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Ethnic diversity and equality of access to specialist therapeutic community treatment for severe personality disorder

  • Rosalind Geraghty (a1) and Fiona Warren (a2)
Abstract
Aims and Method

All mental health services are expected to aim for equality of access to people from minority ethnic groups. Psychotherapy services typically have a low proportion of ethnic minority clients. Specialist services such as therapeutic communities are no exception. It is also possible that ethnic minority residents are more likely to leave group treatments early if they are clearly in the minority. The study examined records between 1996–2000 to ascertain whether ethnic minorities show a different pattern of exit from the process than people from other backgrounds.

Results

Just over 9% of referrals to Henderson Hospital were from ethnic minorities. Ethnic minority referrals were less likely to be invited to a selection interview. However, there was no difference in length of stay in treatment. There was a trend towards ethnic minority referrals having more severe symptomatology and histories than those from White backgrounds.

Clinical Implications

Ethnic background should be taken into account when considering referral for specialist psychotherapy. Routine monitoring of the processing of ethnic minority referrals should be conducted in all psychotherapy services.

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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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Alexander, Z. (1999) The Department of Health: Study of Black Asian and Ethnic Minority Issues. London: DoH.
Blount, C. (2001) An investigation into why people drop out of therapeutic community treatment. Exploring the connection with crime. Unpublished dissertation, University of Surrey.
Campling, P. (1989) Black people and psychiatry. Psychiatric Bulletin, 13, 550551.
Casey, P. R. (1988) The epidemiology of personality disorder. In Personality Disorders: Diagnosis, Management and Course (ed. Tyrer, P.). London: Wright.
Casey, P. R. & Tyrer, P. J. (1986) Personality, functioning and symptomatology. Journal of Psychiatric Research, 20, 363374.
Commander, M. J., Cochrane, R., Sashidharan, S. P., et al (1999) Mental health care for Asian, Black and White patients with non-affective psychoses: pathways to the psychiatric hospital, in-patient and after-care. Social Psychiatry and Psychiatric Epidemiology 34, 484491.
Department of Health (2000) The NHS Plan. A Plan for Investment, a Plan for Reform. London: DoH.
Dolan, B., Polley, K., Allen, R., et al (1991) Addressing racism in psychiatry: is the therapeutic community model applicable? International Journal of Social Psychiatry, 37, 7179
Dolan, B., Warren, F. & Norton, K. (1997) Change in borderline symptoms one year after therapeutic community treatment for severe personality disorder. British Journal of Psychiatry, 171, 274279
Hobson, T. (2000) Managing personality disorders within local mental health services. Dialogue, 5, Autumn/Winter. Henderson Hospital.
Ineichen, B., Harrison, G. & Morgan, H. G. (1984) Psychiatric hospital admissions in Bristol 1. Geographical and ethnic factors. British Journal of Psychiatry, 145, 600611.
Littlewood, R. & Lipsedge, M. (1989) Aliens and Alienists: Ethnic Minorities and Psychiatry, 2nd edition. London: Unwin Hyman.
London, M. (1986) Mental illness amongst immigrant minorities in the United Kingdom. British Journal of Psychiatry, 149, 265273.
Ndegwa, D. (2003) Personality disorder in African and African–Caribbean people in the UK. http://www.doh.gov.uk/mentalhealth/pdndegwa.pdf. Accessed August 2003.
Norušis, M. J. (1988) Introductory Statistics Guide for SPSS. Chicago: SPSS Inc.
Strakowski, S. M., Lonczak, H. S., Sax, K.W., et al (1995) The effects of race ondiagnosis and disposition from a psychiatry emergency service. Journal of Clinical Psychiatry, 56, 101107.
Warren, F. & Dolan, B (eds) (2001) Perspectives on Henderson Hospital, 2nd edition. Henderson Hospital: Surrey.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Ethnic diversity and equality of access to specialist therapeutic community treatment for severe personality disorder

  • Rosalind Geraghty (a1) and Fiona Warren (a2)
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