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Chapter 16 - The Relationship Between Violence and Mental Health Inequality in the Black, Asian and Minority Ethnic Communities

from Section 4 - Management in Other Groups

Published online by Cambridge University Press:  09 May 2023

Masum Khwaja
Affiliation:
Imperial College of Science, Technology and Medicine, London
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
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Summary

The illegal killing of George Floyd led to Black Lives Matter protests around the world and energised the call for discrimination to be addressed in society. In this chapter we explore evidence of mental health inequalities in those from BAME communities and acknowledge that some groups in society, who may or may not identify as BAME, such as asylum seekers travellers and the LGBTQ+ community, also face discrimination. We mention the theory of intersectionality, racial gaslighting and the detrimental impact of austerity on health outcomes. Readers are reminded of the historical reports into the deaths of Michael Martin, Joseph Watts and David ‘Rocky’ Bennett and of the 2002 Sainsburys Centre review which identified a ‘circle of fear’. The finding of the independent review of the MHA and the recently published rapid review of ethnic health disparities by the NHS Race and Health Observatory are highlighted. NHS England and NHS Improvement’s Advancing Mental Health Equalities Strategy, the RCPsych equality action plan, and The Patient and Carers Race Equalities Framework (PCREF) are explained. Stereotyping of black males and the disproportionate use of force (including tasers), is discussed and the authors call for the implementation of mandatory training covering the nature of discrimination.

Type
Chapter
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The Prevention and Management of Violence
Guidance for Mental Healthcare Professionals
, pp. 260 - 270
Publisher: Cambridge University Press
Print publication year: 2023

