Three year outcomes in an early intervention service for psychosis in a multicultural and multiethnic population

2.50
Hdl Handle:
http://hdl.handle.net/10547/293707
Title:
Three year outcomes in an early intervention service for psychosis in a multicultural and multiethnic population
Authors:
Agius, Mark; Murphy, Suzanne; Persaud, Albert; Ramkisson, Roshelle; Shah, Samir; Zaman, Rashid
Abstract:
Background: Concern has been expressed that it may be difficult to provide certain interventions to some ethnic groups in an Early Intervention Service for Psychosis, and that as a consequence, three-year outcomes for the different Ethnic Groups may be different in different groups. To test whether there are differences between the three year outcomes of different ethnic groups represented in the patient population of an Early Intervention service for Psychosis. Subjects and methods: The three-year outcomes for the first group of 62 Patients to receive three years treatment in the Early Intervention Service in Luton, Bedfordshire were examined. This group well represented the ethnic mix of the population of Luton. Results: It does not appear that there are major differences between the threeyear outcomes of any one of the three groups studied. However the South Asian Patients appear to present earlier, with shorter DUPs, seemed more likely to marry, live with their families, and seem more likely to return to higher education after a first psychotic episode of psychosis compared to the Caucasians. Afro-Carribeans and South Asians were more likely to be unemployed, but many South Asians were employed, as were Caucasians. The fewest persons employed were in the Afro- Caribbean group. While slightly more South Asians and Afro-Carribeans were admitted compulsorily under the mental health act over the three years, 60% of each of the two non-white groups were never admitted compulsorily. This is different from the reported national trends of the Mental Health act being used excessively with the Afro-Caribbean population. Discussion: No previous study has looked at the outcomes of Early Intervention Services for First Psychotic Episodes according to the Ethnic Origin of the Clients. The better outcomes seen with South Asians are probably due to cultural factors among the South Asians born in this country, rather than to issues related to the Psychotic Illness itself. Conclusion: These findings are important in planning services in areas where there is much ethnic diversity. The above conclusions must be understood as relating to patients who are well engaged with services. It would be unwise to extrapolate these outcomes to patients in the general population who have not engaged with services.
Affiliation:
Bedfordshire and Luton Partnership Trust; Bedfordshire Centre for Mental Health Research; University of Bedfordshire; University of Cambridge
Citation:
Agius M., Shah S., Ramkisson R., Persaud, A., Murphy S., and Zaman, R. (2008) Three year outcomes in an early intervention service for psychosis in a multicultural and multiethnic population, Psychiatria Danubina, 20(4), 494-499; PMID: 19011590 ISSN: 0353- 5053.
Publisher:
Medicinska Naklada Zagreb
Journal:
Psychiatria Danubina
Issue Date:
4-Nov-2008
URI:
http://hdl.handle.net/10547/293707
Additional Links:
http://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=45984
Type:
Conference papers, meetings and proceedings
Language:
en
ISSN:
0353-5053
Appears in Collections:
Research Centre for Applied Psychology

Full metadata record

DC FieldValue Language
dc.contributor.authorAgius, Marken_GB
dc.contributor.authorMurphy, Suzanneen_GB
dc.contributor.authorPersaud, Alberten_GB
dc.contributor.authorRamkisson, Roshelleen_GB
dc.contributor.authorShah, Samiren_GB
dc.contributor.authorZaman, Rashiden_GB
dc.date.accessioned2013-06-10T10:37:04Zen
dc.date.available2013-06-10T10:37:04Zen
dc.date.issued2008-11-04en
dc.identifier.citationAgius M., Shah S., Ramkisson R., Persaud, A., Murphy S., and Zaman, R. (2008) Three year outcomes in an early intervention service for psychosis in a multicultural and multiethnic population, Psychiatria Danubina, 20(4), 494-499; PMID: 19011590 ISSN: 0353- 5053.en_GB
dc.identifier.issn0353-5053en
dc.identifier.urihttp://hdl.handle.net/10547/293707en
dc.description.abstractBackground: Concern has been expressed that it may be difficult to provide certain interventions to some ethnic groups in an Early Intervention Service for Psychosis, and that as a consequence, three-year outcomes for the different Ethnic Groups may be different in different groups. To test whether there are differences between the three year outcomes of different ethnic groups represented in the patient population of an Early Intervention service for Psychosis. Subjects and methods: The three-year outcomes for the first group of 62 Patients to receive three years treatment in the Early Intervention Service in Luton, Bedfordshire were examined. This group well represented the ethnic mix of the population of Luton. Results: It does not appear that there are major differences between the threeyear outcomes of any one of the three groups studied. However the South Asian Patients appear to present earlier, with shorter DUPs, seemed more likely to marry, live with their families, and seem more likely to return to higher education after a first psychotic episode of psychosis compared to the Caucasians. Afro-Carribeans and South Asians were more likely to be unemployed, but many South Asians were employed, as were Caucasians. The fewest persons employed were in the Afro- Caribbean group. While slightly more South Asians and Afro-Carribeans were admitted compulsorily under the mental health act over the three years, 60% of each of the two non-white groups were never admitted compulsorily. This is different from the reported national trends of the Mental Health act being used excessively with the Afro-Caribbean population. Discussion: No previous study has looked at the outcomes of Early Intervention Services for First Psychotic Episodes according to the Ethnic Origin of the Clients. The better outcomes seen with South Asians are probably due to cultural factors among the South Asians born in this country, rather than to issues related to the Psychotic Illness itself. Conclusion: These findings are important in planning services in areas where there is much ethnic diversity. The above conclusions must be understood as relating to patients who are well engaged with services. It would be unwise to extrapolate these outcomes to patients in the general population who have not engaged with services.en_GB
dc.language.isoenen
dc.publisherMedicinska Naklada Zagreben_GB
dc.relation.urlhttp://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=45984en
dc.subjectAfro- Carribeansen_GB
dc.subjectearly intervention for psychosisen_GB
dc.subjectethnicityen_GB
dc.subjectCaucasiansen_GB
dc.subjectSouth Asiansen_GB
dc.titleThree year outcomes in an early intervention service for psychosis in a multicultural and multiethnic populationen
dc.typeConference papers, meetings and proceedingsen
dc.contributor.departmentBedfordshire and Luton Partnership Trusten_GB
dc.contributor.departmentBedfordshire Centre for Mental Health Researchen_GB
dc.contributor.departmentUniversity of Bedfordshireen_GB
dc.contributor.departmentUniversity of Cambridgeen
dc.identifier.journalPsychiatria Danubinaen_GB
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