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Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study

BACKGROUND: Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women; however, there is no reliable large-scale data about their actual use of mental health services during this period. Our study aims to ex...

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Autores principales: Jankovic, Jelena, Parsons, Jake, Jovanović, Nikolina, Berrisford, Giles, Copello, Alex, Fazil, Qulsom, Priebe, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488566/
https://www.ncbi.nlm.nih.gov/pubmed/32912196
http://dx.doi.org/10.1186/s12916-020-01711-w
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author Jankovic, Jelena
Parsons, Jake
Jovanović, Nikolina
Berrisford, Giles
Copello, Alex
Fazil, Qulsom
Priebe, Stefan
author_facet Jankovic, Jelena
Parsons, Jake
Jovanović, Nikolina
Berrisford, Giles
Copello, Alex
Fazil, Qulsom
Priebe, Stefan
author_sort Jankovic, Jelena
collection PubMed
description BACKGROUND: Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women; however, there is no reliable large-scale data about their actual use of mental health services during this period. Our study aims to explore access rates to secondary mental health services, including involuntary admissions to psychiatric inpatient care and patterns of engagement for ethnic minority women aged 18+ who gave birth in 2017 in England, UK. METHODS: Two datasets from the National Commissioning Data Repository, the Acute Inpatient Dataset and Mental Health Services Dataset, were linked. Datasets covering the full perinatal period for each woman were included. Rates were standardised by age and deprivation. RESULTS: Out of 615,092 women who gave birth in England in 2017, 22,073 (3.5%) started a contact with mental health services during the perinatal period. In total, 713 (3.2%) were admitted to inpatient care, and 282 (39.5%) involuntarily. Ethnicity data was available for 98% of the sample. Black African, Asian and White Other women had significantly lower access to community mental health services and higher percentages of involuntary admissions than White British women. Black African, Asian and White Other women had a higher number of attended community contacts and fewer non-attendances/cancellations of appointments than White British women. CONCLUSION: Access to mental health services during the perinatal period varies significantly between women from different ethnic groups. Access to community mental health services should be facilitated for Black African, Asian and White Other women during the perinatal period, which may reduce rates of involuntary hospital admissions for these groups. The pattern of engagement with community services for women from these ethnicities indicates that access appears to be a problem rather than utilisation.
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spelling pubmed-74885662020-09-16 Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study Jankovic, Jelena Parsons, Jake Jovanović, Nikolina Berrisford, Giles Copello, Alex Fazil, Qulsom Priebe, Stefan BMC Med Research Article BACKGROUND: Barriers to accessing mental health care during pregnancy and the first postnatal year (perinatal period) seem to be greater for ethnic minority women; however, there is no reliable large-scale data about their actual use of mental health services during this period. Our study aims to explore access rates to secondary mental health services, including involuntary admissions to psychiatric inpatient care and patterns of engagement for ethnic minority women aged 18+ who gave birth in 2017 in England, UK. METHODS: Two datasets from the National Commissioning Data Repository, the Acute Inpatient Dataset and Mental Health Services Dataset, were linked. Datasets covering the full perinatal period for each woman were included. Rates were standardised by age and deprivation. RESULTS: Out of 615,092 women who gave birth in England in 2017, 22,073 (3.5%) started a contact with mental health services during the perinatal period. In total, 713 (3.2%) were admitted to inpatient care, and 282 (39.5%) involuntarily. Ethnicity data was available for 98% of the sample. Black African, Asian and White Other women had significantly lower access to community mental health services and higher percentages of involuntary admissions than White British women. Black African, Asian and White Other women had a higher number of attended community contacts and fewer non-attendances/cancellations of appointments than White British women. CONCLUSION: Access to mental health services during the perinatal period varies significantly between women from different ethnic groups. Access to community mental health services should be facilitated for Black African, Asian and White Other women during the perinatal period, which may reduce rates of involuntary hospital admissions for these groups. The pattern of engagement with community services for women from these ethnicities indicates that access appears to be a problem rather than utilisation. BioMed Central 2020-09-11 /pmc/articles/PMC7488566/ /pubmed/32912196 http://dx.doi.org/10.1186/s12916-020-01711-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Jankovic, Jelena
Parsons, Jake
Jovanović, Nikolina
Berrisford, Giles
Copello, Alex
Fazil, Qulsom
Priebe, Stefan
Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title_full Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title_fullStr Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title_full_unstemmed Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title_short Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
title_sort differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488566/
https://www.ncbi.nlm.nih.gov/pubmed/32912196
http://dx.doi.org/10.1186/s12916-020-01711-w
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