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References

Mistlin, A., So, the term BAME has had its day. But what should replace it? The Guardian. [online] 8.4.2021. www.theguardian.com/commentisfree/2021/apr/08/bame-britain-ethnic-minorities-acronym [Accessed 8.5.2022].Google Scholar
Mental Health Foundation. Mental health statistics: Refugees and asylum seekers. [online] www.mentalhealth.org.uk/explore-mental-health/statistics/refugees-asylum-seekers-statistics [Accessed 8.5.2022].Google Scholar
The Traveller Movement. The Traveller Movement – policy briefing addressing mental health and suicide among Gypsy, Roma and Traveller communities in England. England. [online] 2019. https://wp-main.travellermovement.org.uk/wp-content/uploads/2021/08/Mental-Health-and-Suicide.pdf [Accessed 8.5.2022].Google Scholar
NHS. Mental health support if you’re lesbian, gay, bisexual or trans (LGBTQ+). [online] July 2020. www.nhs.uk/mental-health/advice-for-life-situations-and-events/mental-health-support-if-you-are-gay-lesbian-bisexual-lgbtq/ [Accessed 8.5.2022].Google Scholar
Institute of race relations. Health and mental health statistics. [online]. https://irr.org.uk/research/statistics/health/ [Accessed 8.5.2022].Google Scholar
Cabinet Office. Race Disparity Audit Summary Findings from the Ethnicity Facts and Figures. October 2017. [online] Revised March 2018. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/686071/Revised_RDA_report_March_2018.pdf [Accessed 8.5.2022].Google Scholar
Mental Health Foundation. Black, Asian and minority ethnic (BAME) communities. [online] July 2021. www.mentalhealth.org.uk/a-to-z/b/black-asian-and-minority-ethnic-bame-communities [Accessed 8.5.2022].Google Scholar
Special Hospitals Service Authority. Report of the Committee of Inquiry into the death in Broadmoor Hospital of Orville Blackwood and a review of the deaths of two other Afro-Caribbean patients ‘big, black and dangerous?’, 1993.Google Scholar
Institute of Race Relations. Rocky Bennett – killed by institutional racism? [online] 2014. https://irr.org.uk/article/rocky-bennett-killed-by-institutional-racism/ [Accessed 8.5.2022].Google Scholar
Blofeld, J., Sallah, D., Sashidharan, S. et al. Independent inquiry into the death of David Bennett. Cambridgeshire Strategic Health Authority. [online] 2003. http://image.guardian.co.uk/sys-files/Society/documents/2004/02/12/Bennett.pdf [Accessed 8.5.2022].Google Scholar
Sainsbury Centre for Mental Health. Breaking the Circles of Fear: A review of the relationship between mental health services and African and Caribbean communities. [online] 2002. www.centreformentalhealth.org.uk/sites/default/files/publication/download/breaking_the_circles_of_fear.pdf [Accessed 8.5.2022].Google Scholar
Department of Health and Social Care. Modernising the Mental Health Act – final report from the independent review. Published December 2018. [online] Last updated 14 February 2019. www.gov.uk/government/publications/modernising-the-mental-health-act-final-report-from-the-independent-review [Accessed 8.5.2022].Google Scholar
National Collaborating Centre for Mental Health. Patient and Carer Race Equality Framework. [online 2018]. www.healthylondon.org/wp-content/uploads/2021/05/nccmhpatientandcarerraceequalityframeworknovember2018-1.pdf [Accessed 8.5.2022].Google Scholar
Haynes, L. Community care: How treatment of ethnic minority groups in mental health system can be improved following independent review. [online] 2019. www.communitycare.co.uk/2019/01/17/treatment-ethnic-minority-groups-mental-health-system-can-improved-review/ [Accessed 8.5.2022].Google Scholar
Kmietowicz, Z. NHS launches Race and Health Observatory after BMJ’s call to end inequalities. BMJ, 2020;369:m2191. https://doi.org/10.1136/bmj.m2191. PMID: 32482618.Google Scholar
British Medical Journal. Racism in medicine. [online 2020] www.bmj.com/racism-in-medicine [Accessed 7.5.2022].Google Scholar
NHS Race and Health Observatory. Ethnic Inequalities in Healthcare: A Rapid Evidence Review [online February 2022] www.nhsrho.org/publications/ethnic-inequalities-in-healthcare-a-rapid-evidence-review/ [Accessed 7.5.2022].Google Scholar
Smith, S. and Mohan, R. The NHS is not an island – tackling racial disparities in healthcare BMJ 2022; 377 :o944. https://doi.org/10.1136/bmj.o944.Google Scholar
Lola, J., The Black Lives Matter movement has reopened a psychological wound for black people and revealed unique challenges within mental health services. BBC. [online] August 2020. www.bbc.com/future/article/20200804-black-lives-matter-protests-race-mental-health-therapy [Accessed 8.5.2022].Google Scholar
Wolstenholme, R. The hidden victims of gaslighting. BBC. [online] November 2020. www.bbc.com/future/article/20201123-what-is-racial-gaslighting [Accessed 8.5.2022].Google Scholar
Dissanayaka, N. Centre for Mental Health. Racial disparity in mental health: Challenging false narratives. [online] July 2020. www.centreformentalhealth.org.uk/racial-disparity-mental-health-challenging-false-narratives [Accessed 8.5.2022].Google Scholar
