Count me in 2010 - Care Quality Commission · Count me in 2010 What we found out about people...

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Count me in 2010 What we found out about people staying in mental health and learning disability services and people on community treatment orders Original document title: Count me in 2010 - Results of the 2010 national census of inpatients and patients on supervised community treatment in mental health and learning disability services in England and Wales April 2011 easy read

Transcript of Count me in 2010 - Care Quality Commission · Count me in 2010 What we found out about people...

Count me in 2010What we found out about people staying inmental health and learning disability servicesand people on community treatment orders

Original document title:Count me in 2010 - Results of the 2010 national census ofinpatients and patients on supervised community treatmentin mental health and learning disability services in Englandand Wales

April 2011 easy read

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Count me in - 2010

The English and Welsh governments haveplans to make services better for peoplefrom Black and minority ethniccommunities.

Minority ethnic means a group of peoplewho originally came from a differentcountry to the one they are living in now.

Since 2005 there has been a census ofhospital patients each year.

A census means counting people on justone day.

The census looked at patients who weregetting hospital services for:

l mental health problems

l learning disabilities.

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This year we also looked at people oncommunity treatment orders.

A community treatment order for peoplewith mental health problems allowspatients to be treated in the community,usually with medicine, to help to stopthem becoming unwell again.

This report is about when we countedpeople on 31st March 2010.

We looked at services in England andWales.

Some of these services are run by the NHS.Others are independent which means theyare not run by the government.

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We wanted to find out about the ethnicityof patients in these services.

Ethnicity means the country that a personor their family originally came from.

This is the last Count Me In census. Welooked at the results to see if things havechanged since 2005.

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What we found out aboutMental Health services in 2010

We found out about 32,799 patients whowere either staying in NHS or independentservices for people with mental healthproblems, or who were having supervisedtreatment in the community on thecensus day.

The number of inpatients has gone downevery year. But the number of peoplehaving treatment in the community ismore than in 2009.

The number of people in independenthospitals has gone up.

The number of people in NHS services hasgone down.

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3 out of every 4 patients were whiteBritish.

1 out of every 4 patients came from Blackand minority ethnic groups.

Most of the patients from minority ethnicgroups were Black or White / Black mixed.

People from the Black group were morethan twice as likely to go into hospital formental illness than other groups.

People from Black or White/Black mixedgroups were sent to hospital after gettinginto trouble with the law more often thanother people.

Over half the patients were being kept inhospital under a law called the MentalHealth Act when they first went in.

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There were more of these patients fromthe Black Caribbean, Black African,White/Black Caribbean mixed and otherBlack groups than other ethnic groups.

This has been the same since the firstcensus in 2005.

2005

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Patients from the White British groupseemed to self-harm or deliberately hurtthemselves more than other ethnicgroups.

People from Black Caribbean orWhite/Black Caribbean groups seemed tostay in hospital longer than other patients.

Men seemed to stay in hospital longerthan women.

More than half the patients were in mixedwards. This did not change from otheryears.

Some men and women had to share thesame bathrooms, toilets or other roomsthey use at the hospital. This was not asmany as in 2009.

This seemed to happen more for WhiteBritish patients than for people fromminority ethnic groups.

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What we found out aboutLearning Disability services

We found out about 3,642 patients stayingin NHS or independent services for peoplewith learning disabilities.

This is less people than in the last censusin 2009.

The number of people in independenthospitals has gone up.

The number of people in NHS hospitals hasgone down.

2009

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Almost 9 out of every 10 patients werewhite British.

Because there were so few people fromminority ethnic groups it was difficult todecide if they were treated differentlyfrom other patients.

Nearly half the patients were being kept inhospital under a law called the MentalHealth Act when they first went in.

Over half the patients had been in hospitalfor one year or more.

1 in every 3 patients had been in hospitalfor more than 5 years.

1 Year+

5 Years+

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Men and women stayed in hospital forabout the same time.

Almost half the men and nearly 3 out ofevery 4 women were not in a ward thatwas only for men or only for women.

This means some men and women had toshare the same bathrooms, toilets orother rooms they use at the hospital.

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What this means

The numbers of people from minorityethnic groups who have to go into hospitalis still higher than average.

It is two times higher than the average forpeople in Black or Black/White Mixedgroups.

The government wants this to happen forfewer people and so far, things have notchanged.

This does not mean that health servicesare bad at supporting patients from Blackand minority ethnic groups when they arein hospital.

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It does mean that if people get bettersupport earlier on with their mental healththey can stay at home and not have to gointo hospital.

Too many men and women still have tostay on mixed wards in hospital.

We need to find other ways to find outabout links between where people comefrom and their mental health.

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What needs to happen

Health and social care services need to getbetter at finding out about the people intheir area from Black and minority ethniccommunities who have problems withtheir mental health.

They need to work with:

l police

l housing

l education

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l volunteer organisations

l groups from ethnic minorities.

They need to try to stop people gettingmental health problems earlier, so theydon’t have to go to hospital.

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This will help people from Black andminority ethinic communities have:

l better mental health

l good support if they have mentalhealth problems

l the right sort of care if they have to gointo hospital.

People who plan and buy mental healthand learning disability services shouldmake sure there are more areas on wardsthat are single sex only.

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This means all men or all women and notmen and women sharing.

We need:

l NHS and independent services formental health and learning disabilitiesto find out more about the ethnicity ofpatients

l services to use this information tomake sure health services are thesame for all people.

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We need to know more about services forpeople with mental health problems andpeople with learning disabilities:

l how people get care for their health

l whether people get good quality care

l whether care makes things better forthem.

This includes finding out what happens forpatients from Black and minority ethnicgroups.

This will help the Care Quality Commissioncheck services are sticking to the rules andcaring for every patient in the way that isright for them.

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Credits

This paper has been designed andproduced for the Care Quality Commissionby the EasyRead service at InspiredServices Publishing Ltd.Ref ISL 456/10. March 2011.

Artwork is from the Valuing People Clipartcollection and cannot be used anywhereelse without written permission fromInspired Services Publishing Ltd.

To contact Inspired Services:

www.inspiredservices.org.uk