Navigation Links
Chances of Tackling Racism in Mental Health Care is Still Remote

Mental health services in England and Wales have been accused of being institutionally racist. In this week’s BMJ, two senior doctors say that//, although services are pioneers in moving towards equity, they have some way to go before they meet the challenges of a multi-cultural society.

The "Count me in" census, published last week by the Healthcare Commission, makes grim reading for people of African and Caribbean origin living in England and Wales, write Professors Kwame McKenzie and Kamaldeep Bhui.

The survey of 32,023 inpatients on mental health wards in 238 NHS and private healthcare hospitals reported that 21% of patients were from black and minority ethnic groups, although they represent only 7% of the population.

Rates of admission were lower than average in the white British, Indian, and Chinese groups, but three or more times higher than average in black African, black Caribbean and white and black Caribbean mixed groups.

Not only were people in these three groups more likely to be admitted to hospital, but those in hospital were more likely to be admitted involuntarily. Once in hospital, people who defined themselves as black Caribbean had the longest stay.

In a separate survey of people with learning disabilities, comprising 4,609 inpatients from 124 hospitals, only 11% were from black and minority ethnic groups. Rates of admission were lower than average in the South Asian, other Asian, white, and Chinese groups, but again they were two to three times higher than average in some "black" groups. However, unlike inpatients with mental health problems, no ethnic differences were seen for involuntary admissions.

These results add to the increasing evidence of ethnic differences in the treatment of mental illness, say the authors. For instance, some black and minority ethnic groups are less likely to be offered psychotherapy, more likely to be offered drugs, and more likely to be treated by coercion, even after socioeconomic and diagnostic differences are taken into account.

These disparities reflect the way health services offer care according to racial group, and seem to satisfy the well established and widely known definition of institutional racism.

In response, a systems level approach called "Delivering race equality" has been developed to improve mental health services. This could improve services but leadership is needed to ensure that it is taken up, say the authors.

But there is a danger that its impact will be undermined by other government policy, such as the proposed amendments to the Mental Heath Bill, and there are also wider questions about whether treatment is being offered and delivered effectively.

The Count me in census and other research indicate that institutional discrimination does occur and that services have some way to go before the challenges of our multicultural society, they write. "If the concept of institutional racism had been more widely accepted and acted on, the Department of Health might not now be facing a formal investigation by the Commission for Racial Equality," they conclude.


Related medicine news :

1. Chances are high for Avian Influenza virus altering its form
2. Obesity Can Increase The Chances Of Injuries
3. Going Down The Social Ladder Increases The Chances Of Male Depression.
4. Gum Disease Increases Chances Of Pre-Term Birth
5. Fertility Treatment Offered During Summer Has Better Chances For Success
6. Dummies Serve To Reduce Chances Of SIDS
7. Vitamin D Reduces Chances of Colon, Breast And Ovarian Cancers by 50%
8. Chances Of Getting Cancer Can Be Reduced By Hysterectomy
9. Face Transplant Patient Jeopardizing Chances of Recovery By Smoking
10. Mental Activity Reduces Chances Of Dementia
11. Smoking Increases Chances Of Needing Root Canal Treatment
Post Your Comments:

(Date:11/27/2015)... , ... November 27, 2015 , ... ... November 27th edition of USA Today in Atlanta, Dallas, New York, Minneapolis, South ... 750,000. The digital component is distributed nationally, through a vast social media strategy ...
(Date:11/27/2015)... ... ... No.1 Herpes-only dating community in the world, revealed that over 50% of its members are ... people under the age of 50 – or 67% of the population - are infected ... HSV-1 infection . , "The data shocks us highly!" said Michelle Li, Co-Founder of ...
(Date:11/27/2015)... ... 27, 2015 , ... Intellitec Solutions announced today that they ... Recognized as Microsoft’s official group for end users of Dynamics SL ERP software, ... industry experts and representatives. Intellitec Solutions’ membership status demonstrates their ongoing commitment to ...
(Date:11/27/2015)... MINNEAPOLIS, Minn. (PRWEB) , ... November 27, 2015 ... ... you start failing. Secura Consultants has prided itself for not only fulfilling the ... best income protection solutions at an affordable price and providing top-tier customer service. ...
(Date:11/27/2015)... ... November 27, 2015 , ... CBD College is ... Health Education Programs (CAAHEP) awarded accreditation to its Diagnostic Medical Sonography program. CBD College ... as only one of twelve colleges and universities in the state of California make ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... Carolina , 26 november 2015 /PRNewswire/ ... (AAIPharma/CML) kondigt de geplande investering aan van ... van de laboratoria en het mondiale hoofdkantoor ... De uitbreiding zal resulteren in extra kantoorruimte ... voldaan aan de groeiende behoeften van de ...
(Date:11/26/2015)... , November 26, 2015 --> ... to use SyMRI to find optimal contrast weighting of MRI ... metastases, and has signed a research agreement with SyntheticMR in ... hospital. Using SyMRI, it is possible to generate multiple contrast ... after the patient has left, thus making it possible to ...
(Date:11/26/2015)... , Nov. 26, 2015 Research and ... of the "2016 Future Horizons and Growth ... Market: Supplier Shares, Country Segment Forecasts, Competitive Intelligence, ... --> --> ... of the Japanese therapeutic drug monitoring market, including ...
Breaking Medicine Technology: