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Police Admissions to a Psychiatric Hospital

Demographic and Clinical Differences Between Ethnic Groups

Published online by Cambridge University Press:  02 January 2018

John Dunn  and
Thomas A. Fahy
John Dunn
Affiliation:
Senior Registrar in Psychiatry, The Maudsley Hospital, Denmark Hill, London SE5 8AZ
Thomas A. Fahy*
Affiliation:
Lecturer in Psychiatry, The Institute of Psychiatry, De Crespigny Park, London SE5
*
∗Correspondence
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Abstract

Between October 1983 and December 1985, 268 patients were brought by police to a psychiatric hospital in south London under section 136 of the Mental Health Act 1983. Comparisons were made between ‘blacks' and ‘whites' on several clinical and demographic variables. The vast majority of admissions received a psychiatric diagnosis. An excess of black admissions was recorded. Black men were younger, were more likely than whites to be given neuroleptics, to be put on compulsory orders, and to be given an out-patient appointment when discharged from hospital. More black men were given a case-note diagnosis of schizophrenia or drug-induced psychosis. The differences in clinical management between ethnic groups could be at least partly accounted for by these differences in diagnosis. Treatment did not appear to be independent of diagnosis among the black admissions.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 3 , March 1990 , pp. 373 - 378
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Bittner, E. (1968) Police discretion in emergency apprehension of mentally ill persons. Social Problems, 14, 278–292.CrossRefGoogle Scholar
Black Health Workers and Patients Group (1983) Psychiatry and the corporate state. Race and Class, 25, 505–512.Google Scholar
Cochrane, R. (1977) Mental illness in immigrants to England and Wales: an analysis of mental hospital admissions. Social Psychiatry, 12, 25–35.CrossRefGoogle Scholar
Dean, G., Walsh, D., Downing, H., et al (1981) First admission of native-born and immigrants to psychiatric hospitals in South-East England 1976. British Journal of Psychiatry, 139, 506–512.CrossRefGoogle ScholarPubMed
Dunn, J. & Fahy, T. A. (1987) Section 136 and the police. Bulletin of the Royal College of Psychiatrists, 11, 224–225.CrossRefGoogle Scholar
Fahy, T. A., Bermingham, D. & Dunn, J. (1987) Police admissions to psychiatric hospitals: a challenge to community psychiatry. Medicine, Science and the Law, 27, 263–268.CrossRefGoogle ScholarPubMed
Harrison, G., Ineichen, B., Smith, J., et al (1984) Psychiatric hospital admissions in Bristol II. Social and clinical aspects of compulsory admission. British Journal of Psychiatry, 145, 605–611.CrossRefGoogle ScholarPubMed
Harrison, G., Owens, D., Holton, A., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18, 643–657.CrossRefGoogle ScholarPubMed
Hitch, P. J. & Clegg, P. (1980) Modes of referral of overseas immigrant and native-born first admissions. Social Sciences and Medicine, 14A, 369–374.Google ScholarPubMed
Ineichen, B., Harrison, G. & Morgan, H. G. (1984) Psychiatric hospital admissions in Bristol I. Geographical and ethnic factors. British Journal of Psychiatry, 145, 600–604.CrossRefGoogle Scholar
Kelleher, M. J. & Copeland, J. R. M. (1972) Compulsory psychiatric admission by the police. Medicine, Science and the Law, 12, 220–224.CrossRefGoogle ScholarPubMed
Lambeth Directorate of Town and Economic Planning (1981) Census: Ward Profiles. Research Morandum 23. London: Lambeth Council.Google Scholar
Landau, N. (1986) Statistics of London's Ethnic Minorities, 1979 and 1981. GLC Statistical Series No. 40. London: Greater London Council.Google Scholar
Littlewood, R. (1986) Ethnic minorities and the Mental Health Act. Bulletin of the Royal College of Psychiatrists, 10, 306–308.CrossRefGoogle Scholar
Littlewood, R. & Lipsedge, M. (1981) Some clinical and phenomenological characteristics of psychotic immigrants. Psychological Medicine, 11, 289–302.CrossRefGoogle Scholar
Littlewood, R. & Lipsedge, M. (1988) Psychiatric illness among British Afro-Caribbeans. British Medical Journal, 296, 950–951.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. (1987a) First psychiatric admission rates of first and second generation Afro-Caribbeans. Social Psychiatry, 22, 139–149.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. (1987b) The compulsory detention of males of different ethnic groups, with special reference to offender patients. British Journal of Psychiatry, 150, 505–512.CrossRefGoogle ScholarPubMed
Miller, P. & Rose, N. (1986) The Power of Psychiatry. London: Polity Press.Google Scholar
Office of Public Censuses & Surveys (1981) Census 1981, Greater London County Report, Vol. 1, Table 11. London: HMSO.Google Scholar
Office of Public Censuses & Surveys (1982a) Sources of statistics on ethnic minorities. Population Trends, 28. London: HMSO.Google Scholar
Office of Public Censuses & Surveys (1982b) Labour Force Survey. London: HMSO.Google Scholar
Rogers, A. & Faulkner, A. (1987) A Place of Safety. London: MIND.Google Scholar
Rwegellera, G. G. C. (1977) Psychiatric morbidity among West Africans and West Indians living in London. Psychological Medicine, 7, 317–329.CrossRefGoogle Scholar
Rwegellera, G. G. C. (1980) Differential use of psychiatric services by West Indians, West Africans and English in London. British Journal of Psychiatry, 137, 428–432.CrossRefGoogle Scholar
Schleifer, C., Derbyshire, L. & Martin, J. (1968) Clinical change in jail referred mental patients. Archives of General Psychiatry, 18, 42–46.CrossRefGoogle Scholar
Teplin, L. (1983) The criminality of the mentally ill: speculation in search of data. Psychological Bulletin, 94, 54–67.CrossRefGoogle ScholarPubMed
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