OBJECTIVES: The aim of this study was to describe prevalence and characteristics of psychotic disorders in a remote Indigenous population. METHOD: Clinical review of all patients with an active diagnosis of a psychotic disorder in remote communities of Cape York and the Torres Strait. RESULTS: 170 patients were identified and demographic, social and treatment variables described. CONCLUSIONS: Psychotic disorders are common and more so among young adult Aboriginal men, with high rates of comorbid conditions including substance use, intellectual impairment and diabetes. In parallel to this case complexity, there are high rates of coercive treatments. Certain differences by ethnicity and location are described and possible explanations proposed.
OBJECTIVES: The aim of this study was to describe prevalence and characteristics of psychotic disorders in a remote Indigenous population. METHOD: Clinical review of all patients with an active diagnosis of a psychotic disorder in remote communities of Cape York and the Torres Strait. RESULTS: 170 patients were identified and demographic, social and treatment variables described. CONCLUSIONS:Psychotic disorders are common and more so among young adult Aboriginal men, with high rates of comorbid conditions including substance use, intellectual impairment and diabetes. In parallel to this case complexity, there are high rates of coercive treatments. Certain differences by ethnicity and location are described and possible explanations proposed.
Authors: Bruce Gynther; Fiona Charlson; Karin Obrecht; Michael Waller; Damian Santomauro; Harvey Whiteford; Ernest Hunter Journal: EClinicalMedicine Date: 2019-04-27