Clinical ethnography in severe mental illness: a clinical method to tackle social determinants and structural racism in personalised care.
BJPsych Open
; 7(3): e78, 2021 Apr 12.
Article
in English
| MEDLINE | ID: covidwho-1175355
ABSTRACT
Ethnic inequalities in the experiences and outcomes of severe mental illness are well established. These include a higher incidence of severe mental illnesses (psychoses), adverse pathways into and through care, including crisis care, police and criminal justice systems involvement, and care under the powers of the Mental Health Act. The situation persists despite awareness and is driven by a mixture of the social determinants of poor health, societal disadvantage and structural racism, as well as conflictual interactions with care systems, which themselves are configured in ways that sustain or deepen these inequalities. Although training and education are often proposed, this is not shown to have sustained effects. Clinical processes (interviewing/assessment/formulation/intervention) need to address systemic influences and improve the cultural precision with which care is delivered, organised and commissioned. We discuss clinical ethnography and present evidence of its value in addressing systemic as well as individual care needs for diverse communities.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Language:
English
Journal:
BJPsych Open
Year:
2021
Document Type:
Article
Affiliation country:
Bjo.2021.38
Similar
MEDLINE
...
LILACS
LIS