Bhui, Kamaldeep, McCabe, Rosemarie, Weich, Scott, Singh, Swaran P., Johnson, Mark R. D. and Szczepura, Ala (2013) THERACOM : a systematic review of the evidence base for interventions to improve Therapeutic Communications between black and minority ethnic populations and staff in specialist mental health services. Systematic Reviews, Volume 2 (Number 1). Article no. 15. doi:10.1186/2046-4053-2-15 ISSN 2046-4053.

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Abstract

Background: Black and Minority Ethnic (BME) groups in receipt of specialist mental health care have reported higher rates of detention under the mental health act, less use of psychological therapies, and more dissatisfaction. Although many explanations have been put forward to explain this, a failure of therapeutic communications may explain poorer satisfaction, disengagement from services and ethnic variations in access to less coercive care. Interventions that improve therapeutic communications may offer new approaches to tackle ethnic inequalities in experiences and outcomes.
Methods: The THERACOM project is an HTA-funded evidence synthesis review of interventions to improve therapeutic communications between black and minority ethnic patients in contact with specialist mental health services and staff providing those services. This article sets out the protocol methods for a necessarily broad review topic, including appropriate search strategies, dilemmas for classifying different types of therapeutic communications and expectations of the types of interventions to improve them. The review methods will accommodate unexpected types of study and interventions. The findings will be reported in 2013, including a synthesis of the quantitative and grey literature.
Discussion: A particular methodological challenge is to identify and rate the quality of many different study types, for example, randomised controlled trials, observational quantitative studies, qualitative studies and case studies, which comprise the full range of hierarchies of evidence. We discuss the preliminary methodological challenges and some solutions. (PROSPERO registration number: CRD42011001661).
Keywords: Interventions, Therapeutic communications, Black and minority ethnic patients, Psychiatric services

Item Type:	Journal Article
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Psychiatry, Psychiatry, Transcultural, Community psychiatry, Cultural psychiatry, Evidence-based medicine, Evidence-based psychiatry, Psychiatry -- Decision making, Blacks -- Great Britain, Minorities -- Great Britain
Journal or Publication Title:	Systematic Reviews
Publisher:	BioMed Central Ltd.
ISSN:	2046-4053
Official Date:	2013
Dates:	Date Event 2013 Published
Volume:	Volume 2
Number:	Number 1
Page Range:	Article no. 15
DOI:	10.1186/2046-4053-2-15
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	24 December 2015
Date of first compliant Open Access:	24 December 2015

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