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Pathways to care and ethnicity. 2: source of referral and help-seeking: report from the AESOP study

Morgan, Craig and Mallett, Rosemarie M. and Hutchinson, Gerard and Bagalkote, Hemant and Morgan, Kevin D. and Fearon, Paul and Dazzan, Paola and Boydell, Jane and McKenzie, Kwame and Harrison, Glynn and Murray, Robin M. and Jones, Peter B. and Craig, Tom K.J. and Leff, Julian (2005) Pathways to care and ethnicity. 2: source of referral and help-seeking: report from the AESOP study. British Journal of Psychiatry, 186 (4). pp. 290-296. ISSN 1472-1465

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Official URL: http://bjp.rcpsych.org/cgi/reprint/186/4/290

Abstract

Background : Previous research has found that African–Caribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We soughtto investigate pathways to mental health care and ethnicityin a sample of patients with a first episode of psychosis drawn from two UK centres. Method : We included all White British, other White, African–Caribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes. Results : Compared with White British patients, general practitioner referral was less frequent for both African–Caribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders. Conclusions : These findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.

Item Type:Article
Additional Information:Online ISSN 1472-1465
Research Community:University of Westminster > Social Sciences, Humanities and Languages, School of
ID Code:1821
Deposited On:05 Jun 2006
Last Modified:30 Oct 2009 11:10

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