Srividya N Iyer
Dados Biográficos
| ID | 135995 |
|---|---|
| NOME | Srividya N Iyer |
| PRENOMES | Srividya N |
| SOBRENOME | Iyer |
| ASSINATURA | IYER S N |
| AFILIAÇÕES | Douglas Mental Health University Institute |
| ORCID | 0000-0001-5367-9086 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 42 |
| TOTAL DE CITAÇÕES | 9 |
| TOTAL COMO AUTOR | 42 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
The Implementation of Early Intervention Initiatives for Psychosis in Latin America and the Caribbean
Psychosis is a serious mental illness, with onset in adolescence and young adulthood. Few early intervention for psychosis (EIP) programs exist in the Global South, where most of the world’s youth live. Addressing this gap requires understanding implementation contexts, pathways, and challenges. This study examines EIP initiatives in Latin America and the Caribbean (LAC) and explores implementers’ perspectives on scaling them. A single-case study…
Beyond belief
Research on help-seeking for serious mental illness (SMI) has often focused on the influence of cultural beliefs and explanatory models however a number of factors also influence decisions around treatment including availability, cost and quality of care. This study utilises an ecological framework to explore influences on help-seeking for serious mental illness in deprived urban slum communities in Ibadan, Nigeria and Dhaka, Bangladesh. Intervie…
Indigenous research sovereignty within academia
Indigenous Peoples' inherent right to self-determination includes authority over research, yet university systems centralize control in ways that constrain Indigenous sovereignty. This article examines how academic institutional structures and processes-well beyond the actions of individual researchers-shape the possibilities and limitations of Indigenous-focused research within universities. Drawing on a collaborative, story-based process involv…
Fostering Accessibility to Mental Health Services for Youth Experiencing Homelessness in Montreal, Canada
BACKGROUND: (RIPAJ) was established in Montréal in 2003 through collaboration between community and governmental health organizations. In 2016, RIPAJ joined the national Adolescent/Young Adult Connections to Community-driven Early Strengths-based Stigma-free services-Open Minds (ACCESS-OM) initiative, aiming to enhance mental healthcare accessibility for youth experiencing homelessness. AIMS: This study evaluates the impact of this integrated app…
Exploring the Presenting Problems and Services Received by Youth with Diverse Mental Health Presentations in Integrated Youth Mental Health Services Across Canada
Variability in service delivery confirms the need for greater standardization of core service offerings across sites. Future research should assess the appropriateness of services for different presentations to ensure equitable support is provided for all youth
Migrant integration policies, regional social disadvantage, ethnicity and psychosis risk
Compared with individual-level factors, macro-level exposures have received less attention in research on the increased risk of psychosis among ethnic minorities. We aimed to investigate the impact of migrant integration policies and area-level social deprivation on higher incidence rates among ethnic minorities. This study, conducted between 2010 and 2015, analysed incidence data from five countries from the EUropean network of national schizoph…
Experiences and socio-environmental contexts in the lead-up to psychosis
Our findings shed light on the processes through which social contexts shape the lives and illness development of individuals from diverse backgrounds. By framing them within particular life stories and places, we gain a fuller, more fine-grained understanding of the social-structural determinants that have been identified in quantitative studies. Our work highlights the need to attend closely to patients' social contexts and narratives and advoc…
Narratives in context
Findings resonate with previous research on the impacts of social and structural disadvantage, particularly for minoritized populations. By framing these under particular contexts and life stories, our findings allow for contextualization and nuance, and a focus on what mattered the most for participants: hope, meaning, renewal and healing
Measuring integration in “Integrated Youth Services” in Canada
Background: There are various conceptual models of integration in youth health care and wellness but challenges exist when implementing these tools or surveys and putting them into practice. We will generate dialogue and share our experiences using these models in the context of embedded research and evaluation programs. The aim of these programs is to measure the extent to which services and systems are integrated, and linking this with an under…
Mental Health Providers Perceptions and Experiences of Peer Support in Youth Mental Health Care
Background: Mental health providers play an integral role in youth mental health services, providing assessment, diagnosis and treatment of mental health concerns, and supporting recovery. Evidence shows mental health providers are challenged due to health system limitations and increased demands for services, resulting in long wait times and negatively impacting quality of care. To increase mental health service accessibility and mitigate diseng…
A participatory process to support the implementation of integrated youth services in Quebec
Background: Integrated youth services (IYS) have been implemented worldwide for decades, and numerous studies have demonstrated their ability to more appropriately meet the needs of young people (Bassilios et al., 207; Bentayeb et al., 2022a; Callaly et al., 2009; Patulny et al., 203; Rickwood et al., 205). In Quebec, since 208, the Ministry of Health and Social Services and its partners have been working to establish IYS to better meet the needs…
