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PAPERS:
MORVEN LEESE, GRAHAM THORNICROFT, JENNY SHAW, STUART THOMAS, RAJESH MOHAN, MARI ANNE HARTY, and MAIREAD DOLAN
Ethnic differences among patients in high-security psychiatric hospitals in England
The British Journal of Psychiatry 2006; 188: 380-385 [Abstract] [Full text] [PDF]
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Electronic letters published:

[Read eLetter] DSPD and Black and ethnic minority patients
Prakash Raviraj   (12 April 2006)
[Read eLetter] Re: DSPD and Black and ethnic minority patients
Olanrewaju Ogunlana   (25 October 2006)

DSPD and Black and ethnic minority patients 12 April 2006
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Prakash Raviraj,
Locum SPR
Sheffield Care Trust

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Re: DSPD and Black and ethnic minority patients

prakash.raviraj{at}sct.nhs.uk Prakash Raviraj

I don’t think anyone would dispute these findings as there is already well known over-representation of ethnic minorities in those receiving coercive interventions - Compulsory admission, seclusion control and restraint, medication, depot neuroleptic Medication and poly-pharmacy (usually against their will), restriction orders, and placement in locked ward and secure environments.(Ndegwa D).There is over- diagnosis of schizophrenia to the exclusion of all other psychiatric diagnoses, such as affective illnesses, neurosis and personality disorder (see the review of United Kingdom literature by Cochrane and Sashidaran, 1996). What has changed from the time of the previous review is, the addition of new population to high security called Dangerous Severe Personality Disorder(DOH,1999). I would be curious to know the representation of black and ethnic minority population in this new service and wonder if the authors have any data on this new group in high security.

Reference: Ndegwa. D. (2003) Social Division and Difference: Black and Ethnic Minorities. Liverpool: NHS National Programme on Forensic Mental Health Research and Development Department of Health/Home Office (1999). Managing dangerous people with severe personality disorder: Proposals for policy development. London: Department of Health.

Re: DSPD and Black and ethnic minority patients 25 October 2006
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Olanrewaju Ogunlana,
Student-Msc-Transcultural Mental Health Care
Queen Mary University of London

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Re: Re: DSPD and Black and ethnic minority patients

sobamte{at}yahoo.com Olanrewaju Ogunlana

This is a genuiue piece of work that actually explains what has been missing for a long time within the ethnic minority group particularly the African Caribbean soeiety. Job well done