# Reimagining psychosis prevention: responding to the accessibility issues of At-Risk Mental State (ARMS) services through a selective public health approach

## TL;DR

This paper discusses how to improve access to psychosis prevention services for vulnerable groups through a new public health strategy.

## Contribution

The paper introduces a selective public health approach to complement existing ARMS services for better psychosis prevention.

## Key findings

- Current ARMS services in England face accessibility challenges for certain FEP patients and ethnic minorities.
- A complementary public health strategy is proposed to address these gaps in psychosis prevention.
- The approach is informed by existing research and health prevention theory.

## Abstract

At-Risk Mental State (ARMS) services aim to prevent the onset of first-episode psychosis (FEP) in those with specific clinical or genetic risk markers. In England, ARMS services are currently expanding, but the accessibility of this preventative approach remains questionable, especially for a subgroup of FEP patients and those from specific ethnic minority communities. This commentary outlines the key debates about why a complimentary approach to psychosis prevention is necessary, and gives details for an innovative public health strategy, drawing on existing research and health prevention theory.