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Monday, October 8 • 4:45pm - 4:55pm
Oral 5, Talk 2. "Mental Health Service Use Decision-Making Among Young Adults at Clinical High-Risk for Developing Psychosis"

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Shelly Ben-David1, Andrea Cole2, Gary Brucato2, Ragy R Girgis2, Michelle R Munson3; 1University of British Columbia, 2New York State Psychiatric Institute, 3New York University
               
Research has shown high rates of underutilization of mental health services in young adults at clinical high-risk (CHR) for developing psychosis. The purpose of this qualitative study was to explore how such individuals make decisions about staying engaged with services through the application of the Unified Theory of Behavior (UTB) (Jaccard et al., 2002), a decision-making framework. Purposive sampling was utilized to recruit 30 CHR participants, ages 18-30, at the Center of Prevention and Evaluation (COPE) research clinic at the New York State Psychiatric Institute and Columbia University Medical Center. All were assessed via semi-structured interviews. Content analysis was completed by three analysts. Sample demographics included mean age 23 (SD=3.41), 60% male, 34% White, 23% Black, 20% Hispanic, 20% Bi-Racial, 3% Asian. The most salient UTB determinants which emerged from the data were behavioral beliefs, image considerations, and emotions. Most participants reported advantages of remaining engaged with services, described peers who may use the clinic as “someone who wants help”, and those peers who would choose not to access the clinic “lacking insight”, or “experiencing stigma”. Participants described positive, negative, and mixed emotional reactions when thinking about attending the clinic. Differences in UTB responses emerged depending on whether a participant was engaged in clinical services at the time of interview or just participating in research. Treatment engagement strategies that target beliefs about seeking services, image considerations, emotions, and type of engagement with services may help raise the low rates of service engagement among this vulnerable population.


Speakers

Monday October 8, 2018 4:45pm - 4:55pm EDT
St. George AB Westin Copley Place, third floor