Implementation of a supported employment and education program in Integrated Youth Service settings across Canada
Background: Youth mental health in the aftermath of the COVID-19 pandemic has worsened due to prolonged isolation, reduced access to resources, and disruptions to education and employment. To enhance service delivery for this population and in light of a growing body of work supporting integrated approaches in Canada, the Lift/Futur en tête project implemented an evidence-based supported employment and education program, Individual Placement and …
Perceptions of Post-Secondary Peer Support by Student Providers
Background: Post-secondary aged youth (18-25 years) often experience new, or exacerbation of existing, mental health concerns with 1 in 5 having a diagnosable mental health issue. Peer support (support provided by an individual with similar lived experience) has been found to reduce stigma, increase engagement with care, and empower youth. Within the post-secondary context, peer support can fill gaps in services and provide unique supports to stu…
Identifying ‘Where’ and ‘How’ Peer Support for Youth is Integrated into Community-Based Mental Health Services
Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations
Background While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries…
Exploring Youth Substance Use Challenges and Solutions
Background: The Icelandic Prevention Model (IPM) represents a promising practice for youth substance use prevention. It applies a community-driven primary prevention approach that is designed to create healthy contexts. Lanark County was the first community in Canada to adopt the IPM and has been pioneering a youth engagement approach to support the implementation. This paper describes the early findings related to a participatory evaluation that…
Reflections on the explanations of higher psychosis rates among migrant and ethnic minority populations
A growing number of studies suggest that migrant and ethnic minority populations are at higher risk for being diagnosed with psychosis. However, the reasons why have been disputed. This study aims to explore different interpretations of the observed higher rates of psychosis diagnosis among immigrants and ethnic minorities in some parts of the world. We sought to examine these interpretations through a critical lens, acknowledging the social unde…
Engaging with care in an early intervention for psychosis program
Language is an important aspect of communication and language status is known to impact healthcare accessibility, its perceived suitability, and outcomes. However, its influence on treatment engagement and/or disengagement is unknown. Our study therefore sought to investigate the impact of language on service disengagement in an early intervention psychosis program in Montreal, Quebec (a province with French as the official language). We aimed to…
The Lancet Psychiatry Commission on youth mental health
Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, C…
BACKGROUND: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). AIMS: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated in two similarly structured early intervention services in Chennai, India and Mo…
Developing a spectrum model of engagement in services for first episode psychosis
An examination of service user and service provider perspectives on the various domains identified in the spectrum model, and their dynamic interplay, reveals the complexity of choices faced by service users in engaging and not engaging with services
Youth not engaged in education, employment, or training
This study identified employment, education, and training service preferences among Upcoming youth. The findings indicate a need to create a service model that supports holistic skills building, mental health and wellness, and long-term school and job opportunities
Mental health of Canadian youth
La pair-aidance pour soutenir le rétablissement en intervention précoce pour la psychose
Objectifs Décrire les différents enjeux entourant l’intégration des pairs aidants (PA) et pairs aidants famille (PAF) dans les programmes d’intervention précoce pour la psychose (PIPEP) : leurs rôles, les retombées de leurs interventions pour les patients, les membres de l’entourage et les équipes traitantes, ainsi que les défis et les facilitateurs de ce processus. Méthode Cet article corédigé avec des PA et PAF présente une description et discu…
Return on investment from service transformation for young people experiencing mental health problems
Complex interventions such as AOM aim to shift care "upstream": away from acute, emergency, hospital and specialist services and toward community-based programming which is more easily accessible, often more appropriate for early-stage presentations, and more resource-efficient. Carrying out economic evaluations of such interventions is challenging given the constraints of available data and health system organization. Nonetheless, such analyses …
Everyone Has a Role
Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to their needs remaining unmet. A qualitative descriptive design was used to explore these perceptions among key stakeholders. Focus groups were conducted with 13 service users, 12 family members, and 18 treatment providers from an early psychosis intervention program in Montreal, Canada. Individual interviews were conducted with…
The Relationship Between Openness to Experience and Willingness to Engage in Online Political Participation Is Influenced by News Consumption
