Search tips
Search criteria 


Logo of ijpsychHomeCurrent issueInstructionsSubmit article
Indian J Psychiatry. 2003 Apr-Jun; 45(2): 27–30.
PMCID: PMC2952142

Mental Health of Ethnic Minority Elders in West London : Pathways into secondary care


The understanding of pathways into care is necessary to plan services and identify health care needs of patients. We set out to study these pathways into care in south Asian and white elderly patients coming into contact with secondary care psychiatric services. All inpatients, day patients and community assessments of patients over 65 being referred for the first time or after a gap of one year were invited to take part in the study over a 6 month period and those willing were interviewed. Pathways to care encounter, GP satisfaction, Past Psychiatric History Schedule and menul illness beliefs were studied. Only the pathways and GP satisfaction are presented here. Of 117 patients, 71 were white and 46 south Asians. South Asians were more likely to ask for help but had longer delays in contacting psychiatric services. They were also more dissatisfied with their GPs. A complex interaction of interpersonal and intrapersonal factors influences pathways into help-seeking.

Keywords: Ethnic minority;, Elders, Pathways into care

Full Text

The Full Text of this article is available as a PDF (173K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bhatnagar K, Frank J. Psychiatric disorders in elderly from the Indian sub-continent living in Bradford. Int J Geriatr Psychiatry. 1997 Sep;12(9):907–912. [PubMed]
  • Gater R, de Almeida e Sousa B, Barrientos G, Caraveo J, Chandrashekar CR, Dhadphale M, Goldberg D, al Kathiri AH, Mubbashar M, Silhan K, et al. The pathways to psychiatric care: a cross-cultural study. Psychol Med. 1991 Aug;21(3):761–774. [PubMed]
  • Gillam SJ, Jarman B, White P, Law R. Ethnic differences in consultation rates in urban general practice. BMJ. 1989 Oct 14;299(6705):953–957. [PMC free article] [PubMed]

Articles from Indian Journal of Psychiatry are provided here courtesy of Medknow Publications