BACKGROUND: To investigate the feasibility and effectiveness of a needs-led, community-based intervention for treating individuals from black minority ethnic (BME) groups with common mental disorders. METHOD: Forty eligible individuals from BME groups were randomised to a needs-led package of care (therapy based on the principles of cognitive behaviour therapy and ethnically matched therapists, advocacy and mentoring; 'rapid access') or to a 3-month waiting list control with information on local mental health services ('standard access'). RESULTS: At 3-month follow-up, individuals in the rapid access group showed significantly improved levels of depression (GHQ-28 adjusted p<0.05) although there was no evidence for difference in general functioning (GAF, p=0.87). The intervention was found to be culturally appropriate and acceptable among users and did not result in significantly increased costs. LIMITATIONS: The exploratory study sample was small with low power and therefore the statistical certainty may be limited. CONCLUSIONS: Effective and culturally acceptable psychosocial interventions can be delivered in the community to individuals from BME groups with anxiety and depression with no significant cost implications.
RCT Entities:
BACKGROUND: To investigate the feasibility and effectiveness of a needs-led, community-based intervention for treating individuals from black minority ethnic (BME) groups with common mental disorders. METHOD: Forty eligible individuals from BME groups were randomised to a needs-led package of care (therapy based on the principles of cognitive behaviour therapy and ethnically matched therapists, advocacy and mentoring; 'rapid access') or to a 3-month waiting list control with information on local mental health services ('standard access'). RESULTS: At 3-month follow-up, individuals in the rapid access group showed significantly improved levels of depression (GHQ-28 adjusted p<0.05) although there was no evidence for difference in general functioning (GAF, p=0.87). The intervention was found to be culturally appropriate and acceptable among users and did not result in significantly increased costs. LIMITATIONS: The exploratory study sample was small with low power and therefore the statistical certainty may be limited. CONCLUSIONS: Effective and culturally acceptable psychosocial interventions can be delivered in the community to individuals from BME groups with anxiety and depression with no significant cost implications.
Authors: R C Henderson; P Williams; J Gabbidon; S Farrelly; O Schauman; S Hatch; G Thornicroft; D Bhugra; S Clement Journal: Epidemiol Psychiatr Sci Date: 2014-03-17 Impact factor: 6.892
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Authors: N Chowdhary; A T Jotheeswaran; A Nadkarni; S D Hollon; M King; M J D Jordans; A Rahman; H Verdeli; R Araya; V Patel Journal: Psychol Med Date: 2013-07-19 Impact factor: 7.723
Authors: Barbara Barrett; Waquas Waheed; Simone Farrelly; Max Birchwood; Graham Dunn; Clare Flach; Claire Henderson; Morven Leese; Helen Lester; Max Marshall; Diana Rose; Kim Sutherby; George Szmukler; Graham Thornicroft; Sarah Byford Journal: PLoS One Date: 2013-11-25 Impact factor: 3.240