Patterns of illness and care over the 5 years following onset of psychosis in different ethnic groups; the GAP-5 studyReport as inadecuate




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Social Psychiatry and Psychiatric Epidemiology

pp 1–11

First Online: 05 July 2017Received: 30 August 2016Accepted: 25 June 2017

Abstract

PurposePrevious research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis.

Methods245 FEP cases aged 18–65 who presented to psychiatric services in 2005–2010 in South London UK. Using the electronic psychiatric clinical notes in the South London and Maudsley NHS Foundation Trust SLaM, extensive information was collected on three domains—clinical, social, and service use.

ResultsDuring the 5-year follow-up mean = 5.1 years, s.d. = 2.4; 1251 person years after first contact with mental health services, a higher proportion of Black African and Black Caribbean ethnicity had compulsory re-admissions χ = 17.34, p = 0.002 and instances of police involvement during an admission to a psychiatric unit χ = 22.82, p < 0.001 compared with White British ethnic group. Patients of Black African and Black Caribbean ethnicity did not differ from the ethnic group in overall functional disability and illness severity, or frequency of remission or recovery during the follow-up period. However, patients of Black ethnicity become increasing socially excluded as their illness progress.

ConclusionsThe longitudinal trajectory of psychosis in patients of Black ethnicity did not show greater clinical or functional deterioration than white patients. However, their course remains characterised by more compulsion, and longer periods of admission.

KeywordsFirst episode psychosis Ethnicity Ethnic minorities Longitudinal outcomes Pattern of care Social isolation Clinical outcomes Electronic supplementary materialThe online version of this article doi:10.1007-s00127-017-1417-6 contains supplementary material, which is available to authorised users.

Olesya Ajnakina and John Lally contributed equally to this work and should be jointly acknowledged as first named authors and Robin M. Murray and Evangelos Vassos contributed equally to this work and should be jointly acknowledged as last named authors.

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Author: Olesya Ajnakina - John Lally - Marta Di Forti - Anna Kolliakou - Poonam Gardner-Sood - Javier Lopez-Morinigo - Paola Dazza

Source: https://link.springer.com/







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