Pathways to care for patients with a first episode of psychosis : a comparison of ethnic groups.
It is reported that patients from ethnic minority groups, in particular Afro-Caribbeans, are more likely to enter less desirable pathways to psychiatric care.
We aimed to determine whether ethnicity significantly affected time to presentation, type of first contact, rates of compulsory admission and police and primary care involvement, in patients with their first episode of psychosis.
As part of a prospective epidemiological study, patients and their carers were interviewed using a semi-structured questionnaire to trace the various persons and agencies seen en route to their first contact with psychiatric services.
While compulsory admission was more likely for Black patients, the excess was less striking than in previous studies.
Black patients were no more likely than other patients to have police involvement.
The most important factors in avoiding an adverse pathway were having a supportive family member or friend and the presence of a general practitioner to assist in gaining access to psychiatric services.
The routes to psychiatric services for first onset patients are different to those for chronic patients.
Variables associated with social support were more important than ethnicity in determining pathways to care.
Police involvement and compulsory admissions were strongly associated with the absence of GP involvement and the absence of help-seeking by a friend or relative.
Mots-clés Pascal : Psychose, Soin, Ethnie, Négroïde, Etude comparative, Caucasoïde, Royaume Uni, Europe, Accessibilité, Service santé, Relation médecin malade, Admission hôpital, Chronicité, Récidive, Relation police communauté, Médecin généraliste, Diagnostic, Stigmate, Santé mentale, Homme, Filière soin, Minorité ethnique
Mots-clés Pascal anglais : Psychosis, Care, Ethnic group, Negroid, Comparative study, Caucasoid, United Kingdom, Europe, Accessibility, Health service, Physician patient relation, Hospital admission, Chronicity, Relapse, Community police relation, General practitioner, Diagnosis, Stigma, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0040645
Code Inist : 002B18H05B. Création : 01/03/1996.