FC20-04 -’Who is on my side?’ - qualitative analysis of ethnic minorities experiences of mental health related stigma and discrimination

2011 ◽  
Vol 26 (S2) ◽  
pp. 1924-1924
Author(s):  
G. Shefer ◽  
C. Henderson ◽  
D. Rose ◽  
S. Evans-Lacko

IntroductionThe Time to Change (TTC) anti-stigma campaign, launched in January 2009 in England, intends to make fundamental improvements across England in: public knowledge, attitudes and discriminatory behaviour in relation to people with mental illness. To be effective and valid the campaign must reach a wide range of diverse audiences. This study explores attitudes of people from ethnic minority communities in relation to mental health.ObjectivesThe study investigates:1)General attitudes and perceptions about mental illness in ethnic minority communities2)How we might increase awareness about mental wellbeing and decrease stigma in ethnic minority communities.MethodsTen focus groups with members of ethnic minority groups were conducted. Five groups consisted of service users and five were composed of non-service users. Two groups comprised participants from an Indian origin, two Somali origin, two Afro-Caribbean origin and the other groups were mixed.ResultsWe will present findings regarding the ways in which traditional perceptions of mental health and personal experiences of ethnic minority service users affect their perceptions of sources of support such as family, friends, medical staff and religion and how this feedback could inform ant-stigma interventions.ConclusionThe study suggests that in order to maximise the impact of anti-stigma campaigns, attention should be given to sources of discrimination and traditional perceptions of mental illness which are emphasised by ethnic minority groups. When planning anti-stigma campaigns it is important to incorporate experiences and perceptions from a wide range of audiences.

2019 ◽  
Vol 25 (4) ◽  
pp. 223-228
Author(s):  
Martin Rotenberg

SUMMARYThere is growing evidence to support recovery and rehabilitation services and interventions for people with severe mental illness (SMI). However, those from ethnic minority communities face inequitable outcomes and access to mental health services and poorer functional outcomes. This article reviews the evidence and discusses facilitators and barriers in the recovery journey of people with SMI from ethnic minority groups. Although there is limited evidence for specific interventions for ethnic minority patients, areas for future study and action are discussed.LEARNING OBJECTIVESAfter reading this article you will be able to:•understand the scope of rehabilitation practices and interventions and evidence for use with ethnic minority patients with severe mental illness•describe differences and similarities in the conceptualisation of recovery by majority and minority ethnic communities•appreciate facilitators and barriers to rehabilitation and recovery for ethnic minority patients with SMI.DECLARATION OF INTERESTNone.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041102
Author(s):  
Cleo Baskin ◽  
Geiske Zijlstra ◽  
Mike McGrath ◽  
Caroline Lee ◽  
Fiona Helen Duncan ◽  
...  

ObjectivesUndertake a scoping review to determine the effectiveness of community-centred interventions designed to improve the mental health and well-being of adults from ethnic minority groups in the UK.MethodsWe searched six electronic academic databases for studies published between January 1990 and September 2019: Medline, Embase, PsychINFO, Scopus, CINAHL and Cochrane. For intervention description and data extraction we used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist and Template for Intervention Description and Replication guide. Quality was assessed using Cochrane risk of bias tools. Grey literature results were deemed beyond the scope of this review due to the large number of interventions and lack of available outcomes data.ResultsOf 4501 studies, 7 met the eligibility criteria of UK-based community interventions targeting mental health in adults from ethnic minority populations: four randomised controlled trials, one pre/post-pilot study, one cross-sectional study and one ethnographic study. Interventions included therapy-style sessions, peer-support groups, educational materials, gym access and a family services programme. Common components included a focus on tackling social isolation, using lay health workers from within the community, signposting and overcoming structural barriers to access. Four studies reported a statistically significant positive effect on mental health outcomes and six were appraised as having a high risk of bias. Study populations were ethnically heterogeneous and targeted people mainly from South Asia. No studies examined interventions targeting men.ConclusionsThere is a paucity of high-quality evidence regarding community-centred interventions focused on improving public mental health among ethnic minority groups. Decision makers need scientific evidence to inform effective approaches to mitigating health disparities. Our next steps are to map promising community activities and interventions that are currently being provided to help identify emerging evidence.


Author(s):  
Ruban Dhaliwal ◽  
Rocio I Pereira ◽  
Alicia M Diaz-Thomas ◽  
Camille E Powe ◽  
Licy L Yanes Cardozo ◽  
...  

