Search results for ‘Subject term:"access to services"’ Sort:
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People with dementia from ethnic minority backgrounds face extra barriers in accessing care
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
People with dementia from ethnic minority backgrounds face inequalities in diagnosis and access to care, compared with White British patients. This alert highlights key findings of a large study in South East London, which found that at the time of diagnosis, overall, they are more likely to be on multiple medications, but less likely to be taking antidepressants. Some groups face problems with alcohol and substance abuse. Researchers suggest that structures could be put in place to deliver earlier diagnosis for people from ethnic minority groups. Appropriate and consistent treatments should be offered sooner than at present. Specifically, the research among dementia patients found that, compared with White British patients: Black African and Black Caribbean patients were more likely to have psychotic symptoms and were less likely to be prescribed antidepressants; depressive symptoms were more common in South Asian and Other White patients people in all ethnic minority groups were more likely to be prescribed a combination of four or more different medications (of any class); diagnosis of vascular dementia, a type of dementia which is caused by a lack of blood to the brain and can follow a stroke, was more common in Black and Irish patients. (Edited publisher abstract)
Financial inclusion and ethnicity
- Author:
- KHAN Oman
- Journal article citation:
- Runnymede Bulletin, 355, September 2008, pp.8-10.
- Publisher:
- Runnymede Trust
This article shares the findings of a recent Runnymede research into financial inclusion. This article explains the meaning of financial inclusion, discusses government financial inclusion policy, and then summarises some of the reports findings.
Reframing the links: Black and minoritised women, domestic violence and abuse, and mental health – a review of the literature
- Author:
- WOMEN'S AID
- Publisher:
- Women's Aid
- Publication year:
- 2021
- Pagination:
- 64
- Place of publication:
- Bristol
This literature review is focused on three significant areas: evidence of the linkage between domestic violence and abuse (DVA) and mental health/wellbeing for Black and minoritised women; barriers facing Black and minoritised survivors attempting to access support for mental health/wellbeing in the context of DVA; support valued by survivors in the recovery of their mental wellbeing from ‘by and for’ Black and minoritised organisations and specialist women’s services. The review found that living in a racist society and experiencing racism is indivisible from understanding the impact of DVA on Black and minoritised women; the intersection of specific abuse contexts with structural inequality intensify and further nuance the experiences of mental health/wellbeing for Black and minoritised survivors; considerable tension is created by the contrast in Black and minoritised survivors’ perceptions about the causation of their mental ill-health, and the role of structural factors in compounding this; women’s recognition of their families’ and communities’ views about the stigma and shame of mental ill-health reinforces their silence; acknowledging the presence of shame within all communities (as culturally mediated) helps dismantle the influence of stereotypes; literature emphasises the implications of social and community isolation and the lack of support networks for Black and minoritised women experiencing DVA and other forms of abuse; Black and minoritised women are not served well by mainstream primary health care and mental health services; issues of mental health and wellbeing are produced, harnessed and deployed within strategies of abuse by perpetrators, including in post-separation violence; dedicated ‘by and for’ Black and minoritised VAWG services, where they exist, are highly valued and positively evaluated for understanding their abuse and intersectional contexts by Black and minoritised survivors. (Edited publisher abstract)
Improving responses to the sexual abuse of Black, Asian and minority ethnic children
- Authors:
- ALI Nasreen, BUTT Jabeer, PHILLIPS Melanie
- Publisher:
- Centre of Expertise on Child Sexual Abuse
- Publication year:
- 2021
- Pagination:
- 64
- Place of publication:
- Ilford
This research study aimed to address knowledge gaps around professional practice in supporting children from Black, Asian and minority ethnic backgrounds who are at risk of, or experiencing, child sexual abuse (CSA). Between January and March 2020, qualitative interviews were conducted with 16 professionals working in the voluntary sector and local authorities in England. The interviewees identified a number of barriers which prevent these children from disclosing their experiences of CSA and accessing services: both internal (cultural) and external (structural, societal and organisational) barriers. They also observed how cultural insensitivity by agencies and service providers could reduce communities’ trust in them, before outlining ways in which victims and survivors of CSA from Black, Asian and minority ethnic backgrounds could be better safeguarded and their needs met. Interviewees cited examples from their own practice and suggested further actions; although they did not provide examples of resources developed for use in work with children from specific ethnic backgrounds, a few discussed their use of other resources which they felt were applicable to children of all ethnicities. To overcome the barriers, the interviewees called for Increasing diversity in the workforce; addressing unconscious bias; developing cultural competency; sharing knowledge to improve practice; establishing services within the community and building trust; raising awareness of CSA within communities; challenging ideas that prevent disclosure and encourage victim-blaming. (Edited publisher abstract)
Exploring the UK’s digital divide
- Author:
- OFFICE FOR NATIONAL STATISTICS
- Publisher:
- Office for National Statistics
- Publication year:
- 2019
- Place of publication:
- Newport
Digital skills are increasingly important for connecting with others, accessing information and services and meeting the changing demands of the workplace and economy. This paper explores the scale of digital exclusion in the UK and its impact, the characteristics and circumstances of those who are not currently using the internet, how internet use and digital skills vary for different groups of the population and barriers to digital inclusion. In an increasingly digital age, those who are not engaging effectively with the digital world are at risk of being left behind. It reports that groups more likely to be digitally excluded include older people, disabled people and potentially those not living in private households. The barriers to digital inclusion suggest that education for digital skills should highlight the benefits of being online and overcoming any apprehension to engagement. The paper draws on a range of data sources, as there is no single source that covers all aspects of digital exclusion. (Edited publisher abstract)
Ethnic differences in cognition and age in people diagnosed with dementia: a study of electronic health records in two large mental healthcare providers
- Authors:
- MUKADAM Naaheed, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(3), 2019, pp.504-110.
