Although there is increasing awareness of the social determinants of mental health, the intersection of social determinants and first-episode psychosis is still a developing field. This presentation will highlight the growth in the field and the increasing complexity that must be considered as it relates to structural racism and oppression. Evidence of the role of social determinants of mental health in driving inequitable outcomes in first-episode psychosis will be discussed. Finally, solutions for improving outcomes and achieving mental health equity will be considered.