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Services for ethnic minorities: a question of trust
- Author:
- APPLEBY Louis
- Journal article citation:
- Psychiatric Bulletin, 33(11), November 2008, pp.401-402.
- Publisher:
- Royal College of Psychiatrists
Mental healthcare for ethnic minorities is a government policy priority. However, debate about how services should develop has been overshadowed by public criticism over high rates of admission and sectioning in some ethnic groups, the implication being that racism is rife in mental healthcare. These criticisms are headline-seeking, scientifically crude and unfair to mental health professionals. However, it is true that some minority communities are mistrustful of the services available. We need to overcome this mistrust with a positive message - and a promise of fair treatment.
Focus groups with minority ethnic communities
- Author:
- BLAKE STEVENSON
- Publisher:
- The Stationery Office
- Publication year:
- 2003
- Pagination:
- 107p.
- Place of publication:
- Edinburgh
This research aims to identify important issues of relevance to the day to day needs and circumstances of minority ethnic communities particularly in relation to Scottish public policy and service provision.
Submission to the white paper on community care
- Author:
- NATIONAL INSTITUTE FOR SOCIAL WORK. Race Equality Unit
- Publisher:
- National Institute for Social Work. Race Equality Unit
- Publication year:
- 1989
- Pagination:
- 4p.
- Place of publication:
- London
Improving race equality in Wales: summary report
- Authors:
- PRICE Jack, ROBERTS Manon, HILL-DIXON Amanda
- Publisher:
- Wales Centre for Public Policy
- Publication year:
- 2021
- Pagination:
- 26
- Place of publication:
- Cardiff
The Wales Centre for Public Policy has produced evidence reviews on six discrete policy areas (leadership and representation, housing and accommodation, education, health and social care, employment and income and crime and justice) to inform the Welsh Government’s Race Equality Action Plan. This report summarises the overarching and cross-cutting themes highlighted by the reviews and discussions at an expert roundtable. Our evidence reviews show the need for improved data collection, monitoring and reporting, and disaggregation of this data, to better understand the specific needs of minority ethnic subgroups. This can be achieved through oversampling and/or interventions to increase response rates, but it will require investment of additional funding. Buy-in and commitment from organisational leadership, and better representation of people from Black, Asian and minority ethnic backgrounds at leadership level, are also important. Research suggests that while it is important to avoid being too prescriptive, management buy-in can be secured by a mixture of ‘carrot’ and ‘stick’ approaches that combine incentives with accountability mechanisms such as performance management. Changes to progression and recruitment practices, such as name blind applications and diverse short-lists and panels, can help to increase the proportion of Black, Asian or minority ethnic employees and (future) leaders. Changing organisational culture is a long-term project but is necessary to tackle racial inequalities that are often embedded in organisations. Multiyear planning that establishes clear targets, accountability mechanisms and opportunities for the voices of employees to be heard and acted on may be most effective. Greater engagement and outreach with racial and ethnic minority communities, including more opportunities for co-design and co-production, should be at the heart of policy design, delivery, and evaluation. Implementation must be seen as an iterative process which requires careful preparation, and reflection and refinement over time. The Race Equality Action Plan should be approached as a long-term project with adaptable, outcomes-focused targets that can be refined over the course of its lifespan. (Edited publisher abstract)
Delivering race equality in mental health care: an action plan for reform inside and outside services and the government's response to the Independent inquiry into the death of David Bennett
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2005
- Pagination:
- 77p.
- Place of publication:
- London
An action plan for reducing inequalities in black and minority ethnic patients' access to, experience of, and outcomes from mental health services is set out in this document. It also includes the Government’s formal response to the recommendations of the inquiry into the death of David Bennett (an African Caribbean patient who died in 1998 in a medium secure psychiatric unit after being restrained by staff). The five-year action plan aims to achieve equality and tackle discrimination in mental health services for black and minority ethnic service users. It draws on recent reports on mental health services for black and minority ethnic people and on the David Bennett inquiry report. Its key elements are: more appropriate and responsive services (including developing organisations and the workforce), community engagement (including engaging communities in planning services), and better information (including improved monitoring of ethnicity, a new regular census of mental health patients, better dissemination of information and good practice, and improved knowledge about effective services).
