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Ethnic factors in voluntary and compulsory admissions

Published online by Cambridge University Press:  09 July 2009

D. Owens
Affiliation:
Department of Psychiatry, University Hospital, Nottingham
G. Harrison*
Affiliation:
Department of Psychiatry, University Hospital, Nottingham
D. Boot
Affiliation:
Department of Psychiatry, University Hospital, Nottingham
*
1Address for correspondence: Dr G. Harrison, Academic Department of Psychiatry, University Hospital, Nottingham NG7 2UH.

Synopsis

Socio-demographic and clinical aspects of compulsory and informal admissions to general adult psychiatry wards over a two-year period are compared. In addition, Afro-Caribbean patients are compared with white UK-born patients. Relative rates of admission are examined. The study confirms other reports of greater than expected compulsory admissions of Afro-Caribbean patients and pays particular attention to the circumstances preceding compulsory entry to hospital and the persons and agencies involved in that process.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

Bagley, C. (1971). Mental illness in immigrant minorities in London. Journal of Biosocial Science 3, 449459.CrossRefGoogle Scholar
Bebbington, P. E., Hurry, J. & Tennant, C. (1981). Psychiatric disorders in selected immigrant groups in Camberwell. Social Psychiatry 16, 4351.CrossRefGoogle Scholar
Carpenter, L. & Brockington, I. F. (1980). A study of mental illness in Asians, West Indians and Africans living in Manchester. British Journal of Psychiatry 137, 201205.CrossRefGoogle ScholarPubMed
Chen, E. Y. H., Harrison, G. & Standon, P. J. (1990). Management of first episode psychotic illness in Afro-Caribbean patients. British Journal of Psychiatry (in the press).Google Scholar
Cochrane, R. (1977). Mental illness in immigrants to England and Wales: an analysis of mental hospital admissions, 1971. Social Psychiatry 12, 2535.CrossRefGoogle Scholar
Dawson, H. (1972). Reasons for compulsory admission. In Evaluating a Community Psychiatric Service (ed. Wing, J. K. and Hailey, A. M.), pp. 221231. Oxford University Press: London.Google Scholar
Dean, G., Walsh, D., Downing, H. & Shelley, E. (1981). First admissions of native-born and immigrants to psychiatric hospitals in South East England, 1976. British Journal of Psychiatry 139, 506512.CrossRefGoogle Scholar
Dunn, J. & Fahy, T. (1987). Section 136 and the police. Bulletin of the Royal College of Psychiatrists 11, 224225.CrossRefGoogle Scholar
Gardner, M. J. & Altman, D. G. (1989). Statistics with Confidence: Confidence Intervals and Statistical Guidelines. British Medical Journal: London.Google Scholar
Gordon, E. B. (1965). Mentally ill West Indian immigrants. British Journal of Psychiatry 111, 877887.CrossRefGoogle ScholarPubMed
Harrison, G., Ineichen, B., Smith, J. & Morgan, H. G. (1984). Psychiatric hospital admissions in Bristol. II. Social and clinical aspects of compulsory admission. British Journal of Psychiatry 145, 605611.CrossRefGoogle ScholarPubMed
Harrison, G., Owens, D., Holton, A., Neilson, D. & Boot, D. (1988). A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine 18, 643657.CrossRefGoogle ScholarPubMed
Harrison, G., Holton, A., Neilson, D., Owens, D., Boot, D. & Cooper, J. (1989). Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors. Psychological Medicine 19, 683696.CrossRefGoogle ScholarPubMed
Hemsi, L. K. (1967). Psychiatric morbidity of West Indian immigrants: a study of first admissions in London. Social Psychiatry 2, 95100.CrossRefGoogle Scholar
Hitch, P. J. & Clegg, P. (1980). Modes of referral of overseas immigrant and native-born first admissions to psychiatric hospital. Social Science and Medicine 14A, 369374.Google ScholarPubMed
Ineichen, B., Harrison, G. & Morgan, H. G. (1984). Psychiatric hospital admissions in Bristol. I. Geographical and ethnic factors. British Journal of Psychiatry 145, 600611.CrossRefGoogle Scholar
Littlewood, R. (1986). Ethnic minorities and the Mental Health Act: patterns of explanation. Bulletin of the Royal College of Psychiatrists 10, 306308.CrossRefGoogle Scholar
Littlewood, R. & Lipsedge, M. (1981). Some social and phenomenological characteristics of psychotic immgrants. Psychological Medicine 11, 289302.CrossRefGoogle Scholar
McGovern, D. & Cope, R. V. (1987 a). The compulsory detention of males of different ethnic groups, with special reference to offender patients. British Journal of Psychiatry 150, 505512.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. V. (1987 b). First psychiatric admission rates of first and second generation Afro-Caribbeans. Social Psychiatry 22, 139149.CrossRefGoogle ScholarPubMed
Moodley, P. & Thornicroft, G. (1988). Ethnic group and compulsory detention. Medicine, Science and the Law 28, 324328.CrossRefGoogle ScholarPubMed
Office of Population Censuses & Surveys (1982). Census 1981 County Report, Nottinghamshire, Part 1 and 2. HMSO: London.Google Scholar
Office of Population Censuses & Surveys (1986). Estimating the size of the ethnic minority populations in the 1980s. Population Trends 44, HMSO: London.Google Scholar
Rassaby, E. & Rogers, A. (1987). Psychiatric referrals from the police. Bulletin of the Royal College of Psychiatrists 11, 7881.CrossRefGoogle Scholar
Rogers, A. & Faulkner, A. (1987). A Place of Safety: MIND's Research into Police Referrals to the Psychiatric Services. MIND: London.Google Scholar
Rwegellera, G. G. C. (1977). Psychiatric morbidity among West Africans and West Indians living in London. Psychological Medicine, 7, 317329.CrossRefGoogle Scholar
Rwegellera, G. G. C. (1980). Differential use of psychiatric services by West Indians, West Africans and English in London. British Journal of Psychiatry 137, 428432.CrossRefGoogle Scholar
Sims, A. C. P. & Symonds, R. L. (1975). Psychiatric referrals from the Police. British Journal of Psychiatry 127, 171178.CrossRefGoogle ScholarPubMed
Szmukler, G. I. (1981). Compulsory admissions in a London borough: II. Circumstances surrounding admission: service implications. Psychological Medicine 11, 825838.CrossRefGoogle Scholar
Szmukler, G. I., Bird, A. S. & Button, E. J. (1981). Compulsory admissions in a London borough: I. Social and clinical features and a follow-up. Psychological Medicine 11, 617636.CrossRefGoogle Scholar
Walker, N. & McCabe, S. (1973). Crime and Insanity in England II. Edinburgh University Press: Edinburgh.Google Scholar