A Qualitative Study of Cannabis Use and Family Dynamics Among Youth in Early Psychosis Programs

ObjectiveCannabis use contributes to negative psychosocial outcomes among youth in Early Psychosis Intervention (EPI) programs and families are crucial to recovery. This study sought to understand how youth in EPI programs perceive their families to influence their cannabis use and how cannabis affects family relationships.MethodsA qualitative approach and thematic analysis were used to investigate the perspectives of youth ages 20-30 in EPI programs (n = 15).ResultsParticipants described parental disapproval toward cannabis use, intra-family consumption, family influence, changing parental attitudes, and increased closeness.ConclusionsMost participants reported cannabis contributed to tension and conflicts with parents due to risk for exacerbating psychosis, though some family members enabled use through role modeling, approval, and intra-family consumption. Some noted positive effects of consumption on bonding and closeness. Research is needed to understand how parents can support their child's recovery after cannabis-related psychosis, and prevalence and contributing factors behind intra-family consumption.