Pathways to care and ethnicity. 2: Source of referral and help-seeking.
The British journal of psychiatry
; 186(4): 290-296, Apr 2005. tab
Article
en En
| MedCarib
| ID: med-17573
Biblioteca responsable:
TT5
Ubicación: TT5; W1, BR616
ABSTRACT
Background Previous research has found that AfricanCaribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We soughtto investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. Method We included all White British, other White, AfricanCaribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. Results Compared with White British patients, general practitioner referral was less frequent for both AfricanCaribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. Conclusions These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.
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Colección:
01-internacional
Base de datos:
MedCarib
Asunto principal:
Salud Mental
/
Región del Caribe
/
Población Negra
/
Salud de las Minorías Étnicas
/
Servicios de Salud Mental
Tipo de estudio:
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Humans
Idioma:
En
Revista:
The British journal of psychiatry
Año:
2005
Tipo del documento:
Article