{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T11:20:34Z","timestamp":1787656834223,"version":"build-2736575974"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001538","name":"Victoria University of Wellington","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001538","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Community Ment Health J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Early intervention for psychosis (EIP) has significantly improved outcomes for young people experiencing early psychosis. However, access to services is often variable, and can be impacted by wider systemic factors such as poverty and systemic racism, alongside the design of the wider mental health system. This study took a critical realist perspective examining participant journeys to accessing early psychosis care in New Zealand. Nineteen service users and four family members from three early psychosis services across New Zealand were interviewed. Findings were analysed using reflexive thematic analysis. Four themes were identified. \u201cSomething is wrong, but we don\u2019t know what\u201d describes initial difficulties identifying emerging psychosis symptoms, not only for the participants and their families, but also for health care professionals. \u201cAn unfriendly mental health system\u201d highlights difficulties finding mental health support. \u201cEarly psychosis services, the light at the end of the tunnel\u201d encapsulates participants\u2019 overwhelmingly positive experiences in EIP services, right from initial contact. Finally, family and wh\u0101nau (wider family and community) supports were identified as key for participants. Participants were impacted by the sociocultural setting of New Zealand early psychosis services, with lack of knowledge of psychosis alongside traumatic inpatient experiences being key barriers to accessing care. While EIP services were experienced positively, there was a lack of support for families evident and accessing services was often difficult.<\/jats:p>","DOI":"10.1007\/s10597-026-01711-9","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:36:09Z","timestamp":1787654169000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accessing Early Intervention for Psychosis Services in New Zealand \u2013 The Light at the End of the Tunnel"],"prefix":"10.1007","author":[{"given":"Rebecca E","family":"Grattan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7696-7280","authenticated-orcid":false,"given":"Gloria","family":"Fraser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megwyn A R","family":"Wolmarans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Clifford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"issue":"1","key":"1711_CR1","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1192\/bjp.bp.112.125500","volume":"203","author":"M Birchwood","year":"2013","unstructured":"Birchwood, M., Connor, C., Lester, H., Patterson, P., Freemantle, N., Marshall, M., Fowler, D., Lewis, S., Jones, P., Amos, T., Everard, L., & Singh, S. (2013). Reducing duration of untreated psychosis: Care pathways to early intervention in psychosis services. British Journal of Psychiatry, 203(1), 58\u201364.","journal-title":"British Journal of Psychiatry"},{"issue":"3","key":"1711_CR2","first-page":"646","volume":"94","author":"ZVR Boden-Stuart","year":"2021","unstructured":"Boden-Stuart, Z. V. R., Larkin, M., & Harrop, C. (2021). Young Adults\u2019 Dynamic Relationships with Their Families in Early Psychosis: Identifying Relational Strengths and Supporting Relational Agency. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 646\u2013666.","journal-title":"Research and Practice"},{"key":"1711_CR3","unstructured":"Braun, V., & Clarke, V. (2013). Successful Qualitative Research: A Practical Guide for Beginners. SAGE."},{"key":"1711_CR4","doi-asserted-by":"crossref","unstructured":"Braun, V., & Clarke, V. (2023). Toward good practice in thematic analysis: Avoiding common problems and be(com)ing a knowing researcher. International Journal of Transgender Health. 24(1), 1\u20136.","DOI":"10.1080\/26895269.2022.2129597"},{"issue":"6","key":"1711_CR5","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1176\/appi.ps.201700018","volume":"69","author":"LJ Cabassa","year":"2018","unstructured":"Cabassa, L. J., Piscitelli, S., Haselden, M., Lee, R. J., Essock, S. M., & Dixon, L. B. (2018). Understanding Pathways to Care of Individuals Entering a Specialized Early Intervention Service for First-Episode Psychosis. Psychiatric Services, 69(6), 648\u2013656.","journal-title":"Psychiatric Services"},{"key":"1711_CR6","doi-asserted-by":"crossref","unstructured":"Chen, J., El-Den, S., Pham, L., O'Reilly, C. L., & Collins, J. C. (2023). Healthcare professionals\u2019 knowledge, confidence and attitudes in relation to psychosis care: A systematic review. 