IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v70y2024i8p1495-1504.html

Influence of prior contact with community mental health services on first inpatient psychiatric admission for ethnic minorities: Findings from the NOMIAC study

Author

Listed:
  • Giuseppe CarrÃ
  • Francesco Bartoli
  • Federico Moretti
  • Oliviero Villa
  • Paolo Camera
  • Cristina Crocamo

Abstract

Background: Research has extensively documented inequalities in inpatient psychiatric care provided to people of minoritized ethnic groups. Nonetheless, the role of their previous engagement with community mental health care has been little studied. Aims: We aimed at exploring whether previous clinical care can influence key domains of subsequent psychiatric inpatient care for people of ethnic minorities. Methods: We identified patients with a first hospital admission between 2016 and 2022, from a representative, highly diverse, catchment area of Northern Italy, using electronic health data of the NOMIAC study. We aimed at testing the impact of clinical care prior to admission on indicators of poor inpatient care, as identified by a participatory expert panel, that is, compulsory admission, insufficient length of stay, administration of Long-Acting Antipsychotics (LAI) during the last 7 days before discharge. Multiple regression models, predicted and counterfactual proportions and path analyses from generalized structural equations modeling were used to explore the association between belonging to ethnic minorities and these indicators. Results: Among 1,524 participants, 18% were from minoritized ethnic groups. While these were more likely to experience an involuntary admission, regardless of previous care received, they were offered appropriate length of stay if had previous engagement with community mental health care. Both belonging to ethnic minorities and mental health care prior-to-admission were independently associated with early LAI administration. Conclusions: Several ethnic inequalities in inpatient care continue despite previous community mental health care provided. Future research should examine how these disparities translate into clinical outcomes. Nonetheless, there is the need to actively promote equity, improving the quality of inpatient care of minoritized ethnic groups.

