Search results for ‘Subject term:"black and minority ethnic people"’ Sort:
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Black men’s conversations about mental health through photos
- Author:
- KEATING Frank
- Journal article citation:
- Qualitative Social Work, 20(3), 2021, pp.755-772.
- Publisher:
- Sage
This paper presents findings from a photovoice project that was aimed at engaging with a diverse range of black men in a London Borough. The key objectives were to find a different way to get men to talk about their concerns and to raise awareness about mental health. Photovoice is a participatory research action technique that was developed to enable communities to document their concerns and experiences of community life that is meaningful to them. Nineteen men participated in the project. It has been suggested that men, in particular, black men do not find it easy to talk about mental health issues. This study found that through the use of photovoice methods, black men were able to talk about a range of emotions when they were offered the right medium and safe spaces to share their experiences. It found that they can and want to take control of their lives, but at times may require life skills training. Another finding was that black men have to balance expectations about being strong whilst ‘containing’ vulnerabilities in racialised contexts – being hard on the outside and human on the inside, and that their experiences are characterised by journeys of significant struggle and resilience in the face of adversity. The paper concludes that mental health services should find ways of engaging with black men differently, i.e. reaching out rather than the traditional mantra of ‘outreach’.
Ethnicity, gender and mental health
- Authors:
- ROBINSON Mark, KEATING Frank, ROBERTSON Steve
- Journal article citation:
- Diversity in Health and Care, 8(2), June 2011, pp.81-92.
- Publisher:
- Radcliffe Publishing
This study investigated specific black and minority ethnic (BME) men's beliefs about mental health and their experiences of mental health services. It considered the complexities of men's gendered identities and the interplay of these with race, ethnicity and cultural influences. Twelve focus groups consisting of men from specific BME groups were held in London and the West Midlands, and the groups included: African-Caribbean, African, Indian, Pakistani, Bangladeshi and Chinese. The findings include BME men's narratives of well-being, which highlight the importance of relational and normative aspects and the influences of gender and ethnicity on aspirations, identity and values. Factors contributing to mental illness relate to gendered and racialised social expectations, economic factors, generational and gender issues, and experiences of services. The authors concluded that a mix of gendered and racialised experiences, including social stigma, the coercive power of institutions, and men's own perceptions of services contributed to cycles of disengagement and isolation for marginalised BME men with mental health problems.
Training to redress racial disadvantage in mental health care; race equality or cultural competence?
- Authors:
- BENNETT Joanna, KEATING Frank
- Journal article citation:
- Journal of Public Mental Health, 8(2), June 2009, pp.40-46.
- Publisher:
- Emerald
This paper reviews training as a strategy currently being used to address the disparities and inequalities that prevent black and minority ethnic (BME) people from effectively accessing mental health care in the United Kingdom. It presents a historical review and a scoping exercise in England which mapped approaches to race equality training in mental health services. Since the 1960’s, training for staff in public service has been key to improving UK race relations. Delivering Race Equality (DRE), a 5 year framework to improve mental health services to BME groups was adopted in 2005 with cultural competence at the centre of all mental health staff training on racial inequality and race. Racism has been largely replaced by culturalism as an explanation for racial inequalities. In this study all NHS mental health trusts, primary care trusts and independent sector inpatient mental health service providers in England, NHS and independent sector employees and providers of race equality training were included in a postal survey accessing the state of race equality training in practice. Most mental health services had provided training to employees in the last 3 years, but the content varied widely, was not part of an ongoing program and was not being evaluated for effectiveness. The authors concluded that current practices were flawed.
Training to redress racial disadvantage in mental health care: race equality or cultural competence?
- Authors:
- BENNETT Joanna, KEATING Frank
- Journal article citation:
- Journal of Public Mental Health, 8(2), June 2009, pp.40-46.
- Publisher:
- Emerald
This paper reviews training as one of the strategies that have been employed to address the inequalities that exist for black and minority ethnic (BME) communities in mental health and draws on a historical review and a scoping exercise in England that mapped approaches to race equality training in mental health services. The historical review showed that the concept of race and racism has been replaced by culturalism as an explanation for all racial inequalities and is the central framework for race equality training. While the survey showed that the majority of mental health services were providing training for their staff, there is much fragmentation and a lack of robust evaluation demonstrating effectiveness.
Training to redress racial disadvantage in mental health care: race equality or cultural competence?
