Received a NIH grant is in the total amount of USD 2,398,130. 00 for a five year period with a possible cut of up to 10% by NIH to the original budget. This new grant follows our successful pilot project on the same question for which we were funded jointly by NIH and CIHR between 2008 and 2010. The present grant will allow us to examine in detail the following main questions:
- To confirm that outcome in psychotic disorders is truly better in India (site SCARF Chennai, India) than in countries like Canada (PEPP-Montréal site)?
- What are the processes involved that produce a better outcome, specifically to explore further the hint that family support and involvement may be the key factor and to find out what exactly are the things the families do differently in the two very different contexts?
- Is the outcome better even from patients’ subjective perspective?
- What effect does a welfare system (dependence on state) have on social and occupational outcome compared to societies where the state plays little role and the families and individuals have to take care of themselves?
The implications of the potential results from this study for Canada and the USA are: what can we learn from the processes involved in producing better outcome and if so are they are applicable in our social, economic and cultural milieu; given the large proportion of our population in Canada originating from non-occidental cultures we may be able to apply directly these insights to our patients who share those cultural backgrounds.