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Psychiatric Bulletin (2000) 24: 251-254. doi: 10.1192/pb.24.7.251
© 2000 The Royal College of Psychiatrists
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Psychiatric Bulletin (2000) 24: 251-254
© 2000 The Royal College of Psychiatrists

Profile of service users attending a voluntary mental health sector service

Gerard Hutchinson, Clinical Lecturer, Catherine Gilvarry, Research Psychologist and Thomas A. Fahy, Consultant Psychiatrist and Honorary Senior Lecturer

Department of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF

AIMS AND METHOD

Very little research has been undertaken to characterise the service user groups served by the voluntary sector mental health services in Britain. In view of the high reported cases of dissatisfaction with the statutory mental health services in the population of Caribbean origin in Britain, we sought to compare the male service users attending a voluntary sector service in Brixton, South London with those attending a service run by the mental health hospital for that catchment area.

The service users and their case workers were interviewed and their case notes reviewed to obtain demographic information such as employment and forensic history and contact with other services. They were also assessed using the Global Assessment of Functioning (GAF) and the Camberwell Assessment of Need (CAN).

RESULTS

The service users attending the voluntary sector were significantly more disadvantaged in the areas of unemployment and contact with other health services particularly general practitioners. They had significantly lower scores on the GAF and had more unmet needs on the CAN, including numeracy and literacy skills. Both patient groups, however, reported problems with intimate relationships.

CLINICAL IMPLICATIONS

Service users attending voluntary sector services are likely to be more socially and materially deprived than their counterparts attending statutory services and specific strategies are required to assist these organisations in meeting the many needs of the service users.




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J. S. Jackson, H. W. Neighbors, M. Torres, L. A. Martin, D. R. Williams, and R. Baser
Use of Mental Health Services and Subjective Satisfaction With Treatment Among Black Caribbean Immigrants: Results From the National Survey of American Life
Am J Public Health, January 1, 2007; 97(1): 60 - 67.
[Abstract] [Full Text] [PDF]




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