Analysis and Diagnosis of Community

Analysis and Diagnosis of Community

Analysis and Diagnosis of Community

The issues that are of particular concern in the evaluation and analysis of mental states among African Americans include diagnostic bias and selection of appropriate screening tools. Clinicians should be aware of the impact of psychosocial context of the patient on the assessment process. Many African-Americans live on marginal incomes and high crime areas where high levels of unemployment, drug addiction and chronic stress. (Bennett 1992)

Diagnostic bias

Since the 1970 study were more than a diagnosis of schizophrenia and the diagnosis of affective disorders among African Americans, compared with the overall prevalence of these disorders in a psychiatric hospital population. (Bell 1996) However, when the diagnosis is based on a structured clinical interview and research diagnostic criteria and diagnostic criteria, the schedule of affective disorders and schizophrenia, African-American patients have shown that rates of schizophrenia and depression, similar to whites admitted to the same inpatient units. Some researchers have suggested that incorrect schizophrenia may be associated with clinicians correctly, hallucinations often seen with depression among African Americans. In addition, a doctor of damage has been discussed as a reason for a diagnosis of schizophrenia among black patients. Retrospective studies of diagnoses of African-American patients treated in Veterans Affairs medical center and community mental health center showed that misdiagnosis remains a problem in 1990. (Griffith 1989)

Prevalence of anxiety disorders among African Americans has not been well studied. Survey data from epidemiological studies service area sites in Baltimore and Durham, North Carolina, suggested a higher risk of alcoholism and simple phobia among black Americans compared with white residents of the community. Bell and staff reported that African-Americans have a prevalence of isolated sleep paralysis about 41 percent. African-Americans who have frequent episodes of isolated sleep paralysis were more likely to panic disorder is confirmed by Friedman and his colleagues and the Nile, and others. These data suggest that assessment of the physician should discuss with the African-American patients the criteria for symptoms of these diseases in the initial sessions of the assessment. (Gary 2003)

Physicians who evaluate African-American patients must be willing to question old diagnoses, such as the diagnosis of schizophrenia, made 20 years ago. As described by Bell and other alcoholic hallucinations or states of alcohol withdrawal may mimic hallucinations, agitation and acute psychotic episodes. If previous estimates of doctors do not study history of substance abuse black patients, the role of alcohol in the occurrence of symptoms may have been missed. In addition, symptoms of hypomania can be ignored because of the diagnostic physician bias, resulting in a diagnosis of schizophrenia, rather than the correct diagnosis of bipolar disorder.

The prevalence of addiction and dependence on the population of many cities mixes as a process of assessment and diagnosis. Withdrawal delirium and paranoid psychosis may be considered in patients who abuse alcohol. Cocaine-induced mood disorder with intense dysphasia and suicidal thoughts is a common complaint of cocaine addicts has been estimated in emergency ...