Title |
Ethnic variations in compulsory detention and hospital admission for psychosis across four UK Early Intervention Services
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Published in |
BMC Psychiatry, September 2014
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DOI | 10.1186/s12888-014-0256-1 |
Pubmed ID | |
Authors |
Farhana Mann, Helen L Fisher, Barnaby Major, Jo Lawrence, Andrew Tapfumaneyi, John Joyce, Mark F Hinton, Sonia Johnson |
Abstract |
BackgroundSubstantial ethnic variations have been found in incidence, pathways to care and outcomes in psychosis. It is unknown whether these remain as marked in the presence of specialist Early Intervention Services (EIS) for psychosis. We present the first UK study exploring ethnic differences in compulsory detention and hospitalization rates for EIS patients. We investigated whether the excess rates of compulsory admission for people from Black groups have persisted following nationwide introduction of EIS. We also explored variations in compulsory admission for other ethnic groups, and differences by gender and diagnosis.MethodsFour inner-city London EIS teams gathered data from first-presentation psychosis patients between 2004¿2009 using the MiData audit tool. Clinical, sociodemographic and pathways to care data were recorded regarding adult patients from eight different ethnic groups at entry to EIS and one year later.ResultsBlack African EIS service users had odds of being detained and of being hospitalised three times greater than White British patients, even after adjustment for confounders. This was most marked in Black African women (seven to eight times greater odds than White British women). A post-hoc analysis showed that pathways to care and help-seeking behaviour partially explained these differences.ConclusionThese findings suggest EIS input in its current form has little impact on higher admission and detention rates in certain Black and minority groups. There is a need to tackle these differences and engage patients earlier, focusing on the needs of men and women from the most persistently affected groups. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 23 | 40% |
United States | 5 | 9% |
Australia | 2 | 3% |
Ireland | 1 | 2% |
Germany | 1 | 2% |
Italy | 1 | 2% |
Canada | 1 | 2% |
Unknown | 24 | 41% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 32 | 55% |
Scientists | 14 | 24% |
Practitioners (doctors, other healthcare professionals) | 9 | 16% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Unknown | 2 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 38 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 4 | 11% |
Researcher | 3 | 8% |
Student > Bachelor | 3 | 8% |
Student > Ph. D. Student | 3 | 8% |
Student > Doctoral Student | 2 | 5% |
Other | 7 | 18% |
Unknown | 16 | 42% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 6 | 16% |
Psychology | 5 | 13% |
Medicine and Dentistry | 3 | 8% |
Nursing and Health Professions | 2 | 5% |
Chemical Engineering | 1 | 3% |
Other | 2 | 5% |
Unknown | 19 | 50% |