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Pathways to care and ethnicity. 2: Source of referral and help-seeking
Morgan, Craig; Mallett, Rosemarie; Hutchinson, Gerard; Bagalkote, Hemant; Morgan, Kevin; Fearon, Paul; Dazzan, Paola; Boydell, Jane; McKenzie, Kwame; Harrison, Glynn; Murray, Robin; Jones, Peter; Craig, Tom; Leff, Julian.
Afiliação
  • Morgan, Craig; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Mallett, Rosemarie; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Hutchinson, Gerard; Univeristy of the West Indies. Department of Clinical Medicine. Psychiatry Unit. Mt. Hope. Trinidad and Tobago
  • Bagalkote, Hemant; University of Nottingham. Department of Psychiatry. Nottingham. United Kingdom
  • Morgan, Kevin; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Fearon, Paul; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Dazzan, Paola; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Boydell, Jane; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • McKenzie, Kwame; Royal Free and University College Medical School. Department of Psychiatry and Behavioural Sciences. London. United Kingdom
  • Harrison, Glynn; University of Bristol. Division of Psychiatry. Bristol. United Kingdom
  • Murray, Robin; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Jones, Peter; University of Cambridge. Department of Psychiatry. Cambridge. United Kingdom
  • Craig, Tom; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
  • Leff, Julian; Institute of Psychiatry. Division of Psychological Medicine. London. United Kingdom
The British journal of psychiatry ; 186: 290-296, April 2005. tab
Article em En | MedCarib | ID: med-17376
Biblioteca responsável: TT5
Localização: TT5; W1, BR616
ABSTRACT

BACKGROUND:

Previous research has found that African–Caribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We sought to 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, African–Caribbean 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 African–Caribbean 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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Coleções: 01-internacional Base de dados: MedCarib Assunto principal: Encaminhamento e Consulta / Saúde das Minorias Étnicas Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: The British journal of psychiatry Ano de publicação: 2005 Tipo de documento: Article
Buscar no Google
Adicionar na Minha BVS
Imprimir
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Coleções: 01-internacional Base de dados: MedCarib Assunto principal: Encaminhamento e Consulta / Saúde das Minorias Étnicas Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: The British journal of psychiatry Ano de publicação: 2005 Tipo de documento: Article