Academic Journal
Building a Sexual and Reproductive Health Module for Implementation in Early Psychosis Programs: A Co-creation Process: Création d'un module sur la santé sexuelle et reproductive à mettre en œuvre dans les programmes d'intervention précoce en cas de psychose : un processus de création conjointe.
| Τίτλος: | Building a Sexual and Reproductive Health Module for Implementation in Early Psychosis Programs: A Co-creation Process: Création d'un module sur la santé sexuelle et reproductive à mettre en œuvre dans les programmes d'intervention précoce en cas de psychose : un processus de création conjointe. |
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| Συγγραφείς: | Barker LC; Women's College Hospital, Toronto, ON, Canada.; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Zaheer J; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Wong-Lee R; Centre for Addiction and Mental Health, Toronto, ON, Canada., Kearney H; Department of Psychiatry, University of Toronto, Toronto, ON, Canada., Ampofo A; Centre for Addiction and Mental Health, Toronto, ON, Canada., Bodogh V; Centre for Addiction and Mental Health, Toronto, ON, Canada., Dobinson C; Planned Parenthood Toronto, Toronto, ON, Canada., Dmytryshyn R; Women's College Hospital, Toronto, ON, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada., Dunn S; Women's College Hospital, Toronto, ON, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada., Foussias G; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Kozloff N; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Lam JSH; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Rodriguez A; Centre for Addiction and Mental Health, Toronto, ON, Canada., Sirotich F; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.; Canadian Mental Health Association-Toronto, Toronto, ON, Canada., Soklaridis S; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Villanueva V; Centre for Addiction and Mental Health, Toronto, ON, Canada., Voineskos AN; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.; Centre for Addiction and Mental Health, Toronto, ON, Canada., Vigod SN; Women's College Hospital, Toronto, ON, Canada.; Department of Psychiatry, University of Toronto, Toronto, ON, Canada. |
| Πηγή: | Canadian journal of psychiatry. Revue canadienne de psychiatrie [Can J Psychiatry] 2026 Jun; Vol. 71 (6), pp. 467-476. Date of Electronic Publication: 2026 Feb 18. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Country of Publication: United States NLM ID: 7904187 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1497-0015 (Electronic) Linking ISSN: 07067437 NLM ISO Abbreviation: Can J Psychiatry Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2016- : Thousand Oaks, CA : Sage Original Publication: [Ottawa, Canadian Psychiatric Assn.] |
| Ιατρικοί όροι (MeSH): | Psychotic Disorders*/therapy , Reproductive Health*/education , Early Medical Intervention*/organization & administration , Sexual Health* , Program Development* , Sexual and Gender Minorities*, Humans ; Female ; Male ; Community-Based Participatory Research ; Adolescent ; Gender-Nonconforming Persons |
| Περίληψη: | Background: Individuals with psychosis are at risk for adverse sexual and reproductive health (SRH) experiences, and for receiving suboptimal SRH care. Early psychosis intervention (EPI) programs offer an opportunity to address SRH early in the illness course, yet SRH is not currently part of routine EPI care. This project sought to develop a SRH module for women, transgender, and gender-diverse individuals for delivery within EPI care. Methods: To develop the SRH module, an integrated knowledge translation frame was used, informed by a community-based participatory action research approach. A working group was formed of diverse Youth Advisors (n = 3) and a Youth Engagement Specialist (n = 1) with lived experience with early psychosis, SRH experts (n = 3), mental health experts (n = 3), and research staff (n = 1). The working group met approximately biweekly to co-develop the module (January-October 2023). The module was formatted based on the NAVIGATE model of coordinated specialty care, and was informed by prior research on SRH and working group members' lived and clinical experiences. Results: The working group developed an interactive module covering five topics: (1) relationships, (2) sexual health, (3) reproductive health, (4) sexual orientation and gender identity, and (5) interpersonal violence. For each topic, client-facing materials (check-in questions, potential topics, worksheets) and clinician-facing materials (goals, handouts, suggested agendas, teaching strategies, tips for common challenges, evaluating gains and therapeutic goals, specific techniques, probes) were developed. SRH and mental health experts brought evidence-based content, and youth brought an affirming and youth-friendly lens to language and content. Conclusion: The developed module covers a broad array of SRH topics important to youth. If implementation is successful, the module could improve SRH-related well-being and outcomes for women, transgender, and gender-diverse youth with psychosis. Including youth with lived experience as collaborators enhanced inclusivity and relevance.Plain Language Summary TitleAddressing sexual and reproductive health for youth with early psychosis: description of a collaborative process to build a care module. |
| Competing Interests: | Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: RD reports honoraria from Merck, Searchlight, and Bayer. ANV currently receives grant funding from the National Institute of Mental Health, Canadian Institutes of Health Research, Canada Foundation for Innovation, CAMH Foundation, the University of Toronto, Brain Canada, and Wellcome Trust. SNV reports royalties from UpToDate Inc for authorship of materials related to depression and pregnancy. |
| Contributed Indexing: | Keywords: co-design; early psychosis intervention; psychotic disorders; reproductive health; sexual health Local Abstract: [plain-language-summary] Youth who experience psychosis (e.g., symptoms like delusions and hallucinations) are at higher risk for poor sexual and reproductive health outcomes (e.g., sexually transmitted infections). They are also at risk for not receiving needed sexual and reproductive health care. Early psychosis intervention programs provide structured care for youth with psychosis. They do not typically include sexual and reproductive health, missing an opportunity to improve sexual and reproductive health for youth with psychosis. This project aimed to develop a sexual and reproductive health clinical module for women, transgender, and gender-diverse individuals that can be used within early psychosis intervention programs. To develop the sexual and reproductive health module, we formed a working group that included youth with lived experience of psychosis, clinicians with knowledge about mental health and sexual and reproductive health, and researchers. The working group met regularly to design the module together. The module format was based on an existing early psychosis intervention program. The module content was based on research on sexual and reproductive health and working group members' experiences. The final module covered five sections: (1) relationships, (2) sexual health, (3) reproductive health, (4) sexual orientation and gender identity, and (5) interpersonal violence. The module included materials for clients (e.g., worksheets) and materials for clinicians (e.g., teaching strategies). Including youth with lived experience as collaborators made the module more inclusive and relevant. The module has the potential to improve sexual and reproductive health for women, transgender, and gender-diverse youth with psychosis, and more research is needed. |
| Entry Date(s): | Date Created: 20260218 Date Completed: 20260708 Latest Revision: 20260708 |
| Update Code: | 20260708 |
| PubMed Central ID: | PMC12916341 |
| DOI: | 10.1177/07067437261420713 |
| PMID: | 41706631 |
| Βάση Δεδομένων: | MEDLINE |
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