Black and ethnic minority carers perceptions on mental health services and support in the United Kingdom: a systematic review (original) (raw)
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Mental Health and Social Inclusion
Purpose Mental health disparities exist among Black, Asian and Minority Ethnics (BAME) populations. This paper aims to provide an overview of mental health services designed for the BAME population in the UK, both established BAME communities and refugee/asylum-seekers. Design/methodology/approach A range of electronic databases were searched for peer-reviewed studies conducted within the past decade in the UK. Using the Arksey and O’Malley methodology, data were extracted, analysed and summarised. Findings A total of 13 papers were identified, mostly non-randomised community-based. Studies were very heterogeneous in terms of their sample and service provided. After the initial appraisal, the authors presented a narrative synthesis. Overall, all studies reported positive mental health outcomes and beneficial effects. Research limitations/implications Because of the time limitations and quality of the papers, the authors only included peer-reviewed journal papers. Practical implicati...
Health & social care in the community, 2015
As populations age, the numbers of carers overall and numbers of carers from minority ethnic groups in particular are rising. Evidence suggests that carers from all sections of the community and particularly carers from minority groups often fail to access care services. This may relate to barriers in accessing services and service dissatisfaction. The aim of this systematic review was to identify and summarise minority ethnic carers' perceptions of barriers to accessing community social care services and their satisfaction with these services if accessed. The following databases were searched from their start until July 2013: Social Care Online, Social Policy and Research, Scopus, PsychINFO, HMIC, ASSIA, MEDLINE, Embase, CINAHL Plus and AMED. Thirteen studies met the inclusion criteria. Most investigated either barriers to access or satisfaction levels, although three explored both. Only 4 studies investigated minority ethnic carers' satisfaction with social care, although ...
Research with black and minority ethnic people using social care services
This review addresses research methods with Black and Minority Ethnic (BME) people using adult social care and support in England. During the last decade there have been considerable changes in how ethnicity is understood. Among these are exciting developments in research sensitive to ethnicity and the further development of anti-racist policy, practice and outcomes in social care. The review summarises these developments and offers practical advice on applying their lessons. Material from other disciplines including health and other disciplines is also drawn on for methodological advances relevant to social care research. The review is designed to be useful not only for researchers who are new to social care (and health care in particular) and hoping to learn more about this important topic, but to seasoned researchers, social care practitioners and students as well.
Greenwich Social Work Review
Background: There are numerous reports from government publications, mental health charities, the World Health Organisation and array of journal articles all writing about mental health issues in relation to Black, Asian, and Minority Ethnic (BAME). It appears to have become common knowledge that there are disparities in the treatment received by BAME individuals from mental health services. It also commonly reported that BAME individuals are more likely to access mental services via adverse routes, this prognosis is said to worsen in the case of Black males. Aims: This review aims to explore what factors influence BAME individuals’ help-seeking behaviour for mental health services in the UK. It also explores why BAME individuals access mental health services at certain entry points. Methodology: This is a systematic literature review of 16 peer-reviewed journal articles reporting on data from UK-based studies, with a critical analysis in a thematic style. Findings: The help-seeking...
SCIE Knowledge and Research Report 38, 2010
"This report (originally practice enquiry) aimed to look at practitioners’ accounts of their practice in promoting the wellbeing of older people from black and minority ethnic (BME) backgrounds in four parts of the United Kingdom (UK). Although there is no single universally agreed definition of wellbeing, it is usually seen as including important aspects of people’s lives, such as life satisfaction, a sense of achievement and purpose, and generally feeling that life is worthwhile. Although an absence of wellbeing is associated with depression, wellbeing is about more than not feeling depressed. Governments and policy makers are becoming increasingly interested in measuring the success of the services they provide by looking at how they can improve wellbeing but we know very little about how adult social care services seek to improve the wellbeing of the communities they serve. Previous work by the Social Care Institute for Excellence (SCIE) (Sharif et al, 2008) has shown that little is known about the mental health of older people from BME groups and the role of social care practitioners in providing them with support. As the proportion of older people from minority groups living in the UK increases (Lievesley, 2010), we need to know more about how they experience mental wellbeing and common mental health problems in later life."
