“No data, no problem”? Potential inequities in psychosis among immigrants in the United States

Global research indicates inequities in the incidence, severity, and care of psychosis among immigrants, primarily due to structural and social adversities relative to non-immigrants. However, despite having the world's largest immigrant population, the United States (U.S.) has limited research...

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Main Authors: Supriya Misra, Isha Weerasinghe, Lawrence H. Yang, Bizu Gelaye, Margarita Alegría
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:SSM - Mental Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666560325000040
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author Supriya Misra
Isha Weerasinghe
Lawrence H. Yang
Bizu Gelaye
Margarita Alegría
author_facet Supriya Misra
Isha Weerasinghe
Lawrence H. Yang
Bizu Gelaye
Margarita Alegría
author_sort Supriya Misra
collection DOAJ
description Global research indicates inequities in the incidence, severity, and care of psychosis among immigrants, primarily due to structural and social adversities relative to non-immigrants. However, despite having the world's largest immigrant population, the United States (U.S.) has limited research on this phenomenon. This lack of data obscures potential inequities and presents a missed opportunity to target policies and resources for this population. In this critical analytical review, we briefly summarize the evidence of inequities in psychosis among immigrants in other Western high-income countries, discuss the relevance to immigrants in the U.S. context, identify historical context and contemporary obstacles to studying this phenomenon in the U.S., and recommend strategies to improve research about psychosis among immigrants in the U.S. moving forward. Specifically, effective data collection regarding psychosis among immigrants can be achieved via shifting to person- and community-centered perspectives, leveraging existing federal data systems and funding mechanisms, improving data collection through better tools and collaboration, prioritizing inclusive engagement and recruitment, and broadening conceptions of mental experiences outside of psychiatric diagnoses. However, these investments must center on autonomy and self-determination of immigrants, given the documented harms of coercive care, such as forced treatment of individuals who experience psychosis, which is once again on the rise nationally.
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spelling doaj-art-a5f76fe48dac41c180a9e07e1b1e57122025-02-12T05:32:54ZengElsevierSSM - Mental Health2666-56032025-06-017100392“No data, no problem”? Potential inequities in psychosis among immigrants in the United StatesSupriya Misra0Isha Weerasinghe1Lawrence H. Yang2Bizu Gelaye3Margarita Alegría4Department of Public Health, San Francisco State University, San Francisco, CA, USA; Corresponding author.Center for Law and Social Policy, Washington, DC, USADepartment of Social and Behavioral Sciences, School of Global Public Health, New York University, New York City, NY, USA; School of Nursing, Duke University, Durham, NC, USAEpidemiology Branch, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USADepartments of Medicine & Psychiatry, Harvard Medical School, Boston, MA, USA; Disparities Research Unit & Mass General Research Institute, Department of Medicine, Massachusetts General Hospital, Boston, MA, USAGlobal research indicates inequities in the incidence, severity, and care of psychosis among immigrants, primarily due to structural and social adversities relative to non-immigrants. However, despite having the world's largest immigrant population, the United States (U.S.) has limited research on this phenomenon. This lack of data obscures potential inequities and presents a missed opportunity to target policies and resources for this population. In this critical analytical review, we briefly summarize the evidence of inequities in psychosis among immigrants in other Western high-income countries, discuss the relevance to immigrants in the U.S. context, identify historical context and contemporary obstacles to studying this phenomenon in the U.S., and recommend strategies to improve research about psychosis among immigrants in the U.S. moving forward. Specifically, effective data collection regarding psychosis among immigrants can be achieved via shifting to person- and community-centered perspectives, leveraging existing federal data systems and funding mechanisms, improving data collection through better tools and collaboration, prioritizing inclusive engagement and recruitment, and broadening conceptions of mental experiences outside of psychiatric diagnoses. However, these investments must center on autonomy and self-determination of immigrants, given the documented harms of coercive care, such as forced treatment of individuals who experience psychosis, which is once again on the rise nationally.http://www.sciencedirect.com/science/article/pii/S2666560325000040ImmigrantMental healthPsychosisUnited States
spellingShingle Supriya Misra
Isha Weerasinghe
Lawrence H. Yang
Bizu Gelaye
Margarita Alegría
“No data, no problem”? Potential inequities in psychosis among immigrants in the United States
SSM - Mental Health
Immigrant
Mental health
Psychosis
United States
title “No data, no problem”? Potential inequities in psychosis among immigrants in the United States
title_full “No data, no problem”? Potential inequities in psychosis among immigrants in the United States
title_fullStr “No data, no problem”? Potential inequities in psychosis among immigrants in the United States
title_full_unstemmed “No data, no problem”? Potential inequities in psychosis among immigrants in the United States
title_short “No data, no problem”? Potential inequities in psychosis among immigrants in the United States
title_sort no data no problem potential inequities in psychosis among immigrants in the united states
topic Immigrant
Mental health
Psychosis
United States
url http://www.sciencedirect.com/science/article/pii/S2666560325000040
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