The Library
Experiences of acute mental health care in an ethnically diverse inner city : qualitative interview study
Tools
Weich, Scott, Griffith, Laura, Commander, Martin, Bradby, Hannah, Sashidharan, S. P., Pemberton, Sarah, Jasani, Rubina and Bhui, Kamaldeep Singh (2012) Experiences of acute mental health care in an ethnically diverse inner city : qualitative interview study. Social Psychiatry and Psychiatric Epidemiology, Vol.47 (No.1). pp. 119-128. doi:10.1007/s00127-010-0314-z ISSN 0933-7954.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1007/s00127-010-0314-z
Abstract
Purpose
Ethnic inequalities in experiences of mental health care persist in the UK, although most evidence derives from in-patient settings. We aimed to explore service users’ and carers’ accounts of recent episodes of severe mental illness and of the care received in a multi-cultural inner city. We sought to examine factors impacting on these experiences, including whether and how users and carers felt that their experiences were mediated by ethnicity.
Methods
Forty service users and thirteen carers were recruited following an acute psychotic episode using typical case sampling. In-depth interviews explored illness and treatment experiences. Ethnicity was allowed to emerge in participants’ narratives and was prompted if necessary.
Results
Ethnicity was not perceived to impact significantly on therapeutic relationships, and nor were there ethnic differences in care pathways, or in the roles of families and friends. Ethnic diversity was commonplace among both service users and mental health professionals. This was tolerated in community settings if efforts were made to ensure high-quality care. Home Treatment was rated highly, irrespective of service users’ ethnicity. In-patient care was equally unpopular and was the one setting where ethnicity appeared to mediate unsatisfactory care experiences. These findings highlight the risks of generalising from reports of (dis)satisfaction with care based predominantly on in-patient experiences.
Conclusions
Home treatment was popular but hard to deliver in deprived surroundings and placed a strain on carers. Interventions to enhance community treatments in deprived areas are needed, along with remedial interventions to improve therapeutic relationships in hospital settings.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Social Psychiatry and Psychiatric Epidemiology | ||||
Publisher: | Dr. Dietrich Steinkopff Verlag | ||||
ISSN: | 0933-7954 | ||||
Official Date: | January 2012 | ||||
Dates: |
|
||||
Volume: | Vol.47 | ||||
Number: | No.1 | ||||
Page Range: | pp. 119-128 | ||||
DOI: | 10.1007/s00127-010-0314-z | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |