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(European youth focus group) Steve: Well, I found, like, a number of them [mental health care providers] definitely helped. I feel that the majority of [hospital name] staff definitely does have that, but there are still the selleck chemicals llc ones that can create that negative experience for you when you're already going through a negative experience. �� It's funny �� you're going through stuff, even though your mind's not in the right place, you still remember all the negativity. �� [Andy: (overlapping) Yeah.] Yeah. Those are the things that I will always remember, about [name of the hospital] and dealing with [the staff] at the first time. Like, although they were there to help me, it didn't seem like half had actually studied mental health at all. (Caribbean youth focus group) During the focus groups and interviews, participants reported how their experiences of poor quality of care were due to health providers�� negative attitudes and behaviours towards mental illness. Indeed, stigma does operate, albeit marginally, in mental health services, such as primary care (eg, family doctors), emergency departments, inpatient units, outpatient units and so on and, when present, it seems to be more hurtful than when experienced outside the healthcare system. Eight young people who took part in the focus groups had police and detention centres as early contacts in their pathways to FEP treatment. Overall, police officers were perceived to be supportive, helpful and understanding of the situations. Police officers have the duty to respond to an emergency call, accompany the person to the hospital emergency room, and stay with them until Obatoclax order the hospital Thymidine kinase staff takes over. Linda: I did it twice. The first time, I went to the hospital was in an ambulance, and, the second time was �� in a police car. I actually found the police were nice. Like, I was in handcuffs [laughter], but I found them to be really nice �� they stayed with me until the doctors started seeing me. They didn't judge me, and I asked the one cop if he was married �� he was like showing me pictures of his kids. He was just nice. (European youth focus group) Three men of European origin had forensic services in their pathways. In these cases, the young men had to stay in detention for several days before they were able to see a judge. During the focus groups they described how they were exposed to verbal and physical violence as well as the trauma of experiencing psychotic episodes while in detention. Rob: Well, for me the cops were ok. But, then at the detention centre, I said something really dumb to the correctional officer and �� I'm walking �� he literally just POUNDS me, he beat the shit out of me. Right there on the ground. I wasn't shaken by it at all because I was psychotic, but like��I don't know, it was really weird. He literally took me from behind and just pounded me. I guess his superior comes in and takes him off me.