Openness to experience is known to be an independent predictor of online political behavior, although the degree to which this relationship is influenced by other factors has not been tested. One objective of this study was to test whether the relationship between openness to experience and the propensity to engage in online political participation is mediated by internal political efficacy and hours spent consuming news. The second objective was…
The role of self-esteem for outcome in first-episode psychosis
Background: Self-esteem may be associated with a wide range of psychiatric disorders, including psychotic disorders. However, the relationship between self-esteem and outcome in psychosis has not been adequately examined, especially early in the course of the illness. Aim: The aim of the study was to examine the impact of self-esteem in individuals who presented for treatment of a first episode of psychosis on outcome early in the course of the i…
Intervention précoce pour la psychose
Cet article fournit un survol de la logique de l’intervention précoce pour psychose, de ses fondements théoriques et de la littérature essentielle sur le concept. L’intervention précoce repose sur l’hypothèse de la période critique, qui vient accentuer l’importance des premiers stades de la maladie, et sur les résultats d’études dans le domaine, qui suggère que la durée d’une psychose non traitée en influence le pronostic. L’intervention précoce …
The Relationship Between Openness to Experience and Willingness to Engage in Online Political Participation Is Influenced by News Consumption
Openness to experience is known to be an independent predictor of online political behavior, although the degree to which this relationship is influenced by other factors has not been tested. One objective of this study was to test whether the relationship between openness to experience and the propensity to engage in online political participation is mediated by internal political efficacy and hours spent consuming news. The second objective was…
Who should be responsible for supporting individuals with mental health problems? A critical literature review
BACKGROUND: Individuals with mental health problems have many support needs that are often inadequately met; however, perceptions of who should be responsible for meeting these needs have been largely unexplored. Varying perceptions may influence whether, how, and to what extent relevant stakeholders support individuals with mental health problems. AIMS: To critically evaluate the literature to determine who different stakeholders believe should …
It’s Brought Me a Lot Closer to Who I Am”
Background: A first episode of psychosis is often a traumatic experience that may also lead to positive change, a phenomenon that has received little attention. This knowledge gap may impede service providers' capacity to foster positive change among service users. Objective: To investigate aspects of positive change among persons receiving early intervention services for psychosis. Design: The study objective was addressed using a mixed methods …
Everyone Has a Role
Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to their needs remaining unmet. A qualitative descriptive design was used to explore these perceptions among key stakeholders. Focus groups were conducted with 13 service users, 12 family members, and 18 treatment providers from an early psychosis intervention program in Montreal, Canada. Individual interviews were conducted with…
Innovate Research
BACKGROUND: Engaging youth in research provides substantial benefits to research about youth-related needs, concerns and interventions. However, researchers require training and capacity development to work in this manner. METHODS: A capacity-building intervention, INNOVATE Research, was co-designed with youth and adult researchers and delivered to researchers in three major academic research institutions across Canada. Fifty-seven attendees part…
Enhancing researcher capacity to engage youth in research
BACKGROUND: There is increasing emphasis on engaging youth in research about youth, their needs, experiences and preferences, notably in health services research. By engaging youth as full partners, research becomes more feasible and relevant, and the validity and richness of findings are enhanced. Consequently, researchers need guidance in engaging youth effectively. This study examines the experiences, needs and knowledge gaps of researchers. M…
ShareDisk
Objectives: Views on who bears how much responsibility for supporting individuals with mental health problems may vary across stakeholders (patients, families, clinicians) and cultures. Perceptions about responsibility may influence the extent to which stakeholders get involved in treatment. Our objective was to report on the development, psychometric properties and usability of a first-ever tool of this construct. Methods: We created a visual we…
Détection et intervention précoce pour la psychose
Objectifs Cet article vise à résumer les étapes déterminantes du développement du modèle de détection et d’intervention précoce pour la psychose des 30 dernières années, et à recenser les écrits fondamentaux permettant d’identifier ses composantes essentielles et son efficacité.Méthode Revue narrative de la littérature portant sur le développement international du modèle et contribuant à préconiser cette approche d’intervention chez les jeunes so…
Comment les services d’intervention précoce pour la psychose peuvent-ils mieux servir les migrants, les minorités ethniques et les populations autochtones
Objectives To synthesize the available epidemiological and clinical evidence relevant to the mental health care of migrant, ethnic minority and Indigenous populations in the context of early psychosis. Methods This study provides a narrative review of the literature on psychosis in these populations, including issues related to the provision of early intervention services for psychosis. Results Migrant status has long been reported as a significa…
