Race, Culture and Ethnicity in Psychiatric Practice: Working by Charles Kaye, Tony Lingiah (eds.)

By Charles Kaye, Tony Lingiah (eds.)

(Jessica Kingsley Publishers) Broadmoor health center, London, united kingdom. presents info and research which exposes society's view of minorities and the impression those perspectives have on care pros operating in psychiatric and legal justice structures. British orientated. Softcover, hardcover additionally to be had.

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1998) and recidivist criminal behaviour (Wessely et al. 1994). 40 RACE, CULTURE AND ETHNICITY IN SECURE PSYCHIATRIC PRACTICE Case management A common theme in the literature is that African-Caribbean patients are less likely to receive non-physical treatments such as psychotherapy, counselling and alternatives to institutionalised care, and more likely to receive physical treatments and strong medication (Bowl and Barnes 1990; Department of Health and the Home Office 1992a; Glover and Malcolm 1988; Littlewood and Lipsedge 1988; Littlewood and Cross 1980).

These complexities are compounded when dealing with people of different cultures, in whom the perception and manifestation of mental illness may be different, and for whom English may not be the first language. Earlier preoccupation with measuring the prevalence of mental illness in ethnic minorities has moved on to a concern about the ability of the NHS to respond to the differential mental health needs of diverse communities. This extensive review shows that mental health services often fail to meet the needs of ethnic minority clients.

1997; Parkman et al. 1997) – starting from low GP registration and under-utilisation of primary health care (Cole et al. 1995; Commander et al. 1997; Harrison et al. 1989; Health Education Authority 1994; Koffman et al. 1997; Odell et al. 1997), poor case recognition (Commander et al. 1997; Odell et al. 1997), and the interface between primary and secondary care (Commander et al. 1997). It is widely believed that community and primary health care services often fail to provide African-Caribbeans with the preventive and supportive care needed at an early stage to prevent the development of a crisis (Bhui et al.

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