11: Diversity, Difference & Mental Health Flashcards
what are the implications of the 2008 equality act for mental health treatment?
Discrimination based on mental health is an offence
Consideration of protected characteristics and equal treatment within mental health services is a legal duty as well as good practice
what proportion of gay young people are depressed?
35%
why do gay/bisexual/transgender communities have worse healthcare outcomes than cis/straight patients
Experienced stigma and discrimination when accessing MH care
Professionals’ lack knowledge and understanding of LGBT people’s needs
why are LGBTQ+ individuals more susceptible to mental health difficulties
Discrimination, social stress, concealment, stigma, & internalised homophobia
which mental health conditions are women more susceptible to?
2x as likely diagnosed with anxiety
Obsessive compulsive disorder (OCD) and phobias more common
Post-traumatic stress disorder (20.4% vs 8.1% for men)
which negative mental health outcomes are men more susceptible to
3x as many men as women die by suicide (linked to depression & adverse life events)
36% of referrals to psychological therapies in the NHS come from men – gender stereotypes contribute to low help-seeking
3x as likely to become alcohol dependent and frequently use drugs
More likely compulsorily detained under the Mental Health Act
what are the proportions of common MH difficulties for black vs white women?
29% Black women vs 20.9% White British
what is the % of common MH difficulties in black men?
13.5%
how effective was IAPT for accessing minoritized communities?
Black African, Asian and Mixed groups were less likely to self-refer to IAPT services than white groups
how effective was the IAPT at leading to assessment & treatment
All or almost all groups were less likely to receive an assessment and treated
how does IAPT use vary for migrant vs non-migrant communities?
were less likely to use IAPT psychological treatment, and this was not explained by English proficiency, sociodemographic factors or migrating for asylum reasons
what might be the reasons for lower IAPT use in migrant communities?
Lack of information and effective communication about services, stigma within the community and wider society, and mistrust trust of professionals may contribute toward explaining these findings.
what is the difference between the highest & lowest 5th of incomes for psychosis and common MH conditions
Risk of psychotic disorders is 9x higher
Common MH problems is doubled
define: cultural humility
an ongoing process of self-exploration and self-critique combined with a willingness to learn from others.
