Summary
A survey of the catchment area psychiatric inpatient population of the Bethlem and Maudsley Hospitals showed that more black (Afro Caribbean) than non-black (white British) patients received anti-psychotic medication. This finding ceased to be significant after adjustment for diagnosis because a larger proportion of black than non black patients received a diagnosis of schizophrenia. However, after adjustment for diagnosis, black patients were significantly more likely to be receiving depot anti-psychotic medication, to be detained under a section and to have been involved in a violent incident during the present admission. There were no significant ethnic differences in total dose equivalents of anti-psychotic medication but doses of the depot form were significantly higher for black patients.
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References
Adembimpe V (1981) White norms and psychiatric diagnosis of black patients. Am J Psychiatry 138: 279–283
Carr AC, Lader M (1978) Neuroleptic equilavence. Prescrib J 15: 88–236
Chen EY, Harrison G, Standen PJ (1991) Management of first episode psychotic illness in Afro-Caribbean patients. Br J Psychiatry 158: 517–522
Cole J, Pilisuk M (1976) Differences in the provision of mental health services by race. Am J Orthopsychiatry 46: 519–525
Davis JM (1976) Dose equivalence of the anti psychotic drugs. J Psychiatr Res 11: 65–69
Davis JM (1976) Comparative doses and costs of antipsychotio medications. Arch Gen Psychiatry 33: 858–861
Donovan J (1986) Black peoples' health: a different approach. In: Rathwell T, Phillips D (eds) Health, race, and ethnicity. Croom Helm, London
Fahy T, Bermingham D, Dunn J (1987) Police admissions to psychiatric hospitals: a challenge to community psychiatry. Med Sci Law 27: 263–268
Fernando S (1988) Race and culture in psychiatry. Tavistock, London, pp 127–153
Flaherty J, Meagher R (1980) Measuring racial bias in inpatient treatment. Am J Psychiatry 137:679–682
Francis E et al. (1989) Black people and psychiatry in the UK an alternative to institutional care. Psychiatrie Bull 13: 482–485
Gillam S (1990) Ethnicity and the use of health services. Postgrad Med J 66: 989–993
Glover G, Malcom G (1988) The prevalence of neuroleptic treatment among West Indians and Asians in the London Borough of Newham. Soc Psychiatry Psychiatr Epidemiol 23: 281–284
Harrison G, Ineichen B, Smith J (1984) Psychiatric Hospital Admissions in Bristol: II. Social and clinical aspects of compulsory admission. Br J Psychiatry 145: 605–611
Harrison G, Owens D, Holton A, Neilson D, Boot D (1988) A prospective study of severe mental disorder in Afro-caribbean patients. Psychol Med 18: 643–657
Harrison G, Holton A, Neilson D et al. (1989) Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors. Psychol Med 19: 683–696
Ineichin B, Harrison G, Morgan H (1984) Psychiatric hospital admissions in Bristol: I. georgraphical and ethnie factors. Br J Psychiatry 145: 600–604
Kendell R (1975) The role of diagnosis in psychiatry. Blackwell, Oxford
Kleinman A (1987) Anthropology and psychiatry: the role of culture in cross-cultural research on illness. Br J Psychiatry 151: 447–454
Lawson WB (1986) Racial and ethnic factors in psychiatric research. Hosp Community Psychiatry 37: 50–55
Lewis G, Croft-Jeffreys C, David A (1990) Are British psychiatrists racits? Br J Psychiatry 157: 410–415
Littlewood R, Lipsedge M (1981) Some social and phenomenological characteristics of psychotic immigrants. Psychol Med 11: 289–302
Littlewood R, Lipsedge M (1988) Psychiatric illness among British Afro-Caribbeans. Br Med J 296: 950–951
Lloyd K, Moodley P (1990) Psychiatry and ethnic groups. Br J Psychiatry 156: 907
London Borough of Southwark (1989) Changing shape. Tables 6, 7 and Appendix table 2, LBS Chiltern House, Portlant Street, London
McGovern D, Cope R (1987) The compulsory detention of males of different ethnic groups, with special reference to offender patients. Br J Psychiatry 150: 950–951
McGovern D, Cope R (1991) Second generation Afro-caribbeans and young whites with a first admission diagnosis of schizophrenia. Soc Psychiatry Psychiatr Epidemiol 26: 95–99
Moodley P (1987) The Fanon project: a day centre in Brixton. Psychiatr Bull 11: 417–418
Moodley P, Perkins RE (1990) Blacks and psychiatry: a framework for understanding access to psychiatric services. Psychiatr Bull 14: 3–14
Moodley P, Perkins RE (1991) Routes to psychiatric inpatient care in an inner London Borough. Social Psychiatry Psychiatr Epidemiol 26: 47–51
Moodley P, Thornicroft G (1988) Ethnic groups and compulsory detention medicine science and the law 28: 324–328
Noble P, Rodger S (1989) Violence by psychiatric inpatients: a hospital survey. Br J Psychiatry 155: 384–390
Office of population censuses and surveys (1981) Census 1981 Greater London County Report, Vol 1, HMSO, London
Overall D (1969) Extrinsic factors influencing responses to psychotherapeutic drugs. Arch Gen Psychiatry 32: 643–649
Pferrebaum A, Distosky N (1981) Racial intolerance in a correctional institution. An ecological view. Am J Psychiatry 138: 1057–1062
Rathwell T (1984) General practice, ethnicity and health service delivery. Soc Sci Med 19: 123–130
Rowlands L, Perkins R (1991) Personal communication
Rwegellera GGC (1977) Psychiatric morbidity among West Africans and West Indians living in London. Psychol Med 7: 317–329
Rwegellera GGC (1980) Differential use of psychiatric services by West Indians, West Africans and English in London. Br J Psychiatry 137: 428–432
Thomas A, Sillen S (1975) Racism and Psychiatry. Brunner Mazel, New York
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Lloyd, K., Moodley, P. Psychotropic medication and ethnicity: an inpatient survey. Soc Psychiatry Psychiatr Epidemiol 27, 95–101 (1992). https://doi.org/10.1007/BF00788512
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DOI: https://doi.org/10.1007/BF00788512