Suggested Citation

  • Giuseppe Carrà & Francesco Bartoli & Federico Moretti & Oliviero Villa & Paolo Camera & Cristina Crocamo, 2024. "Influence of prior contact with community mental health services on first inpatient psychiatric admission for ethnic minorities: Findings from the NOMIAC study," International Journal of Social Psychiatry, , vol. 70(8), pages 1495-1504, December.
    • Handle: RePEc:sae:socpsy:v:70:y:2024:i:8:p:1495-1504
    DOI: 10.1177/00207640241267802
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/00207640241267802
    Download Restriction: no
    File URL: https://libkey.io/10.1177/00207640241267802?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Maarten L. Buis, 2010. "Direct and indirect effects in a logit model," Stata Journal, StataCorp LLC, vol. 10(1), pages 11-29, March.
    2. Hall, W.J. & Chapman, M.V. & Lee, K.M. & Merino, Y.M. & Thomas, T.W. & Payne, B.K. & Eng, E. & Day, S.H. & Coyne-Beasley, T., 2015. "Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 60-76.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. María Davia & Nuria Legazpe, 2015. "Educational attainment and maternity in Spain: not only “when” but also “how”," Review of Economics of the Household, Springer, vol. 13(4), pages 871-900, December.
    2. Raymond Hicks & Dustin Tingley, 2011. "Causal mediation analysis," Stata Journal, StataCorp LLC, vol. 11(4), pages 605-619, December.
    3. Osborne, Cynthia & Huffman, Jennifer & Caldera, Selena & Lipton Galbraith, Anna, 2020. "The influence of field-based training on caseworker turnover," Children and Youth Services Review, Elsevier, vol. 108(C).
    4. Chapman, Mimi V. & Hall, William J. & Lee, Kent & Colby, Robert & Coyne-Beasley, Tamera & Day, Steve & Eng, Eugenia & Lightfoot, Alexandra F. & Merino, Yesenia & Simán, Florence M. & Thomas, Tainayah , 2018. "Making a difference in medical trainees' attitudes toward Latino patients: A pilot study of an intervention to modify implicit and explicit attitudes," Social Science & Medicine, Elsevier, vol. 199(C), pages 202-208.
    5. Brian D. Schwartz & Alexis Horst & Jenifer A. Fisher & Nicole Michels & Lon J. Van Winkle, 2020. "Fostering Empathy, Implicit Bias Mitigation, and Compassionate Behavior in a Medical Humanities Course," IJERPH, MDPI, vol. 17(7), pages 1-15, March.
    6. Hideyo Tsumura & Wei Pan & Debra Brandon, 2024. "Exploring Differences in Intraoperative Medication Use Between African American and Non-Hispanic White Patients During General Anesthesia: Retrospective Observational Cohort Study," Clinical Nursing Research, , vol. 33(6), pages 470-480, July.
    7. Karoline Gomes-Franco & Mario Rivera-Izquierdo & Luis Miguel Martín-delosReyes & Eladio Jiménez-Mejías & Virginia Martínez-Ruiz, 2020. "Explaining the Association between Driver’s Age and the Risk of Causing a Road Crash through Mediation Analysis," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    8. Carla Brailey & Brittany C. Slatton, 2024. "Centering Black Women’s Voices: Illuminating Systemic Racism in Maternal Healthcare Experiences," Societies, MDPI, vol. 14(5), pages 1-12, May.
    9. Korinek, Kim & Young, Yvette & Teerawichitchainan, Bussarawan & Kim Chuc, Nguyen Thi & Kovnick, Miles & Zimmer, Zachary, 2020. "Is war hard on the heart? Gender, wartime stress and late life cardiovascular conditions in a population of Vietnamese older adults," Social Science & Medicine, Elsevier, vol. 265(C).
    10. Mark R. Umbricht & Frank Fernandez & Guillermo Ortega, 2023. "The Blind Side of College Athletics: Examining California’s Student Athlete Bill of Rights and Athletic Expenditures," Research in Higher Education, Springer;Association for Institutional Research, vol. 64(1), pages 33-57, February.
    11. Ursula Meidert & Godela Dönnges & Thomas Bucher & Frank Wieber & Andreas Gerber-Grote, 2023. "Unconscious Bias among Health Professionals: A Scoping Review," IJERPH, MDPI, vol. 20(16), pages 1-28, August.
    12. Rosana L. Bravo & Ángela Gutiérrez & Lené F. Levy‐Storms, 2022. "Patient‐Provider Relationships in an All‐Inclusive Specialized Geriatric Program: A Longitudinal Qualitative Study among Older Foreign‐Born Latinos with Multimorbidities," Journal of Elder Policy, John Wiley & Sons, vol. 2(2), pages 191-214, September.
    13. Bastos, João L. & Harnois, Catherine E. & Paradies, Yin C., 2018. "Health care barriers, racism, and intersectionality in Australia," Social Science & Medicine, Elsevier, vol. 199(C), pages 209-218.
    14. Jill Furzer & Boriana Miloucheva, 2020. "The Long Arm of the Clean Air Act: Pollution Abatement and COVID-19 Racial Disparities," Working Papers tecipa-668, University of Toronto, Department of Economics.
    15. Jens Forderer & Gordon Burtch, 2025. "Estimating Career Benefits from Online Community Leadership: Evidence from Stack Exchange Moderators," Management Science, INFORMS, vol. 71(3), pages 2443-2466, March.
    16. Ross Wilkie & Elaine M Hay & Peter Croft & Glenn Pransky, 2015. "Exploring How Pain Leads to Productivity Loss in Primary Care Consulters for Osteoarthritis: A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-11, April.
    17. Abeliansky, Ana Lucia & Erel, Devin & Strulik, Holger, 2019. "Aging in the USA: Similarities and disparities across time and space," University of Göttingen Working Papers in Economics 384, University of Goettingen, Department of Economics.
    18. Alexis Horst & Brian D. Schwartz & Jenifer A. Fisher & Nicole Michels & Lon J. Van Winkle, 2019. "Selecting and Performing Service-Learning in a Team-Based Learning Format Fosters Dissonance, Reflective Capacity, Self-Examination, Bias Mitigation, and Compassionate Behavior in Prospective Medical Students," IJERPH, MDPI, vol. 16(20), pages 1-18, October.
    19. Büchner, C.I.R. & van der Velden, R.K.W. & Wolbers, M.H.J., 2013. "Social background's effect on educational attainment: does method matter?," Research Memorandum 005, Maastricht University, Graduate School of Business and Economics (GSBE).
    20. Keyvan Vakili & Sarah Kaplan, 2021. "Organizing for innovation: A contingency view on innovative team configuration," Strategic Management Journal, Wiley Blackwell, vol. 42(6), pages 1159-1183, June.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:70:y:2024:i:8:p:1495-1504. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.