title: Ethnicity, deprivation and mental health outcomes.
abstract: OBJECTIVE
  To describe and measure differences between ethnic groups on standard measures of mental health outcome.
  
  
  METHODS
  Clinical staff in eight New Zealand Health Districts collected consumer outcomes data at the start, end and review of episodes of care. Consumers were allocated to one of three ethnicity groupings -- Maori, Pacific Island and "All Other".
  
  
  RESULTS
  There were large differences between the three ethnicity groupings on the measures. Maori and Pacific Island consumers appeared to demonstrate more psychotic phenomena and overall worse scores, and the All Other group, more depression. Changes in scores between start and end of episodes of care were proportionately similar across the three groups. Differences between ethnic groupings varied according to socio-economic deprivation level.
  
  
  CONCLUSIONS
  Potential reasons for some of the effects observed are discussed, including differing pathways to care, clinician and selection bias, and differing models of mental health.
authors.affiliation: St Vincent's Mental Health Service, St Vincent's Hospital, 41 Victoria Parade, Fitzroy, VIC 3065, Australia. Tom.Trauer@med.monash.edu.au
authors.forename: Tom
authors.initials: T
authors.lastname: Trauer
authors.forename: Kathy
authors.initials: K
authors.lastname: Eagar
authors.forename: Graham
authors.initials: G
authors.lastname: Mellsop
mesh_terms: D000328:Adult; D017050:Episode of Care; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D008605:Mental Health Services; D009520:New Zealand; D017063:Outcome Assessment, Health Care; D011203:Poverty / Q000208:ethnology*