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Ethnic differences in satisfaction with mental health services among representative people with psychosis in South London: PRiSM Study 4

Published online by Cambridge University Press:  03 January 2018

Sue E. Parkman ,
Sara N. Davies ,
Morven Leese ,
Michael Phelan  and
Graham Thornicroft
Sue E. Parkman*
Affiliation:
The Sainsbury Centre for Mental Health, London
Sara N. Davies
Affiliation:
Meadowbrook Unit, Mental Health Services of Salford
Morven Leese
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
Michael Phelan
Affiliation:
Charing Cross Hospital, London
Graham Thornicroft
Affiliation:
Section of Community Psychiatry (PRiSM), Institute of Psychiatry, London
*
Dr Leese, Section of Community Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8EF
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Abstract

Background

Previous studies show that among Black Caribbeans there is a higher prevalence of schizophrenia and higher levels of both voluntary and compulsory admissions. These suggest that Black Caribbean patients may find psychiatric services less appropriate to their needs. The aim of this study was to establish the satisfaction with mental health services of representative psychosis patients in South London, especially in relation to ethnic group.

Method

A random sample of all cases of psychotic disorder identified in the two sectors was interviewed using the Verona Service Satisfaction Schedule. Questionnaires from 50 Black Caribbean patients and 134 White patients were analysed.

Results

Black Caribbean patients, particularly those of second generation born in the UK, were significantly less satisfied with almost every aspect of the services that they received than either older Black Caribbean patients born in the Caribbean or White patients. Using multiple regression analysis it was found that among the younger Black Caribbean patients, unlike the other patients, the number of previous admissions was a significant predictor of dissatisfaction.

Conclusion

Patients' ratings of satisfaction with mental health services are significantly worse for UK-born Black Caribbean than other patients with psychotic disorder in South London.

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 3 , September 1997 , pp. 260 - 264
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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