Purpose-The purpose of this paper is to present a series of cases of international students being treated in a specialized early intervention service for first-episode psychosis (FEP), describing the particular challenges that arise in this process, and to provide recommendations addressing these challenges. Design/methodology/approach-Two researchers independently reviewed the charts of seven international students and discussed them with their treating clinicians. Recurring themes were identified through an iterative process of discussion and consensus. Findings-Four themes were identified which demonstrated specific challenges faced by international students being treated for FEP: Difficulty maintaining student visa status, limited social and family support, financial and health insurance issues, and service disengagement. Originality/value-The study suggests that international students with FEP may present with numerous and unique challenges, thereby requiring special attention in their treatment. Although these are preliminary findings based on a small case series, the findings can inform recommendations for mental health services in cities with a sizeable international student population and guide future research on this topic. © 2016 Emerald Group Publishing Limited.

Early intervention Cultural diversity International students immigrants Treatment Psychosis

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