Experience-based Investigation and Co-design of Psychosis Centred Integrated Care Services for Ethnically Diverse People with Multimorbidity (CoPICS): study protocol

Kamaldeep Bhui*, Doreen Joseph, Nimra Khan, Tara Morrey, Roisin Mooney, Uzma Zahid, Tanya Mackay, Michael Larkin, Frank Keating, Paul McCrone, Rachel Upthegrove, Sian Lowri Griffiths, Dawn Edge, Peter A. Coventry, Jason Arday, Georgina M. Hosang

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Introduction: Ethnic minorities (also called racialised groups) are more likely to experience severe mental illness (SMI). People with SMI are more likely to experience multimorbidity (MM), making psychosis among racialised groups more likely to lead to MM, poor outcomes, disability and premature mortality. Methods and analysis: This National Institute for Health and Care Research-funded study (151887) seeks to use innovative participatory methods including photovoice and biographical narrative interviews in urban and rural areas of England to assemble experience data. These data will be subjected to polytextual thematic analysis, and alongside pictures and captions, will inform an experienced-based co-design of interventions, the implementation of which will be evaluated. There will be an economic analysis and a process evaluation of the implementation. Ethics and dissemination: This programme of work has received ethical (IRAS 322421; Newcastle North Tyneside Research Ethics Committee 23/NE/0143) and sponsor approval. The findings will be disseminated in galleries showing the creative work, as lay and academic summaries and infographics; as practice briefings for practitioners, commissioners and policy makers; peer-reviewed publications. Trial registration number: https://www.researchregistry.com/browse-the-registry%23home/registrationdetails/649c08111c037d0027b17d17/
Original languageEnglish
Article numbere084121
Pages (from-to)e084121
Number of pages10
JournalBMJ Open
Issue number2
Early online date28 Feb 2024
Publication statusPublished - 28 Feb 2024

Bibliographical note

Copyright © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.


  • chronic disease
  • health services
  • schizophrenia & psychotic disorders
  • Psychotic Disorders/therapy
  • Delivery of Health Care, Integrated
  • Humans
  • England
  • Research Design
  • Multimorbidity


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