Abstract The Endocrine Society recognizes racism as a root cause of the health disparities that affect racial/ethnic minority communities in the United States and throughout the world. In this policy perspective, we review the sources and impact of racism on endocrine health disparities and propose interventions aimed at promoting an equitable, diverse, and just healthcare system. Racism in the healthcare system perpetuates health disparities through unequal access and quality of health services, inadequate representation of health professionals from racial/ethnic minority groups, and the propagation of the erroneous belief that socially constructed racial/ethnic groups constitute genetically and biologically distinct populations. Unequal care, particularly for common endocrine diseases such as diabetes, obesity, osteoporosis, and thyroid disease, results in high morbidity and mortality for individuals from racial/ethnic minority groups, leading to a high socioeconomic burden on minority communities and all members of our society. As health professionals, researchers, educators, and leaders, we have a responsibility to take action to eradicate racism from the healthcare system. Achieving this goal would result in high-quality health care services that are accessible to all, diverse workforces that are representative of the communities we serve, inclusive and equitable workplaces and educational settings that foster collaborative teamwork, and research systems that ensure that scientific advancements benefit all members of our society. The Endocrine Society will continue to prioritize and invest resources in a multifaceted approach to eradicate racism, focused on educating and engaging current and future health professionals, teachers, researchers, policy makers, and leaders.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014075 ◽  
Author(s):  
Rose Lima Van Keer ◽  
Reginald Deschepper ◽  
Luc Huyghens ◽  
Johan Bilsen

ObjectivesTo investigate the state of the mental well-being of patients from ethnic minority groups and possible related risk factors for the development of mental health problems among these patients during critical medical situations in hospital.DesignQualitative ethnographic design.SettingOneintensive care unit (ICU) of a multiethnic urban hospital in Belgium.Participants84 ICU staff members, 10 patients from ethnic-minority groups and their visiting family members.ResultsPatients had several human basic needs for which they could not sufficiently turn to anybody, neither to their healthcare professionals, nor to their relatives nor to other patients. These needs included the need for social contact, the need to increase comfort and alleviate pain, the need to express desperation and participate in end-of-life decision making. Three interrelated risk factors for the development of mental health problems among the patients included were identified: First, healthcare professionals’ mainly biomedical care approach (eg, focus on curing the patient, limited psychosocial support), second, the ICU context (eg, time pressure, uncertainty, regulatory frameworks) and third, patients’ different ethnocultural background (eg, religious and phenotypical differences).ConclusionsThe mental state of patients from ethnic minority groups during critical care is characterised by extreme emotional loneliness. It is important that staff should identify and meet patients’ unique basic needs in good time with regard to their mental well-being, taking into account important threats related to their own mainly biomedical approach to care, the ICU’s structural context as well as the patients’ different ethnocultural background.


2014 ◽  
Vol 65 (7) ◽  
pp. 888-896 ◽  
Author(s):  
Nicholas J. Carson ◽  
Andrew Vesper ◽  
Chih-nan Chen ◽  
Benjamin Lê Cook

Growing up in Diverse Societies provides a comprehensive analysis of the integration of the children of immigrants in England, Germany, the Netherlands, and Sweden, based on the ‘Children of immigrants longitudinal survey in four European countries’ (CILS4EU), including harmonised interviews with almost 19,000 14- to 15-year-olds. The book studies the life situation, social relations, and attitudes of adolescents in different ethnic minority groups, and compares these systematically to majority youth in the four countries. The chapters cover a wide range of aspects of integration, all addressing comparisons between origin groups, generations, and destination countries, and elucidating processes accounting for differences. The results challenge much current thinking and simplified views on the state of integration. In some aspects, such as own economic means, delinquency, and mental health, children of immigrants are surprisingly similar to majority youth, while in other aspects there are large dissimilarities. There are also substantial differences between ethnic minority groups, with the economic and cultural distance of the origin regions to the destination country being a key factor. For some outcomes, such as language proficiency or host country identification, dissimilarities seem to narrow over generations, but this does not hold for other outcomes, such as religiosity and attitudes. Remaining differences partly depend on ethnic segregation, some on socioeconomic inequality, and others on parental influences. Most interestingly, the book finds that the four destination countries, though different in their immigration histories, policy approaches, and contextual conditions, are on the whole similar in the general patterns of integration and in the underlying processes.


Psychiatry ◽  
2009 ◽  
Vol 8 (10) ◽  
pp. 405-407 ◽  
Author(s):  
Iqbal Singh ◽  
Adedamola Orimalade

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