Clinical High-Risk for Psychosis in Latinx Populations: Common Issues and Recommendations for Improving Care.

AIM: Current estimates suggest that about 1.7% of the general population meets criteria for clinical high-risk for psychosis (CHR), but Latinx individuals are more likely to be at higher risk due to factors that could inflate rates of symptomatology. Disparities in screening, access to services, and intervention for Latinx individuals at CHR persist despite calls to action.

METHODS

Through the lens of service utilisation models, the present narrative review builds on prior calls to action by summarising the literature and providing culturally sensitive recommendations for clinicians and researchers.

RESULTS

Disparities include challenges in the identification of need for services by individuals and their social networks, the lack of culturally appropriate tools and interventions across community and specialty settings, and barriers to service retention and engagement.

DISCUSSION: In response, recommendations include disseminating psychoeducational materials and programs to Latinx communities, creating norms for Latinx individuals for standard screeners and clinical interviews, increasing specialised trainings for providers in different settings, and making psychosis-related research in Latinx populations more accessible through open science practices.