Ethnicity as a predictor of detention under the Mental Health Act.

BACKGROUND: There has been major concern about the 'over-representation' of Black and ethnic minority groups amongst people detained under the Mental Health Act (MHA). We explored the effect of patient ethnicity on detention following an MHA assessment, once confounding variables were cont...

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Päätekijät: Singh, S, Burns, T, Tyrer, P, Islam, Z, Parsons, H, Crawford, M
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: Cambridge University Press 2014
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author Singh, S
Burns, T
Tyrer, P
Islam, Z
Parsons, H
Crawford, M
author_facet Singh, S
Burns, T
Tyrer, P
Islam, Z
Parsons, H
Crawford, M
author_sort Singh, S
collection OXFORD
description BACKGROUND: There has been major concern about the 'over-representation' of Black and ethnic minority groups amongst people detained under the Mental Health Act (MHA). We explored the effect of patient ethnicity on detention following an MHA assessment, once confounding variables were controlled for. METHOD: Prospective data were collected for all MHA assessments over 4-month periods in the years 2008, 2009, 2010 and 2011 each in three regions in England: Birmingham, West London and Oxfordshire. Logistic regression modelling was conducted to predict the outcome of MHA assessments - either resulting in 'detention' or 'no detention'. RESULTS: Of the 4423 MHA assessments, 2841 (66%) resulted in a detention. A diagnosis of psychosis, the presence of risk, female gender, level of social support and London as the site of assessment predicted detention under the MHA. Ethnicity was not an independent predictor of detention. CONCLUSIONS: There is no evidence for that amongst those assessed under the MHA, ethnicity has an independent effect on the odds of being detained.
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spelling oxford-uuid:b45413a8-5daf-404d-ab8f-4c8e47d346662022-03-27T04:25:17ZEthnicity as a predictor of detention under the Mental Health Act.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b45413a8-5daf-404d-ab8f-4c8e47d34666EnglishSymplectic Elements at OxfordCambridge University Press2014Singh, SBurns, TTyrer, PIslam, ZParsons, HCrawford, MBACKGROUND: There has been major concern about the 'over-representation' of Black and ethnic minority groups amongst people detained under the Mental Health Act (MHA). We explored the effect of patient ethnicity on detention following an MHA assessment, once confounding variables were controlled for. METHOD: Prospective data were collected for all MHA assessments over 4-month periods in the years 2008, 2009, 2010 and 2011 each in three regions in England: Birmingham, West London and Oxfordshire. Logistic regression modelling was conducted to predict the outcome of MHA assessments - either resulting in 'detention' or 'no detention'. RESULTS: Of the 4423 MHA assessments, 2841 (66%) resulted in a detention. A diagnosis of psychosis, the presence of risk, female gender, level of social support and London as the site of assessment predicted detention under the MHA. Ethnicity was not an independent predictor of detention. CONCLUSIONS: There is no evidence for that amongst those assessed under the MHA, ethnicity has an independent effect on the odds of being detained.
spellingShingle Singh, S
Burns, T
Tyrer, P
Islam, Z
Parsons, H
Crawford, M
Ethnicity as a predictor of detention under the Mental Health Act.
title Ethnicity as a predictor of detention under the Mental Health Act.
title_full Ethnicity as a predictor of detention under the Mental Health Act.
title_fullStr Ethnicity as a predictor of detention under the Mental Health Act.
title_full_unstemmed Ethnicity as a predictor of detention under the Mental Health Act.
title_short Ethnicity as a predictor of detention under the Mental Health Act.
title_sort ethnicity as a predictor of detention under the mental health act
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AT tyrerp ethnicityasapredictorofdetentionunderthementalhealthact
AT islamz ethnicityasapredictorofdetentionunderthementalhealthact
AT parsonsh ethnicityasapredictorofdetentionunderthementalhealthact
AT crawfordm ethnicityasapredictorofdetentionunderthementalhealthact