Referrals to mental health services: understanding ethnic differences

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A group of UCL Masters Students summarise a recent paper on ethnic differences in referral routes to child and adolescent mental health services.

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Racial disparities in bipolar disorder diagnosis and treatment: time to talk about racism

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Syeda Akther writes her debut elf blog on a recent review looking at racial disparities in bipolar disorder treatment and research. She argues that we need to start having serious conversations about racism that go beyond unconscious bias.

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Is the incidence of schizophrenia in South-East London really 10 times higher than in Santiago, Spain?

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Vishal Bhavsar reviews an EU study of nearly 3,000 people across 6 EU countries, looking at the treated incidence of schizophrenia and psychotic disorders. It helps us better understand who gets psychosis, when, and where.

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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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Family-based CBT for early childhood OCD: efficient for white, non-minority, upper middle-class children

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Ioana Cristea reviews a recent RCT of family-based CBT for early childhood OCD and concludes that the results are impressive, but may not be applicable to poorer children from ethnic minorities.

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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…]

The mental health of migrant mothers: focus needed on attitudes to mental health, not language barriers

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The impact of ethnicity on treatment and engagement with mental health services is well documented. John Baker’s recent Mental Elf post highlights the damning evidence behind murmurs of institutional racism within the NHS that just won’t go away: certain ethnic groups consistently experience lower quality care and poor outcomes across a wide range of health [read the full story…]