Rehabilitation and recovery for ethnic minority patients with severe mental illness

Rotenberg, Martin

doi:10.1192/bja.2019.13

Cited by 4 publications

(2 citation statements)

References 34 publications

(45 reference statements)

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“…It is entirely likely that different forms of social capital may impact the risk of developing a psychotic disorder in different ways, considering the differential impact of different forms of social capital on symptoms of psychosis in a non-clinical sample (Freeman et al, 2011 ). Once the relationship between specific forms of social capital and risk is further clarified, it may be important to study how specific forms of social capital may impact clinical care and service use (Heslin et al, 2018 ) as well as different forms of recovery (Rotenberg, 2019 ) in diverse clinical populations.…”

Section: Discussionmentioning

confidence: 99%

Neighbourhood-level social capital, marginalisation, and the incidence of schizophrenia and schizoaffective disorder in Toronto, Canada: a retrospective population-based cohort study

et al. 2021

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Background Studies have shown mixed results regarding social capital and the risk of developing a psychotic disorder, and this has yet to be studied in North America. We sought to examine the relationship between neighbourhood-level marginalisation, social capital, and the incidence of schizophrenia and schizoaffective disorder in Toronto, Canada. Methods We used a retrospective population-based cohort to identify incident cases of schizophrenia and schizoaffective disorder over a 10 year period and accounted for neighbourhood-level marginalisation and a proxy indicator of neighbourhood social capital. Mixed Poisson regression models were used to estimate adjusted incidence rate ratios (aIRRs). Results In the cohort (n = 649 020) we identified 4841 incident cases of schizophrenia and schizoaffective disorder. A 27% variation in incidence was observed between neighbourhoods. All marginalisation dimensions, other than ethnic concentration, were associated with incidence. Compared to areas with low social capital, areas with intermediate social capital in the second [aIRR = 1.17, 95% confidence interval (CI) 1.03–1.33] and third (aIRR = 1.23, 95% CI 1.08–1.40) quintiles had elevated incidence rates after accounting for marginalisation. There was a higher risk associated with the intermediate levels of social capital (aIRR = 1.18, 95% CI 1.00–1.39) when analysed in only the females in the cohort, but the CI includes the possibility of a null effect. Conclusions The risk of developing schizophrenia and schizoaffective disorder in Toronto varies by neighbourhood and is associated with socioenvironmental exposures. Social capital was not linearly associated with risk, and risk differs by sex and social capital quintile. Future research should examine these relationships with different forms of social capital and examine how known individual-level risk factors impact these findings.

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Section: Discussionmentioning

confidence: 99%

Neighbourhood-level social capital, marginalisation, and the incidence of schizophrenia and schizoaffective disorder in Toronto, Canada: a retrospective population-based cohort study

et al. 2021

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“…For example, Delman and Adams (2022) reported that “in treatment settings, some respondents felt clinicians disregarded their (Black young adults’) reports of medication side effects, and on the whole did not take their treatment perspectives seriously” (p. 6). These mistreatments highlight the importance of training behavioral health researchers and practitioners to understand and recognize cultural differences to better support and improve diverse clients’ psychological and psychosocial recovery from mental illness (Rotenberg, 2019; Whitley & Lawson, 2010).…”

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confidence: 99%

Community participation differences between Black and White adults with serious mental illness.

Nagata¹,

Subica²,

Myrick³

et al. 2022

American Journal of Orthopsychiatry

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Promoting community participation is a core goal of behavioral health services for persons with serious mental illness (SMI) regardless of their racial/ethnic background. While practitioners are trained to respect diversity and culture, little is known about how racial/ethnic minorities participate in their communities during the recovery process. This is especially true for Black adults, who are disproportionately represented in current services. This study sought to compare differences in community participation experiences and interests between Black and White adults with SMI. Secondary data (n = 799) were analyzed from studies involving Black and White adults with SMI using the Temple University Community Participation Measure. Regression analyses were conducted to identify potential differences in four areas: amount of participation in a variety of community activities; number of activities participants deemed important; number of important activities actually performed; and the percentage of important activities performed as much as desired (i.e., sufficiency). Compared to White adults, Black adults had greater amounts of community participation overall and in a number of specific community activities (e.g., worship, visiting park/recreation center). Black adults also reported more community activities as important and were more likely to engage in their important activities. Relative to White adults, results suggest that Black adults with SMI were interested in and engaged more in social activities-potentially enhancing their sense of group solidarity and personal mental health recovery. Accordingly, practitioners should be aware of, and attend to, possible racial/ethnic differences in community participation, and its possible role in promoting or hindering recovery across diverse populations. Public Policy Relevance StatementThis study is the first to compare participation interests and experiences between Black and White adults with serious mental illness (SMI). Results suggest that activities that allow for communality and promote a sense of belonging may be of greater interest to Black adults with SMI. Implications include the need to attend to motivations for communality in behavioral health services and recognizing the importance of Black cultural preferences when promoting opportunities for community inclusion.

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Developing a Dynamic Understanding of Risk Factors for People Admitted to Long-term High Dependency Units

Simpson,

Meaden,

Fox

2024

J. Psychosoc. Rehabil. Ment. Health

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Even with developments in supporting people with enduring psychosis, some people living with these difficulties still require specialised care in inpatient rehabilitation facilities. To optimise the support provided a service evaluation was conducted for people admitted to a Long-term High Dependency Unit service. Data collected routinely with the Short-Term Assessment for Risk and Treatability tool was used to identify dynamic risk factors for the residents. Completed assessments were analysed for frequency and severity of risk behaviours; historic prevalence of risk behaviours; judgements on future risk; and strengths and vulnerabilities. The evaluation indicated a picture of a group of people who have a variety of historic risks and currently engage regularly in aggression and self-neglect, whilst experiencing limited insight, social exclusion, and limited coping abilities. Strengths and vulnerabilities linked to risk behaviours were also grouped into conceptually similar domains to aid intervention. Recommendations are made for using such data to enhance recovery.

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Rehabilitation and recovery for ethnic minority patients with severe mental illness

Cited by 4 publications

References 34 publications

Neighbourhood-level social capital, marginalisation, and the incidence of schizophrenia and schizoaffective disorder in Toronto, Canada: a retrospective population-based cohort study

Neighbourhood-level social capital, marginalisation, and the incidence of schizophrenia and schizoaffective disorder in Toronto, Canada: a retrospective population-based cohort study

Community participation differences between Black and White adults with serious mental illness.

Developing a Dynamic Understanding of Risk Factors for People Admitted to Long-term High Dependency Units

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