'Race' on the welfare margins: the UK government's Delivering Race Equality mental health programme
- Authors:
- CRAIG Gary, WALKER Reg
- Journal article citation:
- Community Development Journal, 47(4), October 2012, pp.491-505.
- Publisher:
- Oxford University Press
The Delivering Race Equality programme, sponsored by the Department of Health, included employment of community development workers to facilitate the delivery of appropriate and accessible mental health services to black and minority ethnic populations. This article reports on an evaluation of aspects of the programme completed in 2008, which focused on how the community development workers were recruited, employed, developed and supported in their role. The research involved surveys, data analysis, a literature review, interviews, workshops and group discussions in selected areas across the UK. The article outlines the main findings of the study concerning recruitment and employment of community development workers and their role. It reports that the evaluation suggested that although there were modest gains, community development workers were often located in marginal positions within local health service structures, and that this undermined their ability to achieve sustainable developments supporting culturally sensitive and accessible services for black and minority ethnic people.
Tackling race inequality: a statement on race
- Author:
- GREAT BRITAIN. Department for Communities and Local Government
- Publisher:
- Great Britain. Department for Communities and Local Government
- Publication year:
- 2010
- Pagination:
- 48p.
- Place of publication:
- London
This detailed government report outlines the progress that has been made to tackle racism and secure racial equality in recent years. Concentrating on education, employment and the criminal justice system this paper is split into three major sections: ‘introduction and objectives’; ‘a strong legal framework, with effective enforcement’; and ‘embedding work on race equality into key government departments: race equality at the heart of policy’. This document also sets out the framework and rationale for tackling race inequality over the next few years.
Respect - recognising human dignity and evaluating behaviour
- Author:
- KHAN Omar
- Journal article citation:
- Runnymede Bulletin, 351, September 2007, pp.14-16.
- Publisher:
- Runnymede Trust
The idea of respect is widely discussed in popular discourse. The article discusses the meaning of respect, exploring and criticising the meaning of respect in the Government's 'respect agenda'. The author then develops the outline of a fairer and more coherent respect agenda which would take into account the needs and interests of disadvantaged individuals, including black and minority ethnic citizens, but would benefit all.
A racial equity framework for assessing health policy
- Author:
- MICHENER Jamila
- Publisher:
- Commonwealth Fund
- Publication year:
- 2022
- Place of publication:
- New York
Issue: Despite enduring racism and the need for greater racial equity, there is limited consensus among analysts, academics, and public officials on how to assess policy for its impact on racial equity. Without instructive conceptual frameworks, our ability to identify, examine, and eradicate racial inequity through health policy will be limited. Goal: To establish a conceptually nuanced, empirically informed, and practically useful framework for analysing the racial equity implications of health policies. Key Findings and Conclusions: Analysts, academics, and public officials seeking to evaluate policy through a racial equity lens should consider multiple dimensions of the policy process, including design, implementation, evaluation, feedback, and key aspects of the policy environment. We can gain important insights by systematically probing how racism is structurally produced or reproduced through each of these specific dimensions. In doing so, it is especially crucial to examine the ways that policy: 1) creates or reflects disproportionality in the allocation of benefits and burdens to racial groups, 2) operates through forms of institutional decentralization, and 3) includes or neglects the voices of racially marginalized populations. The Racial Equity and Policy (REAP) framework provides a conceptually sound, empirically grounded basis for systematically assessing racial equity in health policy. (Edited publisher abstract)
Activist conceptualisations at the migration-welfare nexus: racial capitalism, austerity and the hostile environment
- Author:
- VICKERS Tom
- Journal article citation:
- Critical Social Policy, 41(3), 2021, pp.426-446.
- Publisher:
- Sage
In recent years British welfare policy and immigration policy have intertwined in new ways, with widespread cuts alongside increasing conditionality, rationing, and differentiation of rights. This article explores perspectives among activists attempting to resist these developments, with a focus on those that go beyond narrow reactions and engage in systemic critiques. It draws on in-depth qualitative interviews with activists from a variety of campaigns in England. The article presents a conceptual framework, synthesising these activists’ ideas and comprising three elements: racialised profit-seeking as a driver of policy; ‘situated universalism’ as a counter-hegemonic basis for unity; and a theory of change through grassroots campaigns. (Edited publisher abstract)