Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4

Parkman, Sue; Davies, Sara; Leese, Morven; Phelan, Michael; Thornicroft, Graham

doi:10.1192/bjp.171.3.260

Cited by 120 publications

(77 citation statements)

References 20 publications

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“…Falkowski et al (1990) showed that Black people were overrepresented among detained absconders from in-patient units. Although Black people often find services unattractive, it is likely that detained patients are more likely to perceive them as unhelpful (Parkman et al, 1997).…”

Section: Assessment and Admission In General Adult Servicesmentioning

confidence: 99%

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Bhui¹,

Bhugra²

2002

Adv. psychiatr. treat

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A substantial body of research indicates that, for people from Black and Asian ethnic minorities, access to, utilisation of and treatments prescribed by mental health services differ from those for White people (Lloyd & Moodley, 1992; for a review see Bhui, 1997). Pathways to mental health care are important, and the widely varying pathways taken in various societies may reflect many factors: the attractiveness and cultural appropriateness of services; attitudes towards services; previous experiences; and culturally defined lay referral systems (Goldberg, 1999). Contact with mental health care services may be imposed on the individual, but people who choose to engage with services usually do so only if they think that their changed state of functioning is health-related and potentially remediable through these services. In such cases, they will contact whoever they perceive to be the most appropriate carer, and these carers are often not part of a national health care network.

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Section: Assessment and Admission In General Adult Servicesmentioning

confidence: 99%

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Bhui¹,

Bhugra²

2002

Adv. psychiatr. treat

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“…Cultural stereotyping of African-Caribbean users of mental health services as more likely to be irrational, threatening and dangerous than their white counterparts has also been reported as contributing to the aversive experience and subsequent avoidance of mental health services by potential clients (Callan and Littlewood 1998). Such problems are also reflected in the low satisfaction rates reported by African-Caribbean communities in relation to their local mental health service provision (Bhui et al 1995;Parkman et al 1997). Such findings suggest that the poor relationships between African-Caribbean communities and mental health services may be one of the factors generating mental health inequalities.…”

Section: African-caribbean Mental Health Inequalities and Participationmentioning

confidence: 82%

Social Capital, Participation and the Perpetuation of Health Inequalities: Obstacles to African‐Caribbean Participation in ‘Partnerships’ to Improve Mental Health

Campbell¹,

Cornish²,

McLean³

2004

Ethnicity & Health

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“…Bhugra et al reported that Black mental health patients tended to be more dissatisfied with GP services than white patients [12]. Parkman et al [13] mentioned in his study that patients' ratings of satisfaction with mental health services are significantly worse for UK born Black Caribbean than other psychiatry patients in South London. On the contrary, few studies have found small or no ethnic differences in satisfaction with mental health care [14,15].…”

Section: Discussionmentioning

confidence: 99%

Ethnic Differences in Satisfaction with Mental Health Services Among Psychiatry Patients~!2010-02-11~!2010-04-13~!2010-05-11~!

Ghuloum¹,

Bener²,

Burgut³

2010

TOPJ

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Objective:The main aim of the study was to examine the impact of patients' ethnic diversity on the patient satisfaction level to psychiatry care and explores the satisfaction domains with mental health care.Design: This is a prospective cross sectional study.Setting: Psychiatry department of the Hamad Medical Corporation. Subjects:The study sample was Qatari and other Arab nationals aged 18 to 65 years who visited the psychiatry department during the study period; April 2009 to August 2009. A total of 1300 adult patients were approached and 1054 (81.1%) expressed their consent to participate in this study.Method: A standard forward-backward procedure was applied to translate the English version of the PDRQ to Arabic. PDRQ was administered by pre-trained nurses among the psychiatry patients. The main outcome measures of the study were 13-item patient doctor relationship questionnaire (PDRQ) score and other 11 items assessing what patients need from psychiatrists. Also, Socio-demographic data of the patients was collected.Results: Of the studied patients, there were 479 Qataris (45.4%) and 575 other Arabs (54.6%). There was a significant differences found between Qatari and Arab expatriate patients in marital status (p=0.036), level of education (p<0.001), occupation (p<0.001), household income (p<0.001), number of rooms in the house (p<0.001) and people living in the house (p<0.001). Arab expatriate patients (480;55.9%) were more satisfied with psychiatry care than Qatari patients (378;44.1%) especially in the age group (18-34) years of both the ethnic groups (164;43.4% vs 214;44.6%). Overall patient satisfaction level was significantly higher in literate Arab patients with secondary and university degree (333;69.3%), while it was lower in Qataris (185;49%). Satisfaction score was almost the same between Qatari and Arab expatriate patients with no significant difference. But satisfaction score was significantly higher in Spanish population in all domains of satisfaction compared to our study sample (p<0.0001). Conclusions:The study findings revealed that there is no ethnic difference observed in the satisfaction score between Qatari and Arab expatriate patients in Qatar, but a significant difference was observed between Arab and Spanish psychiatry patients in all domains of satisfaction.

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Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4

Abstract: Patients' ratings of satisfaction with mental health services are significantly worse for UK-born Black Caribbean than other patients with psychotic disorder in South London.

Cited by 120 publications

References 20 publications

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Social Capital, Participation and the Perpetuation of Health Inequalities: Obstacles to African‐Caribbean Participation in ‘Partnerships’ to Improve Mental Health

Ethnic Differences in Satisfaction with Mental Health Services Among Psychiatry Patients~!2010-02-11~!2010-04-13~!2010-05-11~!

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