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Social Psychiatry and Psychiatric Epidemiology, 59(7), 1143\u20131151.","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"key":"1711_CR10","doi-asserted-by":"crossref","unstructured":"Grattan, R. E., Mehta, A., & Clifford, A. (2024a). Disparities in Psychosis Risk Symptoms for New Zealand M\u0101ori May Be Explained by Systemic Stressors and Inappropriate Conceptualization of Culturally Normative Experiences. Schizophrenia Bulletin, 50(1), 89\u201395.","DOI":"10.1093\/schbul\/sbad085"},{"key":"1711_CR11","doi-asserted-by":"crossref","unstructured":"Grattan, R. E., Baxendine, S., & Smith, M. (2024b). Mental health service utilisation post discharge from New Zealand early intervention for psychosis services across the past 5 years. New Zealand Journal of Psychology,\u00a053(2), 51\u201356.","DOI":"10.63146\/001c.138415"},{"key":"1711_CR12","doi-asserted-by":"crossref","unstructured":"Grattan, R. E., Clifford, A., London, S. M., & Cowland, J. (2025). An Overview of Early Psychosis Care in New Zealand\u2014A Need for Culturally Adapted Service Models. Early Intervention in Psychiatry, 19(2).","DOI":"10.1111\/eip.70009"},{"issue":"2","key":"1711_CR13","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1177\/1049732317735080","volume":"28","author":"H Hansen","year":"2018","unstructured":"Hansen, H., Stige, S. H., Davidson, L., Moltu, C., & Veseth, M. (2018). How Do People Experience Early Intervention Services for Psychosis? A Meta-Synthesis. Qualitative Health Research, 28(2), 259\u2013272.","journal-title":"Qualitative Health Research"},{"key":"1711_CR14","doi-asserted-by":"crossref","unstructured":"Jenkin, G., Quigg, S., & Paap, H., Cooney, E., Peterson, D., & Every-Palmer, S. (2022). Places of Safety? Fear and Violence in Acute Mental Health Facilities: A Large Qualitative Study of Staff and Service User Perspectives. 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J., & Lacey, C. (2023). Racism, Early Psychosis and Institutional Contact: A Qualitative Study of Indigenous Experiences. International Review of Psychiatry, 35(3\u20134), 323\u2013330.","journal-title":"International Review of Psychiatry"},{"key":"1711_CR19","doi-asserted-by":"crossref","unstructured":"Milton, A., Powell, T., Conn, K., Einboden, R., Buus, N., & Glozier, N. (2022). Experiences of Service Transitions in Australian Early Intervention Psychosis Services: A Qualitative Study with Young People and Their Supporters. BMC Psychiatry, 22(1), 788.","DOI":"10.1186\/s12888-022-04413-0"},{"key":"1711_CR20","doi-asserted-by":"crossref","unstructured":"Murcott, W. (2016). A scoping review of care received by young people aged 16\u201325 when admitted to adult mental health hospital wards. Journal of Public Mental Health, 15(4), 216\u2013228.","DOI":"10.1108\/JPMH-05-2016-0025"},{"key":"1711_CR21","unstructured":"NICE Guidelines for Treating a First Episode of Psychosis (2023). 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International Journal of Mental Health Nursing, 25(3), 258\u2013265.","journal-title":"International Journal of Mental Health Nursing"}],"container-title":["Community Mental Health Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-026-01711-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10597-026-01711-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-026-01711-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:36:12Z","timestamp":1787654172000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10597-026-01711-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":33,"alternative-id":["1711"],"URL":"https:\/\/doi.org\/10.1007\/s10597-026-01711-9","relation":{},"ISSN":["0010-3853","1573-2789"],"issn-type":[{"value":"0010-3853","type":"print"},{"value":"1573-2789","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"assertion":[{"value":"28 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"RG is an executive member of the New Zealand Early Intervention for Psychosis Society.","order":1,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}