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The ‘Count Me In’ psychiatric in-patient census for 2007 and the elderly: evidence of improvement or cause for concern?

  • Ajit Shah (a1)
Summary

The recently published Count Me In 2007 census specifically reported age-standardised admission rates for individuals aged over 65 years from different Black and minority ethnic groups. the standardised admission ratio was higher in the White Irish, other White, White and Black Caribbean, other Asian, Black Caribbean, Black African and other Black ethnic groups; and lower in the White British and Chinese ethnic groups. As this census was undertaken on a single day for all psychiatric in-patients, it measured bed occupancy rather than admission rates and so it was actually referring to standardised bed occupancy ratios. Bed occupancy is a function of admission rates and length of stay. This editorial critically explores factors (including those related to institutional racism) that may affect both admission rates and length of stay, and ultimately bed occupancy, of Black and minority ethnic elders.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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2 Commission for Healthcare Audit and Inspection. Count Me In 2007. Results of the 2007 National Census of In-patientsi Mental Health and Learning Disability Services in England and Wales. Commission for Healthcare Audit and Inspection, 2007.
3 McKenzie, K, Bhui, K. Institutional racism in mental health care. Services have some way to go before they meet the challenges of a multicultural society. BMJ 2007; 334: 649–50.
4 Singh, SP. Institutional racism in psychiatry: author's response. Psychiatr Bull 2007; 31: 370.
5 Appleby, L. Services for ethnic minorities: a question of trust. Psychiatr Bull 2008; 32: 401–2.
6 McCracken, CF, Boneham, MA, Copeland, JR, Williams, KE, Wilson, K, Scott, A, et al. Prevalence of dementia and depression among elderly people in Black and ethnic minorities. Br J Psychiatr 1997; 171: 269–73.
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9 Silveira, E, Ebrahim, S. Mental health and health status of elderly Bengalis and Somalis in London. Age Ageing 1991; 24: 474–80.
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13 Department of Health. Delivering Race Equality in Mental Health Care. An Action Plan for Reform Inside and Outside Services and the Government's Response to the Independent Inquiry into the Death of David Bennett. Department of Health, 2005 (http://www.dh.gov.uk/assetroot/04/10/07/75/04100775.pdf).
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The ‘Count Me In’ psychiatric in-patient census for 2007 and the elderly: evidence of improvement or cause for concern?

  • Ajit Shah (a1)
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