BME communities and self-management of long term conditions

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Clarissa Giebel considers a systematic review on user-led self-management of long term conditions for black and minority ethnic (BME) communities and weighs up what the findings mean for BME people living with chronic conditions in the UK.

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Cultural competence education for health professionals: does learning about culture make any difference to patients?

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John Baker summarises a recent Cochrane systematic review of cultural competence education for health professionals, which tentatively concludes that low quality evidence supports this approach.

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Empowering mental health service users to become more involved in decisions about their care: the DECIDE RCT

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Laurence Palfreyman highlights an RCT of the DECIDE intervention, which aims to build awareness of the service user’s role in decisions about their care including how they can become more involved and seek information from independent sources.

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Joint crisis plans: cost-effective for whom?

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Chris Sampson looks at the economic outcomes of a recent RCT of joint crisis plans to reduce compulsory treatment for people with psychosis. The study reports the potential for gains specifically among Black patients.

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Commissioning to address mental health ethnic inequalities

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Caroline De Brun highlights the new guidance for commissioners of mental health services for people from black and minority ethnic communities, produced by the Joint Commissioning Panel for Mental Health.

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Every commissioner should address ethnic inequalities in mental health says panel of experts

Psychological therapists and occupational therapists were not included in this qualitative study of 27 mental health staff, which is a shame.

Anyone can suffer from mental illness, but current mental health services may not be appropriate for the whole population. People from black and minority ethnic groups may have different requirements, and this guide aims to help commissioners reduce inequalities by procuring good health care for all. This guidance has been produced by the Joint Commissioning [read the full story…]

Black patients’ first contact with mental health services is more likely to be coercive

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It is well documented that there are differences in how patients are treated, depending on their ethnicity. Previous inquiries in the UK have suggested that the NHS is institutionally racist (Blofeld et al, 2003). Some groups, for example those from African Caribbean or Aboriginal descent, experience more coercive care and poor outcomes, including higher doses of [read the full story…]

“Healthcare commissioning has the potential to tackle inequalities” according to briefing

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Introduction This briefing has been prepared for clinical commissioners, commissioning managers, and everyone who works with multi-ethnic populations. It combines the findings from the Sheffield Hallam University project “Evidence and Ethnicity in Commissioning (EEiC) with other research, and practical experience. The aim of the Briefing is to demonstrate how health organisations can improve commissioning for [read the full story…]