- Publisher:
- Wiley
Objectives: Qualitative studies suggest that people from UK minority ethnic groups with dementia access health services later in the illness than white UK‐born elders, but there are no large quantitative studies investigating this. This study aimed to investigate interethnic differences in cognitive scores and age at dementia diagnosis. Methods: This study used the Clinical Record Interactive Search (CRIS) applied to the electronic health records of two London mental health trusts to identify patients diagnosed with dementia between 2008 and 2016. This study meta‐analysed mean Mini Mental State Examination (MMSE) and mean age at the time of diagnosis across trusts for the most common ethnic groups, and used linear regression models to test these associations before and after adjustment for age, sex, index of multiple deprivation, and marital status. This study also compared percentage of referrals for each ethnic group with catchment census distributions. Results: Compared with white patients (N = 9380), unadjusted mean MMSE scores were lower in Asian (−1.25; 95% CI −1.79, −0.71; N = 642) and black patients (−1.82, 95% CI −2.13, −1.52; N = 2008) as was mean age at diagnosis (Asian patients: −4.27 (−4.92, −3.61); black patients −3.70 (−4.13, −3.27) years). These differences persisted after adjustment. In general, ethnic group distributions in referrals did not differ substantially from those expected in the catchments. Conclusions: People from black and Asian groups were younger at dementia diagnosis and had lower MMSE scores than white referrals. (Edited publisher abstract)
Mental health bulletin: annual statistics, 2014-15
- Author:
- HEALTH AND SOCIAL CARE INFORMATION CENTRE. Community and Mental Health Team
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- Leeds
Provides a comprehensive picture of people who used adult secondary mental health and learning disability services in 2014/15. The analysis of the data shows that 1,835,996 people were in contact with mental health and learning disability services at some point in the year, an increase of 89,298 (or 5.1 per cent) on the year before. This increase is largely attributable to the expansion in scope of the dataset to include people in contact with learning disability services for the first time. The Black or Black British ethnic group had the highest standardised rate of access at 4,799 people per 100,000 of the population, much higher than the national standardised rate of access (3,617). Approximately one in five people aged 90 and over were in contact with mental health and learning disability services. (Edited publisher abstract)
Migrant children, social capital and access to services post-migration: transitions, negotiations and complex agencies
- Authors:
- SIME Daniela, FOX Rachael
- Journal article citation:
- Children and Society, 29(6), 2015, pp.524-534.
- Publisher:
- Wiley
For migrant children, moving to a new country is marked by excitement, anxiety and practical challenges in managing this significant transition. This paper draws upon the concepts of social capital and social networks to examine migrant children's access to services post-migration. Using data from a qualitative study with Eastern European families in Scotland, the study identifies a range of cumulative barriers that limit children's access to services and illustrates how their experiences are shaped by ethnicity, social class and place. The study shows that migrant children are often disadvantaged post-migration and develop their own mechanisms to mitigate the impact of migration on their lives. It is argued that migrant children's own social networks are relevant and they need to be analysed through a more individualised approach. (Edited publisher abstract)
‘Health is their heart, their legs, their back’: understanding ageing well in ethnically diverse older men in rural Australia
- Authors:
- RADERMACHER Harriet, FELDMAN Susan
- Journal article citation:
- Ageing and Society, 35(5), 2015, pp.1011-1031.
- Publisher:
- Cambridge University Press
Older men from ethnic minority communities living in a regional town in Australia were identified by a government-funded peak advocacy body as failing to access local health and support services and, more broadly, being at risk of not ageing well. A qualitative study was undertaken to explore the health and wellbeing of ethnic minority men growing older in a rural community, and to identify the barriers they faced in accessing appropriate services from a range of different perspectives. Individual interviews were conducted with key informants (service providers and community leaders), followed by focus groups with older men from four ethnic minority communities. The men in this study showed signs that they were at risk of poor mental and physical health, and experienced significant barriers to accessing health and support services. Furthermore, environmental, technological, social and economic changes have brought challenges for the older men as they age. Despite these challenges, this study demonstrated how work, family and ethnic identity was integral to the lives of these older men, and was, in many ways, a resource. Key informants' perspectives mostly confirmed the experiences of the older men in this study. The discrepancies in their views about the extent of health-promoting behaviour indicate some key areas for future health intervention, services and research. (Publisher abstract)
A qualitative study of black women's experiences in drug abuse and mental health services
- Authors:
- JONES Lani V., et al
- Journal article citation:
- Affilia: Journal of Women and Social Work, 30(1), 2015, pp.68-82.
- Publisher:
- Sage
Little is known about black women's perceptions of service barriers in mental health and substance treatment. This article reports the findings of a qualitative study that explored the perceptions of 29 black women who received treatment in a small urban Northeastern city in the United States. Findings of the focus group data revealed participants' experiences of services as discussed through the themes of bias and stigma; incompatible perspectives of wellness versus illness between consumer and provider; consumer mistrust; and holistic wellness. Participants endorsed counselling as a treatment strategy but were adverse to the use of medication. Practice and research implications are discussed. (Edited publisher abstract)