id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-276934-6t91ao8e	Byrne, Peter	Placing poverty-inequality at the centre of psychiatry	2020-10-17		.txt	text/plain	2232	108	53	We examine epidemiological evidence for the central role of inequalities (principally economic) in driving the onset of mental disorders, physical ill health and premature mortality. Prevention of mental disorders and adverse outcomes such as premature mortality must begin with efforts to mitigate rising poverty-inequality. Then there is a sixth area, fair access to medical care: current national strategies to improve physical health outcomes in people with SMI and treatment of all mental disorders focus on this. But the antecedents of SMI are complex, and our understanding of why people develop psychosis is changing, building on the seminal work of Jim Van Os on the toxic effects of urbanicity 14 with consistent evidence of the cumulative effects of social disadvantage. 15 Outcomes in adults with first-episode psychosis are complex and improving slowly in our professional lifetimes (with adequately resourced early intervention services); even at 5-year follow-up, Mattsson et al 16 showed financial strain and social networks to be strong, independent predictors of outcomes.	./cache/cord-276934-6t91ao8e.txt	./txt/cord-276934-6t91ao8e.txt