Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Author:

Bhui Kamaldeep,Bhugra Dinesh

Abstract

A substantial body of research indicates that, for people from Black and Asian ethnic minorities, access to, utilisation of and treatments prescribed by mental health services differ from those for White people (Lloyd & Moodley, 1992; for a review see Bhui, 1997). Pathways to mental health care are important, and the widely varying pathways taken in various societies may reflect many factors: the attractiveness and cultural appropriateness of services; attitudes towards services; previous experiences; and culturally defined lay referral systems (Goldberg, 1999). Contact with mental health care services may be imposed on the individual, but people who choose to engage with services usually do so only if they think that their changed state of functioning is health-related and potentially remediable through these services. In such cases, they will contact whoever they perceive to be the most appropriate carer, and these carers are often not part of a national health care network.

Publisher

Cambridge University Press (CUP)

Subject

Psychiatry and Mental health

Reference47 articles.

1. The Social Aetiology of Schizophrenia in Immigrant Groups

2. In this paper, the term ‘Asian’ refers to people originating from the Indian subcontinent. The term ‘Black’ is used to include both African-Caribbeans and Africans. The difficulties in defining and using these terms have been discussed elsewhere (Bhui, 2001).

3. Incidence and outcome of schizophrenia in Whites, African-Caribbeans and Asians in London

4. Ethnic differences in admissions to secure forensic psychiatry services

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