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Well 'ethnic density' was a new one for me so I've not been keeping up with my reading. Can someone tell me what causal relationships have been established as I all seems very speculative. One thing that happens both here and in the US (and Canada) is that in areas with higher proportions of particular minority groups organised informal and formal support structures are developed that provide support across a whole range of social and economic challenges for the members of that group. These are not simply family and friend networks, but can focus on church groups, cafes, barbershops and bars or 'wise' men and women, etc. Knowledge about these structures is usually transmitted by word of mouth so people know the places to go to and the people to talk to. The downside is that with stigmatised health conditions (mental illness and dementia being good examples) word can spread quickly and produce marginalisation and discrimination from the community itself. I'm not sure how the 'ethnic density' concept might incorporate this anecdotal observation Regards David Truswell Senior Project Manager PLEASE NOTE MY NEW MOBILE NUMBER IS 07969 692315 CNWL became a Foundation Trust on 1 May 2007. Foundation Trusts involve service users, carers, the public, staff and partner organisations in the way they are run and their future development. If you are interested in becoming a member of our Foundation Trust please click the link below for further information or call 0800 0234047. www.cnwl.nhs.uk/membership.html ________________________________________ From: Health of minority ethnic communities in the UK [[log in to unmask]] On Behalf Of Corlett, Sarah [[log in to unmask]] Sent: 27 November 2013 16:36 To: [log in to unmask] Subject: Recommended literature for new module on 'Social Science Perspectives and Mental Health' Andrew I don't know whether this is quite right for your course but in Lambeth & SE London (via the Inst of Psychiatry) there has been a fair bit of work using GP data on distribution of psychotic illness in black populations and something which is called the 'ethnic density effect'. Behind this lies I am sure a multitude of unexplored assumptions so going back on my first sentence possibly an area for students to discuss about where numbers come up against sociological phenomena and what you can and cannot take from a high level quantitative analysis - so maybe helpful in developing critical appraisal skills? I do not like the term used at all (it's not an effect) and the overall thrust of the research makes me feel uncomfortable as I sense that some people are fascinated about the statistical findings but I am not yet confident that they are being used to try to gain a better understanding of some of the issues and how we can work with people and communities to address them. However they are out there so good to have a social science critique. The people who have published include Boydell J et al eg http://bjp.rcpsych.org/content/201/4/282.short (based on EMPIRIC data) but she and colleagues have also published on south east London mental health trust data eg http://www.ncbi.nlm.nih.gov/pmc/articles/PMC60671/ Schofield and Ashworth eg http://journals.cambridge.org/action/displayAbstract;jsessionid=CE5CC715 4BB76DC8EF3A120F22DC7C2C.journals?fromPage=online&aid=8261727 their work is based on primary care data. Here is an attempt to look at what might be going on http://isp.sagepub.com/content/52/4/376.short I am sure others will know a lot more about the literature in this area and have better suggestions for papers. best wishes Sarah Dr Sarah K Corlett Lambeth & Southwark Public Health Team [log in to unmask] Tel: 020 7525 7401 Mobile: 07920 530541 The email you received and any files transmitted with it are confidential, may be covered by legal and/or professional privilege and are intended solely for the use of the individual or entity to whom they are addressed. If you have received this in error please notify us immediately. If you are not the intended recipient of the email or the person responsible for delivering it to them you may not copy it, forward it or otherwise use it for any purpose or disclose its contents to any other person. To do so may be unlawful. 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