IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v58y2012i1p3-15.html
   My bibliography  Save this article

Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis

Author

Listed:
  • Caroline Lawlor
  • Sonia Johnson
  • Laura Cole
  • Louise M. Howard

Abstract

Background : Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. Aim : To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. Method : All women admitted to an acute psychiatric inpatient ward or a women’s crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics. Results : Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced. Discussion : There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission.

Suggested Citation

  • Caroline Lawlor & Sonia Johnson & Laura Cole & Louise M. Howard, 2012. "Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis," International Journal of Social Psychiatry, , vol. 58(1), pages 3-15, January.
  • Handle: RePEc:sae:socpsy:v:58:y:2012:i:1:p:3-15
    DOI: 10.1177/0020764010382369
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764010382369
    Download Restriction: no

    File URL: https://libkey.io/10.1177/0020764010382369?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mclean, Carl & Campbell, Catherine & Cornish, Flora, 2003. "African-Caribbean interactions with mental health services in the UK: experiences and expectations of exclusion as (re)productive of health inequalities," Social Science & Medicine, Elsevier, vol. 56(3), pages 657-669, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Barbara Barrett & Waquas Waheed & Simone Farrelly & Max Birchwood & Graham Dunn & Clare Flach & Claire Henderson & Morven Leese & Helen Lester & Max Marshall & Diana Rose & Kim Sutherby & George Szmuk, 2013. "Randomised Controlled Trial of Joint Crisis Plans to Reduce Compulsory Treatment for People with Psychosis: Economic Outcomes," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-11, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Louise Tanner & Sarah Sowden & Madeleine Still & Katie Thomson & Clare Bambra & Josephine Wildman, 2021. "Which Non-Pharmaceutical Primary Care Interventions Reduce Inequalities in Common Mental Health Disorders? A Protocol for a Systematic Review of Quantitative and Qualitative Studies," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    2. Scott, Penelope, 2014. "Black African asylum seekers’ experiences of health care access in an eastern German state," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 10(3), pages 134-147.
    3. Kate Bernard & Josephine M. Wildman & Louise M. Tanner & Akvile Stoniute & Madeleine Still & Rhiannon Green & Claire Eastaugh & Sarah Sowden & Katie H. Thomson, 2023. "Experiences of Non-Pharmaceutical Primary Care Interventions for Common Mental Health Disorders in Socioeconomically Disadvantaged Groups: A Systematic Review of Qualitative Studies," IJERPH, MDPI, vol. 20(7), pages 1-23, March.
    4. Adams, A. & Vail, L. & Buckingham, C.D. & Kidd, J. & Weich, S. & Roter, D., 2014. "Investigating the influence of African American and African Caribbean race on primary care doctors' decision making about depression," Social Science & Medicine, Elsevier, vol. 116(C), pages 161-168.
    5. Mullard, Jordan C.R. & Kawalek, Jessica & Parkin, Amy & Rayner, Clare & Mir, Ghazala & Sivan, Manoj & Greenhalgh, Trisha, 2023. "Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review," Social Science & Medicine, Elsevier, vol. 320(C).
    6. Jane Boydell & Craig Morgan & Rina Dutta & Barry Jones & Fana Alemseged & Paola Dazzan & Kevin Morgan & Gillian Doody & Glynn Harrison & Julian Leff & Peter Jones & Robin Murray & Paul Fearon, 2012. "Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: A report from the UK ÆSOP study," International Journal of Social Psychiatry, , vol. 58(1), pages 98-105, January.
    7. Guy Shefer & Diana Rose & Laura Nellums & Graham Thornicroft & Claire Henderson & Sara Evans-Lacko, 2013. "‘Our community is the worst’: The influence of cultural beliefs on stigma, relationships with family and help-seeking in three ethnic communities in London," International Journal of Social Psychiatry, , vol. 59(6), pages 535-544, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:58:y:2012:i:1:p:3-15. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.