Center, Gwangju, KoreaDepartment of Psychiatry, University of KwaZulu-Natal, Durban, South Africa Institute of Health Research, University of Exeter, Exeter, UKDepartment of Psychiatry, Nelson R Mandela School of Medicine, University of Kwazulu-Natal, South AfricaSchizophrenia Research Foundation (SCARF), Chennai, IndiaDepartment of Psychiatry, McGill University, Montreal, Canada Prevention and Early Intervention Program for Psychosis (PEPP), Douglas Mental Health University Institute, Montreal, CanadaSchizophrenia Research Foundation (SCARF), Chennai, IndiaMedical Library, Vrije Universiteit, Amsterdam, The NetherlandsDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA Abstract Background While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries in similar regions and (c) to outline some of the challenges and provide recommendations to overcome existing obstacles. Methods EIP programs in Africa, Asia and Latin America were identified through experts from the different target regions. We performed a systematic search in Medline, Embase, APA PsycInfo, Web of Science and Scopus up to February 6, 2024. Results Most EIP programs in these continents are small-scale, single-site programs that serve a limited section of the population. Population-based programs with widespread coverage and programs integrated into primary health care are rare. In Africa, EIP programs are virtually absent. Mainland China is one of the only LMICs that has begun to take steps toward developing a population-based EIP program. High-income Asian countries (e.g. Hong Kong and Singapore) have well-developed, comprehensive programs for individuals with early psychosis, while others with similar economies (e.g. South Korea and Japan) do not. In Latin America, Chile is the only country in the process of providing population-based EIP care. Conclusions Financial resources and integration in mental health care, as well as the availability of epidemiological data on psychosis, impact the implementation of EIP programs. Given the major treatment gap of early psychosis in Africa, Latin America and large parts of Asia, publicly funded, locally-led and accessible community-based EIP care provision is urgently needed. https://www.cambridge.org/core/product/identifier/S2054425124000785/type/journal_articleEarly intervention programsfirst episode psychosislow- and middle income countriestask-shiftingstigmatraditional healers |
| spellingShingle | Els van der Ven Xinyu Yang Franco Mascayano Karl J Weinreich Eric YH Chen Charmaine YZ Tang Sung-Wan Kim Jonathan K Burns Bonginkosi Chiliza Greeshma Mohan Srividya N Iyer Thara Rangawsamy Ralph de Vries Ezra S Susser Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations Cambridge Prisms: Global Mental Health Early intervention programs first episode psychosis low- and middle income countries task-shifting stigma traditional healers |
| title | Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations |
| title_full | Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations |
| title_fullStr | Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations |
| title_full_unstemmed | Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations |
| title_short | Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations |
| title_sort | early intervention in psychosis programs in africa asia and latin america challenges and recommendations |
| topic | Early intervention programs first episode psychosis low- and middle income countries task-shifting stigma traditional healers |
| url | https://www.cambridge.org/core/product/identifier/S2054425124000785/type/journal_article |
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