18 year follow up of psychosis in afro-caribbean and white patients: A population-based study

Predictors of engagement in first-episode psychosis

“…Our sample was representative of the ethnic make-up of the local FEP service intake. Although some previous studies have suggested higher disengagement rates for ethnic minority groups (McGovern and Cope, 1991;McCreadie et al, 1997;Wang, 2007), our results are consistent with others which have found no difference amongst BME groups (Takei et al, 1998;Goater et al, 1999;Bindman et al, 2000). It has suggested that BME disengagement with services may worsen over time (Singh et al, 2007).…”

“…There is conflicting evidence regarding levels of disengagement amongst black and minority ethnic (BME) groups (Singh and Burns, 2006). Whilst some studies have found greater disengagement and less satisfaction with services (McGovern and Cope, 1991;McCreadie et al, 1997;Wang, 2007), others have found no difference or greater engagement amongst BME groups (Bindman et al, 2000;Goater et al, 1999;Takei, Persaud, Woodruff, Brockington, & Murray, 1998;Raleigh et al, 2007). Recent work suggests that immigrants are more likely than nonimmigrants to disengage from treatment (Ouellet-Plamondon et al, 2015).…”

Service contact and psychopathology in very‐late‐onset schizophrenia‐like psychosis: the effects of gender and ethnicity

“…It may also reflect differences in social cohesion and trust at a community level (Wilkinson, 1999;McCulloch, 2001). Studies of EOS have consistently shown significantly higher rates of compulsory admission amongst African-Caribbean patients (Davies et al, 1996;Singh et al, 1998;Takei et al, 1998). Whilst we found a trend towards higher rates of compulsory hospitalisation amongst Caribbean-born patients in our sample, this may be explained by the higher proportion of males in this group.…”

Evaluating the Use of a Psychiatric Intensive Care Unit: Is Ethnicity a Risk Factor for Admission?

“…A number of studies have reported an increased prevalence of schizophrenia amongst Afro-Caribbeans (Harrison et al, 1988;Harvey et al, 1990;Thomas et al, 1993;Callan, 1996). There is evidence that Afro-Caribbeans, as opposed to Whites, are more likely to be detained in Special Hospitals, be compulsorily admitted under the Mental Health Act and receive treatment with depot neuroleptics as opposed to`talking therapies' (Moodley and Perkins, 1991;Takei et al, 1998). Other studies however suggest that apparent discrepancies in the management of black and white patients in contact with services are explained by the agestructure and diagnostic composition of the populations (Holloway et al, 1992).…”