10: Culturally Appropriate Interventions

Question 1

how does race influence rates of psychosis & schizophrenia?

Answer 1

Elevated incidence of psychosis & schizophrenia among migrant and minoritised groups, especially people of African and Caribbean origin

Question 2

who has higher schizophrenia & psychosis rates, Caribbean or African communities?

Answer 2

Caribbean

Question 3

what are some (9) of the the negative care pathways for black patients suffering psychosis?

Answer 3

40% more likely access care via CJS
37% Black vs 9% White British prisoners with schizophrenia/delusional disorder
4x more MHA detentions
More coercive care: Higher rates of injectable anti-psychotic mediation
Worse clinical/non-clinical outcomes
Lack of culturally-informed care
‘Culturally naïve’ staff
Lack of psychological therapies
Often labelled ‘hard-to-reach’

Question 4

what are the limitations of family-intervention therapies for minoritised communities

Answer 4

Uptake especially low in African, Caribbean and other minoritised groups
Limited evidence for effectiveness, acceptability, accessibility with minoritised groups

Question 5

what is the feasibility of culturally-adapted family interventions?

Answer 5

All service users, families, and therapists found CaFI acceptable and would recommend it to others