Les approches familiales en intervention précoce
Il existe désormais un large consensus sur l’utilité des approches familiales dans les programmes d’intervention précoce en matière de psychose. L’évolution des connaissances sur les premières psychoses et le développement des interventions familiales ont grandement influencé la perception à l’égard des familles dans le processus de rétablissement. Objectifs Cet article propose un état des connaissances des pratiques en intervention familiale en …
Our roles are not at ease
OBJECTIVES: There is growing policy impetus for including youth voices in health services research and health system reform. This article examines the perspectives of professionals in a mental healthcare organization charged with engaging young people as advisors in service transformation. METHODS: An institutional ethnography of a youth mental health services organization in Ontario, Canada, was conducted. Fieldwork consisted of twelve months of…
The mental health of young people who are not in education, employment, or training
Intervention outcome preferences for youth who are out of work and out of school
Young people want interventions to be individualized and integrated, providing a high level of support for their educational and employment pursuits as well as their mental health and well-being. Incorporating youth's perspectives when designing interventions can increase intervention relevance and potentially service uptake, helping youth continue to pursue their educational and vocational goals
A Mixed Methods Study Examining Citizenship Among Youth With Mental Health Challenges
Findings from this study may support the development of citizenship-oriented healthcare in Canada
Building engagement to support adoption of community-based substance use prevention initiatives
The findings from this research describe critical insight derived from implementing community-driven initiatives that are designed to support health promotion. It contributes new scientific knowledge related to implementation of complex system-level innovations and practical information that is useful for communities interested in implementing the IPM or following similar approaches to prevent substance use
La pair-aidance pour soutenir le rétablissement en intervention précoce pour la psychose
Objectifs Décrire les différents enjeux entourant l’intégration des pairs aidants (PA) et pairs aidants famille (PAF) dans les programmes d’intervention précoce pour la psychose (PIPEP) : leurs rôles, les retombées de leurs interventions pour les patients, les membres de l’entourage et les équipes traitantes, ainsi que les défis et les facilitateurs de ce processus. Méthode Cet article corédigé avec des PA et PAF présente une description et discu…
Return on investment from service transformation for young people experiencing mental health problems
Complex interventions such as AOM aim to shift care "upstream": away from acute, emergency, hospital and specialist services and toward community-based programming which is more easily accessible, often more appropriate for early-stage presentations, and more resource-efficient. Carrying out economic evaluations of such interventions is challenging given the constraints of available data and health system organization. Nonetheless, such analyses …
The Lancet Psychiatry Commission on youth mental health
Similar and different? A cross-cultural comparison of the prevalence, course of and factors associated with suicidal thoughts and behaviors in first-episode psychosis in Chennai, India and Montreal, C…
BACKGROUND: Data from high-income countries (HICs) show a high risk of suicidal thoughts and behaviors (STBs) in first-episode psychosis (FEP). It is unknown, however, whether rates and associated factors differ in low- and middle-income countries (LMICs). AIMS: We therefore aimed to compare the 2-year course of STBs and associated factors in persons with FEP treated in two similarly structured early intervention services in Chennai, India and Mo…
Developing a spectrum model of engagement in services for first episode psychosis
An examination of service user and service provider perspectives on the various domains identified in the spectrum model, and their dynamic interplay, reveals the complexity of choices faced by service users in engaging and not engaging with services
Youth not engaged in education, employment, or training
This study identified employment, education, and training service preferences among Upcoming youth. The findings indicate a need to create a service model that supports holistic skills building, mental health and wellness, and long-term school and job opportunities
Mental health of Canadian youth
Migrant integration policies, regional social disadvantage, ethnicity and psychosis risk
Compared with individual-level factors, macro-level exposures have received less attention in research on the increased risk of psychosis among ethnic minorities. We aimed to investigate the impact of migrant integration policies and area-level social deprivation on higher incidence rates among ethnic minorities. This study, conducted between 2010 and 2015, analysed incidence data from five countries from the EUropean network of national schizoph…
Psychology (24 obras) · Political science (21 obras) · Medicine (20 obras) · Psychiatry (19 obras) · Mental health (15 obras) · Sociology (10 obras) · Mental Health and Patient Involvement (9 obras) · Mental Health Treatment and Access (9 obras) · Psychosis (9 obras) · Public relations (9 obras)