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Recent qualitative research suggests that changes to the way eligibility for welfare payments is determined in the UK may be detrimental to claimants with mental illnesses. No large-scale analysis has been undertaken to date.
To examine differences between claimants with psychiatric conditions compared with non-psychiatric conditions in the number of claims disallowed following a personal independence payment (PIP) eligibility assessment for existing disability living allowance (DLA) claimants.
Administrative data on DLA claimants with psychiatric conditions transferring to PIP between 2013 and 2016 was compared with claimants with non-psychiatric conditions to explore differences in the number of claims disallowed following an eligibility assessment.
Claimants with a mental illness were 2.40 (95% CI 2.36–2.44) times more likely to have their existing DLA entitlement removed following a PIP eligibility assessment than claimants with musculoskeletal conditions, neurological conditions and diabetes.
PIP eligibility assessment outcomes show marked differences by health condition, raising questions as to whether the process is equitable.
In this editorial, we discuss a UK-based cohort study examining the mortality gap for people with schizophrenia and bipolar disorder from 2000 to 2014. There have been concerted efforts to improve physical and mental healthcare for this population in recent decades. Have these initiatives reduced mortality and ‘closed the gap’?
There are limited data on detection disparities of common mental
disorders in minority ethnic women.
Describe the natural history of common mental disorders in primary care
in the maternal period, characterise women with, and explore ethnic
disparities in, detected and potentially missed common mental
Secondary analyses of linked birth cohort and primary care data involving
8991 (39.4% White British) women in Bradford. Common mental disorders
were characterised through indications in the electronic medical record.
Potentially missed common mental disorders were defined as an elevated
General Health Questionnaire (GHQ-28) score during pregnancy with no
corresponding common mental disorder markers in the medical record.
Estimated prevalence of pre-birth common mental disorders was 9.5%,
rising to 14.0% 3 years postnatally. Up to half of cases were potentially
missed. Compared with White British women, minority ethnic women were
twice as likely to have potentially missed common mental disorders and
half as likely to have a marker of screening for common mental
Common mental disorder detection disparities exist for minority ethnic
women in the maternal period.
The Income Deprivation Affecting Children Index (IDACI) uses administrative data to count children living in households in receipt of both in-work and out-of-work means-tested benefits and provides small area ranking as an indicator of child poverty in neighbourhoods. Benefit take-up rates within an area will affect its reliability. We aimed to examine benefit take-up rates and compare area ranking by the IDACI with ranking using individually reported data across areas of varying ethnic composition. Mothers living in areas with high minority ethnic density were less likely to report claiming a benefit than those in majority White or mixed areas, despite reporting lower incomes. The correlation between self-reported material difficulties and worsening IDACI rank was much lower in areas characterised by minority ethnic populations. Further investigation into the performance of area-based deprivation measures in areas with high minority ethnic density is needed.
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