{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T14:33:22Z","timestamp":1785594802333,"version":"3.56.0"},"reference-count":61,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004441","name":"Styrelsen f\u00f6r Internationellt Utvecklingssamarbete","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004441","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Engagement in mental health services among young patients with first\u2010episode psychosis (FEP) is crucial for preventing relapse. We conducted this scoping review to establish the proportion and determinants of engagement, disengagement and re\u2010engagement in outpatient mental health care among young patients from 13 to 35\u2009years with FEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We used the guidelines for scoping review by the Joanna Briggs Institute (\n                      <jats:styled-content style=\"fixed-case\">JBI<\/jats:styled-content>\n                      ) and the Arksey and O'Malley framework. We searched for published and unpublished studies guided by the inclusion criteria: studies published in English from 1990, the expansion of psychiatric outpatient, focused on engaged, disengaged and re\u2010engaged in outpatient mental health care using quantitative, qualitative and mixed methods studies. We performed the numerical and thematic analysis and reporting using Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis Extension for scoping review (\n                      <jats:styled-content style=\"fixed-case\">PRISMA<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">ScR<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>About 25 articles published from 2002 to 2020 met the inclusion criteria for this review; the proportion of young people with FEP who remained engaged was 45.5% for 6\u2009months of follow\u2010up, and the proportion of re\u2010engagement after initial disengagement was 78.8%. Disengagement ranged between 13% and 56.3% for 12\u201336\u2009months. The socio\u2010demographic factors associated with disengagement were older age, male, black, unmarried status, living alone, unemployment, social and material deprivation, poverty, substance use and involvement with criminal justice. Some clinical determinants included a history of mental illness in the family and a psychosis disorder diagnosis other than schizophrenia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disengagement from mental health services is consistently high among people with FEP, indicating the need for intervention studies that address the associated individual and clinical factors to ensure their retention in treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eip.70100","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T08:29:16Z","timestamp":1759998556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Engagement, Disengagement and Re\u2010Engagement in Mental Health Services Among Young Patients With First\u2010Episode Psychosis: A Scoping Review"],"prefix":"10.1111","volume":"19","author":[{"given":"Joyce","family":"Mlay","sequence":"first","affiliation":[{"name":"Discipline of Public Health Medicine, School of Nursing and Public Health University of KwaZulu\u2010Natal  Durban South Africa"},{"name":"Health Economics and HIV and AIDS Research Division (HEARD) University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8173-211X","authenticated-orcid":false,"given":"Saeeda","family":"Paruk","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, Nelson R Mandela School of Medicine University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Tomita","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, School of Nursing and Public Health University of KwaZulu\u2010Natal  Durban South Africa"},{"name":"KwaZulu\u2010Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lessells","sequence":"additional","affiliation":[{"name":"KwaZulu\u2010Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences University of KwaZulu\u2010Natal  Durban South Africa"},{"name":"Centre for the AIDS Programme of Research in South Africa (CAPRISA)  Durban South 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