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Criminal justice pathways to psychiatric care for psychosis.
- Source :
- British Journal of Psychiatry; Dec2015, Vol. 207 Issue 6, p523-529, 8p
- Publication Year :
- 2015
-
Abstract
- <bold>Background: </bold>Some patients are at higher risk of contact with criminal justice agencies when experiencing a first episode of psychosis.<bold>Aims: </bold>To investigate whether violence explains criminal justice pathways (CJPs) for psychosis in general, and ethnic vulnerability to CJPs.<bold>Method: </bold>Two-year population-based survey of people presenting with a first-episode of psychosis. A total of 481 patients provided information on pathways to psychiatric care. The main outcome was a CJP at first contact compared with other services on the care pathway.<bold>Results: </bold>CJPs were more common if there was violence at first presentation (odds ratio (OR) = 4.23, 95% CI 2.74-6.54, P<0.001), drug use in the previous year (OR = 2.28, 95% CI 1.50-3.48, P<0.001) and for high psychopathy scores (OR = 2.54, 95% CI 1.43-4.53, P = 0.002). Compared with White British, CJPs were more common among Black Caribbean (OR = 2.97, 95% CI 1.54-5.72, P<0.001) and Black African patients (OR = 1.95, 95% CI 1.02-3.72, P = 0.01). Violence mediated 30.2% of the association for Black Caribbeans, but was not a mediator for Black African patients. These findings were sustained after adjustment for age, marital status, gender and employment.<bold>Conclusions: </bold>CJPs were more common in violent presentations, for greater psychopathy levels and drug use. Violence presentations did not fully explain ethnic vulnerability to CJPs. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL health services
CRIMINAL justice system
PSYCHOSES
PSYCHIATRIC treatment
SURVEYS
ODDS ratio
BLACK people
PSYCHOPATHY
COMPARATIVE studies
CRIMINOLOGY
RESEARCH methodology
MEDICAL cooperation
PSYCHOTHERAPY
RESEARCH
RESEARCH funding
SUBSTANCE abuse
VIOLENCE
WHITE people
LOGISTIC regression analysis
EVALUATION research
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00071250
- Volume :
- 207
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- British Journal of Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 111934658
- Full Text :
- https://doi.org/10.1192/bjp.bp.114.153882