Koffman J, Fulop N J, Pashley D, Coleman K
Department of Public Health, Kensington & Chelsea and Westminster Health Authority, London.
Br J Psychiatry. 1997 Sep;171:238-41. doi: 10.1192/bjp.171.3.238.
Previous studies have shown higher rates of psychiatric admissions, compulsory admissions, and diagnosed schizophrenia in Black ethnic groups compared with other population groups.
In a point-prevalence study, demographic and clinical data were collected for adult acute and low-level secure psychiatric in-patients in all National Health Service and seven private psychiatric units in North and South Thames regions on 15 June 1994.
A total of 3710 adult acute and 268 low-level secure psychiatric patients were surveyed; 75% of the patients were White, 16% were Black, and 4% were Asian. Analysis reveals that a high proportion of the Black population were admitted to a psychiatric unit; that Black patients are more likely to be admitted under Section; to be located in locked wards; have an inpatient diagnosis of schizophrenia; and not be registered with a general practitioner.
These findings demonstrate the over-representation of Black ethnic groups within current psychiatric provision. The complement of services to all minority ethnic groups should be examined in terms of access, appropriateness and quality of care. Racism awareness and staff training need to be incorporated into mental health service provision as a matter of priority.
先前的研究表明，与其他人群相比，黑人族裔群体的精神科住院率、强制住院率和精神分裂症诊断率更高。
在一项现患率研究中，于1994年6月15日收集了泰晤士河以北和以南地区所有国民保健服务机构以及七家私立精神科单位的成年急性和低戒备精神科住院患者的人口统计学和临床数据。
共调查了3710名成年急性精神科患者和268名低戒备精神科患者；75%的患者为白人，16%为黑人，4%为亚洲人。分析显示，很大一部分黑人人口被收治到精神科病房；黑人患者更有可能根据《精神健康法》被收治；住在封闭病房；被诊断为精神分裂症住院患者；并且没有在全科医生处登记。
这些发现表明，在当前的精神科服务中，黑人族裔群体所占比例过高。应从可及性、适宜性和护理质量方面审查为所有少数族裔群体提供的服务补充。种族主义意识和工作人员培训需要作为优先事项纳入精神卫生服务提供之中。
