Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities
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RESEARCH ARTICLE
Open Access
Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities—a population-based study Jelena Jankovic1 , Jake Parsons2, Nikolina Jovanović3* , Giles Berrisford1, Alex Copello4,5, Qulsom Fazil6 and Stefan Priebe3
Abstract 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. Keywords: Ethnicity, Perinatal, Mental health, Psychiatry, Access
* Correspondence: [email protected] 3 Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Newham Centre for Mental Health, Bart’s and London School of Medicine and Dentistry, Queen Mary University of London, London E13 8SP, UK Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This 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
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