joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
acute cases and not to chronic cases. However, this policy had only been running a few
weeks at the time of finalising the writing the equity audit and the immediate impact had
not been assessed formally.
As the four prisons for Hull and East Riding of Yorkshire only hold male prisoners, there
is no easily available information on female residents of Hull and East Riding of
Yorkshire who become remand and sentenced prisoners elsewhere. This could be
viewed as an equity issue. As the number of female prisoners is small, they tend to be
held further from their place of residence compared to male prisoners. Therefore it is
more difficult for relatives and friends to visit, and more likely that the female prisoners
will lose contact with family and friends. Continuity of care is also more difficult to
achieve. These things would seem to be detrimental to mental health. This is not an
issue that applies specifically to the Hull and East Riding PCTs, but is more of a national
issue.
10.9.3.9 Health Equity Audit
A Mental Health Equity Audit was completed for Hull and East Riding of Yorkshire during
2006/2007 (available from www.hullpublichealth.org). The equity audit examined
prevalence, referrals to specialist services, hospital admissions and mortality relating to
mental health by age, gender and deprivation quintile. Some other groups where
potential inequalities may have been present were examined such as for different Black
and Minority Ethnic (BME) groups, for prisoners, for Gypsy and Travellers and carers,
etc, but examination of these groups was more limited owing to lack of data. The equity
audit also examined potential programmes for reducing inequalities.
The main findings are summarised as follows:
There is a lack of information, particularly on prevalence of mental health and
different types of mental health. Furthermore, there is a lack of local information
for different ethnic groups with respect to mental health prevalence and service
usage.
For prevalence in relation to age and gender, there is a lack of local information.
The exception is for benefit claimant rates where the main reason for the claim is
mental health problems. The percentage of claimants is similar for men and
women, and tends to increase as age increases. The claimant rate is
approximately 1% for those aged 16-24 years increasing to just over 4% for those
aged 50-59 years (per working age population).
Examining national prevalence information, boys tend to have a higher
prevalence of mental disorders compared to girls, with older children having a
higher prevalence than the younger children. Men and women had similar rates
of symptoms of poor mental health, but females tended to have higher rates of
neurotic disorders whereas young men tended to have higher rates of personality
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