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Satisfaction with inpatient treatment for first-episode psychosis among different ethnic groups: A report from the UK ÆSOP study

Author

Listed:
  • 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

Abstract

Background : There is concern about the level of satisfaction with mental healthcare among minority ethnic patients in the UK, particularly as black patients have more compulsory admissions to hospital. Aims : To determine and compare levels of satisfaction with mental healthcare between patients from different ethnic groups in a three-centre study of first-onset psychosis. Method : Data were collected from 216 patients with first-episode psychosis and 101 caregivers from South London, Nottingham and Bristol, using the Acute Services Study Questionnaire (Patient and Relative Version) and measures of sociodemographic variables and insight. Results : No differences were found between ethnic groups in most domains of satisfaction tested individually, including items relating to treatment by ward staff and number of domains rated as satisfactory. However, logistic regression modelling (adjusting for age, gender, social class, diagnostic category and compulsion) showed that black Caribbean patients did not believe that they were receiving the right treatment and were less satisfied with medication than white patients. Black African patients were less satisfied with non-pharmacological treatments than white patients. These findings were not explained by lack of insight or compulsory treatment. Conclusions : The study found that black patients were less satisfied with specific aspects of treatment, particularly medication, but were equally satisfied with nursing and social care. Understanding the reasons behind this may improve the acceptability of psychiatric care to black minority ethnic groups.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:socpsy:v:58:y:2012:i:1:p:98-105
    DOI: 10.1177/0020764010382691
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    References listed on IDEAS

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    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.
    2. McGovern, Dermot & Hemmings, Patricia, 1994. "A follow-up of second generation Afro-Caribbeans and white British with a first admission diagnosis of schizophrenia: Attitudes to mental illness and psychiatric services of patients and relatives," Social Science & Medicine, Elsevier, vol. 38(1), pages 117-127, January.
    3. Williams, Brian & Coyle, Joanne & Healy, David, 1998. "The meaning of patient satisfaction: An explanation of high reported levels," Social Science & Medicine, Elsevier, vol. 47(9), pages 1351-1359, November.
    4. Jackson, J.S. & Neighbors, H.W. & Torres, M. & Martin, L.A. & Williams, D.R. & Baser, R. & Lowe, J., 2007. "Use of mental health services and subjective satisfaction with treatment among Black Caribbean immigrants: Results from the National Survey of American Life," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 60-67.
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