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

2782048744_3fc0d9280c_b

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.

[read the full story...]

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

shutterstock_182537297

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.

[read the full story...]

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

hadwashing-150x150

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.

[read the full story...]

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

shutterstock_194874257

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.

[read the full story...]

Joint crisis plans: cost-effective for whom?

shutterstock_127894958

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.

[read the full story...]

Commissioning to address mental health ethnic inequalities

shutterstock_117780652

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.

[read the full story...]

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

shutterstock_130689305

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…]

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

shutterstock_131773784

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…]

One in 10 people in South East London report that they suffer from disordered eating, according to new survey

shutterstock_114322483

Historically, eating disorders have been discussed in a very black and white fashion; either you do or you don’t have one. Whilst this may be beneficial in terms of research and diagnosis, it isn’t particularly helpful for those that sit in the grey area between the two. People in this grey area are often referred [read the full story…]