- Authors:
- BENNETT Joanna, KEATING Frank
- Journal article citation:
- Ethnicity and Inequalities in Health and Social Care, 1(1), June 2008, pp.52-59.
- Publisher:
- Emerald
This paper reviews training as one of the strategies that have been employed to address inequalities for black and minority ethnic communities in mental health in the United Kingdom. It also draws on a historical review and a scoping exercise in England which mapped approaches to race equality training mental health services. The historical review showed that the concept of race and racism has been replaced by culturalism as an explanation for all racial inequalities and is the central framework for race equality training. Whilst the survey showed that the majority of mental health services were providing training for their staff, there is much fragmentation and a lack of robust evaluation demonstrating effectiveness. While education and training have a key role to play in developing knowledge and skills to address racial inequality, current approaches are fundamentally flawed.
African and Caribbean men and mental health
- Author:
- KEATING Frank
- Publisher:
- Race Equality Foundation
- Publication year:
- 2007
- Pagination:
- 10p., bibliog.
- Place of publication:
- London
Men from African and Caribbean backgrounds are over-represented in mental health services. They come to the attention of services via the police and the criminal justice system, and are more likely to receive the harsher end of services, such as seclusion, control and constraint. African and Caribbean men have negative perceptions of mental health services and therefore delay seeking help. This means that more coercive methods are used to engage them with mental health services
Breaking the circle of fear
- Authors:
- KEATING Frank, ROBERTSON David
- Journal article citation:
- Open Mind, 114, March 2002, pp.16-17.
- Publisher:
- MIND
The Sainsbury Centre has been reviewing mental health services to African and Caribbean communities. Reviews the report.
Fear, black people and mental illness: a vicious circle?
- Authors:
- KEATING Frank, ROBERTSON David
- Journal article citation:
- Health and Social Care in the Community, 12(5), September 2004, pp.439-447.
- Publisher:
- Wiley
The relationships between black communities and the mental health (MH) services are fraught. Paradoxically, black communities receive the MH services they don't want, but not the ones they do or might want. Black people mistrust and often fear services, and staff are often wary of the black community, fearing criticism, and not knowing how to respond, are fearful of black people, in particular, young black men. The situation is fuelled by prejudice, misunderstanding, misconceptions and sometimes racism. The present paper describes the findings of a study to explore the issues in greater depth. The study was premised on a belief that there are 'circles of fear' which lead to poorer treatment of black communities. A purposive sampling approach was used to seek out groups and individuals in whom the 'circles of fear' were likely to be evident. The findings suggest that there are fears which impact negatively on the interaction between black communities and MH services. Two major themes emerged in this study, i.e. the sources of fear and the consequences of fear. Sources of fear included perceptions of MH services, attitudes to mental illness and diagnosis, and experiences of hospital care. The impact of fear included limited trust, limited engagement and delayed help-seeking behaviour. The study concludes that these fears mar the interactions between these communities and MH services, affect help-seeking behaviour adversely, and lead to restrictive and punitive interventions. Progress will only be made in breaking the 'circles of fear' if there is a systematic change in the experience of black services users at each point in the care pathway.
Black-led initiatives in mental health: an overview
- Author:
- KEATING Frank
- Journal article citation:
- Research Policy and Planning, 20(2), 2002, pp.9-19.
- Publisher:
- Social Services Research Group
The author argues that the contributions of Black-led initiatives to mental health service provision in the United Kingdom have not been documented fully and go largely ignored despite the history of failure of mainstream mental health services to meet the needs of black and minority ethnic communities. Against this background, the author analyses models of service provision in relation to mental health services for black and minority ethnic communities. The article offers an illustrative account of some of the key issues facing Black-led initiatives in mental health.
Anti-racist perspectives: what are the gains for social work?
- Author:
- KEATING Frank
- Journal article citation:
- Social Work Education (The International Journal), 19(1), February 2000, pp.77-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Anti-racist and black perspectives signalled a significant shift in the discourse on oppression in social work practice and education. However, the contributions of such perspectives have not been recognised and documented fully. This paper presents a review of the contributions of anti-racist and black perspectives to anti-discriminatory practice. It also offers a critique of the limitations of anti-racist ideas and suggests that the way forward is not to reinforce a 'flight' from anti-racism, but to build on the gains of anti-racist ideas and struggles in social work practice towards developing a more integrated understanding of oppression. This paper is written from the perspective of a black man from African background.