title: Engaging Immigrants in Early Psychosis Treatment: A Clinical Challenge.
abstract: OBJECTIVE
  The study compared engagement in treatment and medication adherence of immigrants and nonimmigrants in early intervention services for persons with first-episode psychosis.
  
  
  METHODS
  This two-year longitudinal prospective cohort study recruited patients with first-episode psychosis who were entering early intervention services in Montreal, Canada (N=223). Data on sociodemographic characteristics, symptoms, and social functioning were collected annually.
  
  
  RESULTS
  At two years, immigrants had more than three times the odds of attrition than nonimmigrants after the analysis controlled for potential confounding factors (first-generation immigrants: odds ratio [OR]=3.11, 95% confidence interval [CI]=1.01-9.57, p=.049); second-generation immigrants: OR=3.65, CI=1.07-12.50, p=.039). Medication adherence was similar among those who remained in the programs.
  
  
  CONCLUSIONS
  During the two years after entering a program for first-episode psychosis, immigrants were more likely than nonimmigrants to disengage from treatment. Further research is warranted to understand this phenomenon and to improve the ability of services to engage immigrants with first-episode psychosis.
authors.affiliation: Except for Dr. Rousseau, the authors are with the Department of Psychiatry, Université de Montréal, Quebec, Canada. Dr. Rousseau is with the Department of Psychiatry, McGill University, Quebec. Send correspondence to Dr. Abdel-Baki (e-mail: amal.abdel-baki@umontreal.ca ). This report is part of a special section on RAISE and other early intervention services. Marcela Horvitz-Lennon, M.D., M.P.H., served as guest editor of the special section.
authors.forename: Clairélaine
authors.initials: C
authors.lastname: Ouellet-Plamondon
authors.affiliation: Except for Dr. Rousseau, the authors are with the Department of Psychiatry, Université de Montréal, Quebec, Canada. Dr. Rousseau is with the Department of Psychiatry, McGill University, Quebec. Send correspondence to Dr. Abdel-Baki (e-mail: amal.abdel-baki@umontreal.ca ). This report is part of a special section on RAISE and other early intervention services. Marcela Horvitz-Lennon, M.D., M.P.H., served as guest editor of the special section.
authors.forename: Cecile
authors.initials: C
authors.lastname: Rousseau
authors.affiliation: Except for Dr. Rousseau, the authors are with the Department of Psychiatry, Université de Montréal, Quebec, Canada. Dr. Rousseau is with the Department of Psychiatry, McGill University, Quebec. Send correspondence to Dr. Abdel-Baki (e-mail: amal.abdel-baki@umontreal.ca ). This report is part of a special section on RAISE and other early intervention services. Marcela Horvitz-Lennon, M.D., M.P.H., served as guest editor of the special section.
authors.forename: Luc
authors.initials: L
authors.lastname: Nicole
authors.affiliation: Except for Dr. Rousseau, the authors are with the Department of Psychiatry, Université de Montréal, Quebec, Canada. Dr. Rousseau is with the Department of Psychiatry, McGill University, Quebec. Send correspondence to Dr. Abdel-Baki (e-mail: amal.abdel-baki@umontreal.ca ). This report is part of a special section on RAISE and other early intervention services. Marcela Horvitz-Lennon, M.D., M.P.H., served as guest editor of the special section.
authors.forename: Amal
authors.initials: A
authors.lastname: Abdel-Baki
mesh_terms: D000293:Adolescent; D000328:Adult; D002170:Canada / Q000208:ethnology; D061345:Early Medical Intervention; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011446:Prospective Studies; D011618:Psychotic Disorders / Q000628:therapy*; D012917:Social Adjustment; D061665:Time-to-Treatment / Q000706:statistics & numerical data*; D055815:Young Adult