Health care for women international, 2017
Drawing quantitative data from a large study, we explored service providers' perceptions of the care and support provided to older women from Black and minority ethnic backgrounds living in the UK. Analyzing 102 responses to a questionnaire, we found that care needs of this group of older women were not adequately addressed, with ineffective communication being frequently reported. A number of information pathways and barriers to service provision were identified. More work is needed to explore how best not only to acknowledge diversity in care needs within older populations, but also to design and deliver responsive services accordingly. Older people often depend on care and support from others in their daily living. There are some concerns about the quality of care for older people in the UK, a country with an ageing and ethnically diverse population (Office for National Statistics, 2011, 2016). Drawing on quantitative data collected from 102 service providers in a large study...
The experience of the role of being a caregiver for carers who identify as 'black' : an IPA study
2020
Background: Carers who identify as ‘Black’ are a group that is thought to experience exclusion and marginalisation within existing services (JCPMH, 2014). Whilst, there is some research that explores caregiving attitudes, experiences and needs of BME family carers, it is documented that little is known about knowledge or awareness and uptake of counselling services. Further it has been empirically noted that individuals from BME groups are less likely to access counselling services than White British people. This would suggest that this is an underrepresented area of research, particularly within the UK. Thus, the present study is concerned with the experience of Black carers with a focus on wellbeing and how they ‘cope’ in relation to their caring role. Method: Semi-structured interviews were conducted with a purposive sample of six carers who identified as Black. Participants accounts of their lived experiences were recorded, verbatim transcribed and analysed using Interpretive Ph...
Multicultural mental health services: projects for minority ethnic communities in England
Transcultural psychiatry, 2005
Black and minority ethnic (BME) communities form 7.8% of the total population of the UK. Many of these communities face a variety of disadvantages when they access, or are forced to access, statutory mental health services under the National Health Service. Efforts have been made to address these problems by developing projects both within statutory mental health services and in the non-governmental ('voluntary') sector. This article describes some of these projects located in England, drawing out the themes and models that underlie their approaches, and discusses the lessons that can be learned from the U.K. experience. Key words ethnic minorities • inequality • multicultural • NGOs • racism The UK, comprising England, Scotland, Wales and Northern Ireland, has seen waves of immigration over the centuries. Until recently, immigration had been largely from other parts of Europe, but many of the immigrants during the postwar period were from South Asia, Africa and the Caribbean islands of the 'West Indies.' The terminology used to describe the different racial, cultural and ethnic groups now permanently resident in the UK has varied from time to time. The concepts 'race' and 'culture' have given way to 'ethnicity' for the purpose of categorization, the standards being set by the categories used in the national census (White, 2002). Ethnicity is usually self-ascribed to reflect self-perception in a
The Cognitive Behaviour Therapist, 2019
Conversations around improving access to psychological therapies for BAME (Black, Asian and minority ethnic) service users have been ongoing for many years without any conclusion or resolution. BAME service users are often under-represented in primary care mental health services, and often have worse outcomes, leading to them being portrayed as ‘hard to reach’, and to deterioration in their mental health. They are over-represented in secondary care mental health services. The authors of this article argue that more resources are required in order to understand the barriers to accessing mental health services, and improve both access and recovery for BAME service users. This paper examines concepts such as race, ethnicity and culture. It aims to support service managers and therapists to develop their confidence to address these issues in order to deliver culturally competent psychological therapies to service users from BAME communities, with a focus on primary care. It is based on ...
BMJ open, 2016
In most developed countries, substantial disparities exist in access to mental health services for black and minority ethnic (BME) populations. We sought to determine perceived barriers to accessing mental health services among people from these backgrounds to inform the development of effective and culturally acceptable services to improve equity in healthcare. Qualitative study in Southeast England. 26 adults from BME backgrounds (13 men, 13 women; aged >18 years) were recruited to 2 focus groups. Participants were identified through the registers of the Black and Minority Ethnic Community Partnership centre and by visits to local community gatherings and were invited to take part by community development workers. Thematic analysis was conducted to identify key themes about perceived barriers to accessing mental health services. Participants identified 2 broad themes that influenced access to mental health services. First, personal and environmental factors included inability t...