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

Author:

Boydell Jane1,Morgan Craig1,Dutta Rina1,Jones Barry2,Alemseged Fana3,Dazzan Paola1,Morgan Kevin1,Doody Gillian4,Harrison Glynn5,Leff Julian1,Jones Peter6,Murray Robin1,Fearon Paul1

Affiliation:

1. Psychosis Clinical Academic Group, Institute of Psychiatry, King’s Health Partners, King’s College London, UK

2. Bethlem Royal Hospital, South London and Maudsley NHS Foundation Trust, London, UK

3. Sapienza University, 2nd School of Medicine, Division of Psychiatry, Rome, Italy

4. University of Nottingham, Division of Psychiatry, Nottingham, UK

5. University of Bristol, Division of Psychiatry, Bristol, UK

6. University of Cambridge, Department of Psychiatry, Cambridge, UK

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.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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