Access to a community aged psychiatry service by elderly from non‐English‐speaking backgrounds

Hassett, Anne; George, Kuruvilla

doi:10.1002/gps.656

Cited by 29 publications

(22 citation statements)

References 4 publications

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“…The study provides a comprehensive analysis across primary, secondary and tertiary health services utilisation amongst Australian infants. In contrast, the previous studies in Australia mostly focused on one particular health aspect or one set of health care characteristics, or on adult populations [26-28]. …”

Section: Discussionmentioning

confidence: 99%

Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Chen

Hillman

2010

BMC Public Health

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BackgroundTo examine the differences in health services utilisation and the associated risk factors between infants from non-English speaking background (NESB) and English speaking background (ESB) within Australia.MethodsWe analysed data from a national representative longitudinal study, the Longitudinal Study of Australian Children (LSAC) which started in 2004. We used survey logistic regression coupled with survey multiple linear regression to examine the factors associated with health services utilisation.ResultsSimilar health status was observed between the two groups. In comparison to ESB infants, NESB infants were significantly less likely to use the following health services: maternal and child health centres or help lines (odds ratio [OR] 0.56; 95% confidence intervals [CI], 0.40-0.79); maternal and child health nurse visits (OR 0.68; 95% CI, 0.49-0.95); general practitioners (GPs) (OR 0.58; 95% CI, 0.40-0.83); and hospital outpatient clinics (OR 0.54; 95% CI, 0.31-0.93). Multivariate analysis results showed that the disparities could not be fully explained by the socioeconomic status and language barriers. The association between English proficiency and the service utilised was absent once the NESB was taken into account. Maternal characteristics, family size and income, private health insurance and region of residence were the key factors associated with health services utilisation.ConclusionsNESB infants accessed significantly less of the four most frequently used health services compared with ESB infants. Maternal characteristics and family socioeconomic status were linked to health services utilisation. The gaps in health services utilisation between NESB and ESB infants with regard to the use of maternal and child health centres or phone help, maternal and child health nurse visits, GPs and paediatricians require appropriate policy attentions and interventions.

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Section: Discussionmentioning

confidence: 99%

Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Chen

Hillman

2010

BMC Public Health

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“…For example, migrants from Greece diagnosed with mental disorder were more likely to receive treatment than Australians; however, the opposite was found in immigrants from UK or Ireland or South East Asia [18]. Nevertheless, in general, immigrants are under-represented in the populations who utilise mental health service in Australia [108-110]. The key barriers identified are stigma and shame attached with mental illnesses [111-113].…”

Section: Mental Health Of Immigrant and Refugee Communities In Australiamentioning

confidence: 99%

Mental health research and evaluation in multicultural Australia: developing a culture of inclusion

Minas

Kakuma

Too

et al. 2013

Int J Ment Health Syst

104

118

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IntroductionCultural and linguistic diversity is a core feature of the Australian population and a valued element of national identity. The proportion of the population that will be overseas-born is projected to be 32% by 2050. While a very active process of mental health system reform has been occurring for more than two decades - at national and state and territory levels - the challenges presented by cultural and linguistic diversity have not been effectively met. A key area in which this is particularly an issue is in the collection, analysis and reporting of mental health data that reflect the reality of population diversity. The purpose of this study was to examine: what is known about the mental health of immigrant and refugee communities in Australia; whether Australian mental health research pays adequate attention to the fact of cultural and linguistic diversity in the Australian population; and whether national mental health data collections support evidence-informed mental health policy and practice and mental health reform in multicultural Australia.MethodsThe study consisted of three components – a brief review of what is known about mental health in, and mental health service use by, immigrant and refugee communities; an examination of national data collections to determine the extent to which relevant cultural variables are included in the collections; and an examination of Australian research to determine the extent to which immigrant and refugee communities are included as participants in such research.ResultsThe review of Australian research on mental health of immigrant and refugee communities and their patterns of mental health service use generated findings that are highly variable. The work is fragmented and usually small-scale. There are multiple studies of some immigrant and refugee communities and there are no studies of others. Although there is a broadly consistent pattern of lower rates of utilisation of specialist public mental health services by immigrants and refugees the absence of adequate population epidemiological data prevents judgments about whether the observed patterns constitute under-utilisation. There are virtually no data on quality of service outcomes. The examination of national data collections revealed multiple gaps in these data collections. The review of papers published in four key Australian journals to determine whether immigrants and refugees are included in mental health research studies revealed a high rate (9.1%) of specific exclusion from studies (usually due to low English fluency) and a much higher rate of general neglect of the issue of population diversity in study design and reporting.ConclusionsWhile there are many positive statements of policy intent in relation to immigrant and refugee communities in national mental health policies and strategies there is virtually no reporting by Commonwealth or State and Territory governments of whether policies that are relevant to immigrant and refugee communities are effectively implemented. It is not possible...

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“…Hasset and George (2002) showed that older people from NESBs were more likely to be poorly educated, and have a low proficiency in English. They found that interpreters were used in 78.8 per cent of patients for whom English was not their preferred first language.…”

Section: Discussionmentioning

confidence: 98%

Working through interpreters in old age psychiatry: a literature review

Farooq

Kingston

Regan

2015

Mental Health Review Journal

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Purpose -The purpose of this paper is to systematically appraise the effect of use of interpreters for mental health problems in old age. The primary objective of the review is to assess the impact of a language barrier for assessment and management in relation to mental health problems in the old age. The secondary objectives are to assess the effect of the use of interpreters on patient satisfaction and quality of care, identify good practice and make recommendations for research and practice in the old age mental health. Design/methodology/approach -The following data sources were searched for publications between 1966 and 2011: PubMed, PsycINFO, CINAHL and Cochrane Library. The authors found in previous reviews that a substantial number of papers from developing and non-English speaking countries are published in journals not indexed in mainstream databases, and devised a search strategy using Google which identified a number of papers, which could not be found when the search was limited to scientific data bases only (Farooq et al., 2009).

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Access to a community aged psychiatry service by elderly from non‐English‐speaking backgrounds

Cited by 29 publications

References 4 publications

Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Mental health research and evaluation in multicultural Australia: developing a culture of inclusion

Working through interpreters in old age psychiatry: a literature review

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