Commission on Race and Ethnic Disparities. The report of the Commission on Race and Ethnic Disparities. The Commission’s report into racial and ethnic disparities in the UK. March 2021. [0nline] Updated April 2021. www.gov.uk/government/publications/the-report-of-the-commission-on-race-and-ethnic-disparities [Accessed 8.5.2022].Google Scholar
Iacobucci, G. What did the Commission on Race and Ethnic Disparities say on health? BMJ 2021; 373: n943. https://doi.org/10.1136/bmj.n943.Google Scholar
Marmot, M. and Wilkinson, R. G. Social Determinants of Health. 2nd ed. Oxford: Oxford University Press.Google Scholar
The Health Foundation. Health Equity in England: The Marmot Review 10 Years on. February 2020. www.health.org.uk/publications/reports/the-marmot-review-10-years-on [Accessed 8.5.2022].Google Scholar
MIND. Existing inequalities have made mental health of BAME groups worse during pandemic, says MIND. [online] July 2020. www.mind.org.uk/news-campaigns/news/existing-inequalities-have-made-mental-health-of-bame-groups-worse-during-pandemic-says-mind/ [Accessed 8.5.2022].Google Scholar
Bignall, T., Jeraj, S., Helsby, E. and Butt, J. Racial disparities in mental health: Literature and evidence review. [online 2019] https://raceequalityfoundation.org.uk/wp-content/uploads/2020/03/mental-health-report-v5-2.pdf [Accessed 7.5.2022].Google Scholar
Barnett, P., Mackay, E., Matthews, H. et al. Ethnic variations in compulsory detention under the Mental Health Act: A systematic review and meta-analysis of international data. Lancet Psychiatry 2019 Apr;6(4):305–17. https://doi.org/10.1016/S2215-0366(19)30027-6. Epub 2019 Mar 4. PMID: 30846354; PMCID: PMC6494977.Google Scholar
RCPsych. Task and Finish group. Ending racial inequalities exposed by the COVID-19 pandemic for mental health staff. [online] July 2020. www.rcpsych.ac.uk/docs/default-source/about-us/covid-19/recommendations_-ending-racial-inequalities-exposed-by-covid-19-for-mh-staff_t-f-group_220720_final.pdf?sfvrsn=ecd0ef_2 [Accessed 8.5.2022].Google Scholar
RCPsych. Written evidence submitted by the Royal College of Psychiatrists (MRS0475). [online]. 2020. https://committees.parliament.uk/writtenevidence/4894/pdf/ [Accessed 7.5.2022].Google Scholar
NHS England. Advancing mental health equalities strategy. [online]. 2020. www.england.nhs.uk/publication/advancing-mental-health-equalities-strategy/ [Accessed 8.5.2022].Google Scholar
RCPsych. Advancing Mental Health Equality Improvement Collaborative. [online]. 2020. www.rcpsych.ac.uk/about-us/equality-diversity-and-inclusion/advancing-mental-health-equality-collaborative# [Accessed 7.5.2022].Google Scholar
NICE. Innovative ways of engaging with Black and Minority Ethnic (BME) communities to improve access to psychological therapies. [online]. December 2017. www.nice.org.uk/sharedlearning/innovative-ways-of-engaging-with-black-and-minority-ethnic-bme-communities-to-improve-access-to-psychological-therapies [Accessed 8.5.2022].Google Scholar
Taraki Wellbeing. Home page. www.taraki.co.uk/about [Accessed 8.5.2022].Google Scholar
Angiolini, E. Report of the Independent Review of Deaths and Serious Incidents in Police Custody [online]. 2017; https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/655401/Report_of_Angiolini_Review_ISBN_Accessible.pdf [Accessed 8.5.2022].Google Scholar
Vox. Study: People see Black men as larger and more threatening than similarly sized white men [online] 2017. www.vox.com/identities/2017/3/17/14945576/Black-white-bodies-size-threat-study [Accessed 8.5.2022].Google Scholar
Trawalter, S., Todd, A. R., Baird, A. A., Richeson, J. A. Attending to threat: Race-based patterns of selective attention. Journal of Experimental Social Psychology 2008 Sep;44(5):1322–7. https://doi.org/10.1016/j.jesp.2008.03.006. PMID: 19727428; PMCID: PMC2633407.Google Scholar
Wilson, J. P., Hugenberg, K., Rule, N. O. Racial bias in judgments of physical size and formidability: From size to threat. Journal of Personality and Social Psychology 2017 Jul;113(1):5980. https://doi.org/10.1037/pspi0000092. Epub 2017 Mar 13. PMID: 28287752.Google Scholar
Home Office. Police use of force statistics, England and Wales: April 2019 to March 2020. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/945435/police-use-of-force-apr2019-mar2020-hosb3720.pdf [Accessed 8.5.2022].Google Scholar
Home Office. Police Use of Force Statistics. 2018 [online] Last updated December 2020. www.gov.uk/government/collections/police-use-of-force-statistics [Accessed 8.5.2022].Google Scholar
Baskind, E. ‘I Can’t Breathe: Black and Dead in Custody’, BBC Panorama, commenting on the death of Kevin Clarke, an acutely-unwell Black man who was restrained by up to nine Metropolitan Police Service officers. [online] 2021 www.bbc.co.uk/programmes/m000r6z2 [Accessed 8.5.2022].Google Scholar
Care Quality Commission. Out of sight – who cares?: Restraint, segregation and seclusion review. [online] 2020. Available from www.cqc.org.uk/publications/themed-work/rssreview [Accessed 19.09.2021].Google Scholar

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