Ethnicity and its relevance in a seven-year admission cohort to an English national adolescent medium secure health service unit

Abstract

Our findings confirm both a high overall proportion of young people from ethnic minorities using a national medium secure hospital service and considerable ethnic diversity within that. They are discussed in the context of one relevant national government initiative for improving responses to minority groups.

Ethnic origins of patients attending specialist eating disorders services in a multiethnic urban catchment area in the United Kingdom

“…This investigation is against the background of a well-established literature on biases in the identification and treatment of other psychiatric groups across ethnic groups, [1][2][3][4][5][6][7] regardless of actual levels of psychopathology or comparability of treatment outcomes. 19 The referrals were substantially different to what might be expected given the local population statistics, with non-white patients being far less likely to be referred.…”

“…For example, in the United Kingdom, African-Caribbeans, and Black Africans are at especially high risk for both schizophrenia and mania. 1 These groups are over-represented in psychiatric in-patient populations in the United Kingdom, 2,3 and levels of unmet needs and adverse care pathways are more common in this group than in their white counterparts. [3][4][5][6] In contrast, in the United Kingdom, prevalence rates of detection and management of common psychiatric disorders are comparable to those of white patients for some minority groups (AfroCaribbean) though not for others (Black African).…”

A developmental approach to violence, hostile attributions, and paranoid thinking in adolescence

“…The majority of those from African backgrounds in this study had a refugee background and there were high levels of social and family adversity, migration, poverty and family separation (Tolmac & Hodes, 2004). In offering an explanation for these findings, the authors state that a poorer social support network and an increased level of adversities could result in a greater need for admission, while also claiming that the results may also be due simply to a higher prevalence of psychosis in ethnic minority adolescents (Chowdhury, Whittle, McCarthy, Bailey, & Harrington, 2005).…”

Ethnic differences in compulsory admissions for psychiatric disorders in the UK: a systematic review and meta-analysis

“…3 highrated (6,24,25) and 1 medium-rated study (22) concluded that psychotic-based admissions or prescription rates in minorities were not different to the White population. Contrastingly, 4 low-rated (19,(26)(27)(28)) and 2 medium-rated studies (14,29) found that psychotic conditions were more frequent among the Black population. Therefore, it appears that the prevalence of psychotic disorders is inconclusive.…”