增加种族报告,以便更好地了解获得初级保健谈话治疗服务的文化需求。

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Maisha Murshed, Rebecca Doherty, Sepideh Mhojatoleslami, Said Aris Tarabi, Anupama Rammohan
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引用次数: 0

摘要

背景:2019冠状病毒病大流行凸显了英国少数民族对法定精神卫生保健服务的利用不足。目的:改进种族报告,以更好地了解获得初级保健谈话治疗服务的患者的需求。方法:我们对三大类种族(非洲/加勒比黑人、亚洲人和英国白人)进行了临床审计,观察2019年(2019年)、2020年(第一波)和2021年(2019年)的结果。对工作人员进行了干预,以改善种族数据记录。在2020年5月至2021年4月期间,向确定退出治疗的患者发送了一份患者调查。共有229名患者参与了调查。该调查询问了影响不继续会议的原因。结果:定量分析显示,英国白人和非洲/加勒比黑人在出院结果上存在统计学上的显著差异(p=讨论:服务部门必须努力通过捕获隐藏的差异和社会化治疗来改善服务提供,以满足英国少数民族群体的需求。目前的研究建议文化适应治疗和共同制作治疗材料。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increasing ethnicity reporting to better understand cultural needs accessing a primary care talking therapy service.

Background: The COVID-19 pandemic highlighted the under-utilisation of statutory mental health care services by minority ethnic groups in the United Kingdom (UK).

Aim: To improve ethnicity reporting to better understand the needs of patients accessing a primary care talking therapies service.

Method: We conducted a clinical audit to observe outcomes from pre-COVID (2019), first wave of COVID-19 (2020) and 2021 for three broad ethnic categories: black African/Caribbean, Asian and white British. Intervention was conducted on staff to improve data recording of ethnicity. A patient survey was sent to those identified as dropped out from treatment from May 2020 to April 2021. A total of 229 patients responded to the survey. The survey asked for reasons that impacted on not continuing with sessions.

Results: Quantitative analysis showed a statistically significant difference on discharge outcome between white British and black African/Caribbean (p=<0.0001), with black African/Caribbean patients most likely to drop out of treatment, and in 2020 the Asian population was below the recovery target of 50%. Qualitative analysis revealed therapist factors included lack of confidence in therapist and not being listened to, patient factors included neurodiversity, being unsure whether it would be helpful and confidentiality concerns, and service factors included being notified of discharge from the service, remote delivery of therapy, treatment options, and treatment materials.

Discussions: Services must work towards improving service provision by capturing hidden disparities and socialising treatment to meet the needs of minority ethnic groups in the UK. The present study recommends culturally adapted treatment and co-producing therapy materials.

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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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