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The South Asian Community: Barriers to accessing PD services
- 1. The South Asian Community: Barriers to Accessing Personality Disorder Services Janet Feigenbaum 1 and Malvinder Matharu 2 1 Senior Lecturer UCL; Consultant Clinical Psychologist, Strategic and Clinical Lead for Personality Disorder, NELFT 2 Community Development Worker, NELFT
- 2. Scope of the Problem Suicide rates high amongst South Asian Women (Bhugra & Desai, 2002) Self harm rates high amongst South Asian Women (Husain et al., 2006) 0.5 % referrals to specialist PD service Asian (Geraghty & Warren, 2003) 12.5% local Waltham Forest population South Asian (India, Pakistan, Bangladesh) 1% referrals to local specialist PD service Asian 90% of Asian people referred to IMPART accept treatment
- 3. Initial anecdote – from an Asian receptionist “ An Asian friend of mine went to her GP to talk about how unhappy she was. When she arrived the receptionist rang her uncle to say she was at the surgery. Her mother and uncle came to the surgery during her appointment. Her GP told them she had been self harming. She was sent to India.”
- 4. Methodology 14 Semi-structured interviews (w/ vignettes) with Asian Mental health workers, community organizations staff, health staff, local authority, and service users 4 Focus groups Mental Health Staff Community Organizations Service users from Asian Counselling Service Sikh community group Qualitative method – Framework Analysis
- 5. Participants Interviews: All Asian: 1 service user, 1 domestic violence worker, 1 community day centre worker, 1 support worker, 1 GP, 1 Drug & Alcohol worker 1 counsellor, 2 psychiatrists, 1 religious leader, 1 social worker, 1 young persons counsellor Focus groups : Community groups: 8 Asian / 7 Caucasian faith ambassador, community managers, CDW, Support workers, therapists Mental health: 4 Asian / 1 Chinese / 3 Caucasian psychologists, CPN, youth counsellors, OT, Dual diagnosis, psychotherapist Sikh community centre: all female, Asian Asian counselling service users: mixed male/female, Urdu/Punjabi, mostly Muslim