joint strategic needs assessment foundation profile - JSNA

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The admission rate was over five times higher in the most deprived national
quintile compared to the least deprived national quintile. There is also a relatively
strong relationship for other types of mental health.
It is encouraging that a similar relationship is present for referrals and inpatient
admissions among the deprivation quintiles. This suggests that people in
different deprivation quintiles are equally likely to be referred to a specialist
mental health organisation as admitted as inpatients. However, given this
relationship, it is still possible that the patients in the most deprived quintile are
less likely to be referred and less likely to be admitted (or more likely) for both of
these compared to the least deprived quintile relative to equivalent „need‟.
There was a relatively small difference in the prevalence to inpatient admission
ratio using the number of local benefit claimants where the main reason for the
claim was mental health as a proxy for prevalence. One patient was admitted for
every 13 people claiming benefits for the most deprived group, compared to
approximately one in 10 for the middle three deprivation quintiles and one in 13
for the least deprived quintile. Therefore, there was not a large difference among
the deprivation quintiles.
The mortality rate from mental and behavioural disorders due to psychoactive
substance abuse was eight times higher in the most deprived compared to the
least deprived national quintile. Using the same comparison groups, the mortality
rate from suicide and undetermined injury was twice as high. There was less of a
difference in the mortality rate from dementia among the deprivation quintiles with
the highest mortality rate occurring in the most deprived followed by the least
deprived national quintile.
There are likely to be differences in need for mental health services for other
groups such as for different ethnic groups, prisoners, Gypsy and Travellers, the
homeless, single mothers, but the evidence is only available at a national level or
anecdotal evidence. Further information is required to assess the needs and
potential inequalities of these groups further.
The following recommendations were put forward from the Mental Health Equity Audit:
Improvements in data and information availability
o In order to evaluate inequalities and changes over time, it is necessary to
have better information.
o Local up-to-date information on the prevalence of different types of mental
health is not readily available. The prevalence information from the Quality
and Outcomes Framework (QOF) GP disease registers is incomplete and
not age adjusted (but it is hoped and expected that it will be more
complete over time). The information included in the equity audit (with the
exception of benefit claimants) is not available at a local level. The
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