THERACOM: a systematic review of the evidence base for interventions to improve Therapeutic Communications between black and minority ethnic populations and staff in specialist mental health services

Black and Minority Ethnic (BME) groups in receipt of specialist mental health care have reported higher rates of detention under the mental health act, less use of psychological therapies, and more dissatisfaction. Although many explanations have been put forward to explain this, a failure of therapeutic communications may explain poorer satisfaction, disengagement from services and ethnic variations in access to less coercive care. Interventions that improve therapeutic communications may offer new approaches to tackle ethnic inequalities in experiences and outcomes

(Un)popular culture and citizenship - mapping illicit drug-using in Trainspotting

Design scenario for partner notification. This is an example of the scenarios used in the focus group discussions, and it involves a person (Sharon) and a narrative about her user journey with the application. (DOCX 13 kb

Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial-0

<p><b>Copyright information:</b></p><p>Taken from "Design considerations in a clinical trial of a cognitive behavioural intervention for the management of low back pain in primary care: Back Skills Training Trial"</p><p>http://www.biomedcentral.com/1471-2474/8/14</p><p>BMC Musculoskeletal Disorders 2007;8():14-14.</p><p>Published online 22 Feb 2007</p><p>PMCID:PMC2147057.</p><p></p

Follow-up outcome measures (n = 1280).

<p>Follow-up outcome measures (n = 1280).</p

Baseline characteristics for patients included in analysis.

<p>Baseline characteristics for patients included in analysis.</p

Odds ratio of achieving primary outcome with full regression model.

<p>Odds ratio of achieving primary outcome with full regression model.</p

Health related quality of life by EQ-5D.

<p>Health related quality of life by EQ-5D.</p

Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review

BACKGROUND: Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. AIMS: To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services. METHOD: Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the 'grey' literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations. RESULTS: Twenty-one studies were included in our analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials (range of d 0.18-0.75) than for moderate- or lower-quality studies (range of d 0.18-4.3). The review found only two studies offering weak economic evidence. CONCLUSIONS: Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices

Baseline characteristics.

<p>Baseline characteristics.</p

Direct healthcare costs by resource category.

<p>Direct healthcare costs by resource category.</p