Evidence map›Paper›PMID 30430460›Full record

ArticleJournal of racial and ethnic health disparities2019

Psychological Therapy in Secondary Mental Health Care: Access and Outcomes by Ethnic Group.

Louise Mercer, Lauren Jayne Evans, Robert Turton, Alison Beck

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Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Louise MercerSouth London and Maudsley NHS Foundation Trust, London, England, UK.
Lauren Jayne EvansSouth London and Maudsley NHS Foundation Trust, London, England, UK.
Robert TurtonSouth London and Maudsley NHS Foundation Trust, London, England, UK. robert.turton@slam.nhs.uk.ORCID http://orcid.org/0000-0001-6435-456X
Alison BeckSouth London and Maudsley NHS Foundation Trust, London, England, UK.
South London and Maudsley NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the differences in access to, and outcomes of, psychological therapy for different ethnic groups across a South London Mental Health Trust.

methodThis study used Trust data to explore the proportions of ethnic groups accessing psychological therapy as a proportion of all patients supported by the Trust, as well as their outcomes within broad diagnostic clusters.

resultsCompared to proportions in the local population, there were significantly more White/White British patients and significantly fewer patients from 'other ethnic groups' in the Trust (p < .05). There was also significantly greater proportion of Black/Black British patients with schizophrenia diagnoses compared to the proportion of Black/Black British people in the local population (p < .001). Of those accessing psychological therapy, there were significantly more White/White British and 'other ethnic group' patients and significantly fewer Black/Black British patients (p < .05). For schizophrenia diagnoses, significantly fewer Black/Black British and 'other ethnic group' patients were accessing psychological therapy (p < .05); however for behavioural and emotional disorders, there were significantly higher proportions of 'other ethnic group' and White/White British patients. Outcomes varied by diagnosis; Black/Black British patients experienced significantly higher distress scores at the beginning of therapy for depression and neurotic diagnoses (p < .05), with the latter persisting at the end of treatment.

conclusionsAcross the Trust, there were significant differences in the proportion of ethnic groups in accessing psychological therapy, as well as in outcomes. More research is needed to understand the factors that may underlie these disparities.

Indexed as

Mental Health ServicesAdultAnxiety DisordersBlack PeopleCommunity Mental Health ServicesDepressive DisorderEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansLondonMaleMental DisordersNeurotic DisordersPsychological DistressAccessCORE-OMEthnicityOutcomesPsychological therapy

Identifiers

PMID30430460
OpenAlexW2901106779

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.