ArticleEuropean child & adolescent psychiatry2021
Inequalities in referral pathways for young people accessing secondary mental health services in south east London.
Article in European child & adolescent psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical and social factors associated with involuntary psychiatric hospitalisation in children and adolescents: a systematic review, meta-analysis, and narrative synthesis.The Lancet. Child & adolescent health · 2021Pooled it
- Sleep disruption and its psychological treatment in young people at risk of psychosis: A peer methods qualitative evaluation.The British journal of clinical psychology · 2026Trial
- Primary care use among adults with eating disorders in England: a population-based cohort study using electronic health records.BMJ open · 2026Article
- Diagnosis provision by young people's mental health services: a comparison with epidemiological data.medRxiv : the preprint server for health sciences · 2026Article
- Ethnic differences in healthcare utilisation and diagnosis after first presentation with breathlessness: a retrospective cohort study using UK primary care records.NPJ primary care respiratory medicine · 2026Article
- Implementing shared care models for young people with mental health difficulties: a consolidated framework for implementation research- informed scoping review of service integration across physical, sexual and mental health domains.BMC health services research · 2026Article
- Inequity in treatment access for child mental health services in England: analysis of administrative national data for 2021-2022.BJPsych bulletin · 2026Article
- What is the perception of treatment in some European mental health services? The point of view of users belonging to ethnic minorities.Frontiers in psychology · 2026Review
- Ethnicity and equity of access to a tier 4 national tic service.BJPsych bulletin · 2025Article
- Emergency hospital admissions for stress-related presentations among secondary school-aged minoritised young people in England.The British journal of psychiatry : the journal of mental science · 2025Article
- Barriers and facilitators to implementation of a community wellbeing service for black, Asian and minoritised young people.NIHR open research · 2025Article
- The experience of seeking and accessing help from mental health services among young people of Eastern European backgrounds: A qualitative interview study.Psychology and psychotherapy · 2024Article
- Article
- A co-produced service evaluation of ethnic minority community service user experiences of a specialist mental health service during the COVID-19 pandemic.BMC health services research · 2023Article
- Service use preceding and following first referral for psychiatric emergency care at a short-stay crisis unit: A cohort study across three cities and one rural area in England.The International journal of social psychiatry · 2023Article
- Informative value of referral letters from general practice for child and adolescent mental healthcare.European child & adolescent psychiatry · 2023Article
- Ethnic inequities in multimorbidity among people with psychosis: a retrospective cohort study.Epidemiology and psychiatric sciences · 2022Article
- Ethnic inequalities in clozapine use among people with treatment-resistant schizophrenia: a retrospective cohort study using data from electronic clinical records.Social psychiatry and psychiatric epidemiology · 2022Article
- Factors influencing the mental health of an ethnically diverse healthcare workforce during COVID-19: a qualitative study in the United Kingdom.European journal of psychotraumatology · 2022Article
- Access to mental healthcare in the year after first fit note: a longitudinal study of linked clinical records.BMJ open · 2021Article
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9 authors.
Funding
Abstract
Differences in health service use between ethnic groups have been well documented, but little research has been conducted on inequalities in access to mental health services among young people. This study examines inequalities in pathways into care by ethnicity and migration status in 12-29 years old accessing health services in south east London. This study analyses anonymized electronic patient record data for patients aged 12-29 referred to a south east London mental health trust between 2008 and 2016 for an anxiety or non-psychotic depressive disorder (n = 18,931). Multinomial regression was used to examine associations between ethnicity, migration status, and both referral source and destination, stratified by age group. Young people in the Black African ethnic group were more likely to be referred from secondary health or social/criminal justice services compared to those in the White British ethnic group; the effect was most pronounced for those aged 16-17 years. Young people in the Black African ethnic group were also significantly more likely to be referred to inpatient and emergency services compared to those in the White British ethnic group. Black individuals living in south east London, particularly those who identify as Black African, are referred to mental health services via more adverse pathways than White individuals. Our findings suggest that inequalities in referral destination may be perpetuated by inequalities generated at the point of access.
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