Mental Health in a Multi-Ethnic Society: A

This new edition of Mental Health in a Multi-Ethnic Societyis an authoritative, comprehensive guide on issues around race, culture and mental health service provision. It has been updated to reflect the changes in the UK over the last ten years and features entirely new chapters by over twenty authors, expanding the range of topics by including issues of particular concern for women, family therapy, and mental health of refugees and asylum seekers. Divided into four sections the book covers: issues around mental health service provision for black and minority ethnic (BME) communities including refugees and asylum seekers critical accounts of how these issues may be confronted, with examples of projects that attempt to do just that programs and innovative services that appear to meet some of the needs of BME communities a critical but constructive account of lessons to be drawn from earlier sections and discussion of the way ahead. With chapters on training, service user involvement, policy development and service provision Mental Health in a Multi-Ethnic Societywill appeal to academics, professionals, trainers and managers, as well as providing up-to-date information for a general readership.

List of illustrations	p. xii
Notes on contributors	p. xiii
Acknowledgements	p. xvii
Introduction	p. 1
Current scene	p. 11
Meanings and realities	p. 13
Terminology of 'race' and culture	p. 13
What is mental health?	p. 19
Care and therapy - control or liberation?	p. 22
Summary	p. 25
Race relations, mental health and human rights - the legal framework	p. 27
Race relations legislation	p. 27
Race Relations (Amendment) Act 2000 and Human Rights Act 1998	p. 31
Mental health legislation	p. 33
Implications for the black and minority ethnic (BME) communities	p. 40
Conclusions	p. 40
Inequalities and the politics of 'race' in mental health	p. 42
History of psychiatry and racism	p. 43
Ethic issues in mental health	p. 46
Judicial and education systems	p. 48
Redressing inequalities	p. 51
Conclusions	p. 56
Black and minority ethnic women	p. 58
General research findings	p. 59
Research findings on BME experience	p. 61
Gender and race within government policy documents	p. 65
Developing services for BME women: examples from London	p. 67
Discussion and conclusions	p. 70
Race equality training in the UK: a historical overview	p. 72
Models of race equality training in the UK	p. 75
Race equality training (RET) in the UK: current situation	p. 80
Conclusion	p. 82
Confronting issues	p. 85
Management approaches to effecting change	p. 87
Developing coherent race equality frameworks	p. 88
Conclusions	p. 95
Innovation in the voluntary sector	p. 96
Current context	p. 97
Examples of voluntary sector programmes	p. 101
Conclusion	p. 106
The challenges of race equality and cultural capability (RECC) training	p. 108
Challenges in developing training materials	p. 110
Challenges in presentation to participants	p. 115
Challenges for trainers	p. 118
Training materials	p. 120
Developing psychological services for refugee survivors of torture	p. 122
Refugees and torture	p. 122
In search of safety	p. 123
Providing mental and psychological health services	p. 126
Conclusions	p. 135
Black service 'user involvement' - rhetoric or reality?	p. 136
Personal experience	p. 137
Roles and power in mental health services	p. 139
Conclusion	p. 143
A programme for changing attitudes in the statutory sector: dialogue is critical	p. 147
Context	p. 147
The Mellow 4 Sight programme	p. 150
What's happened since	p. 155
Conclusions	p. 157
Making it happen	p. 159
Working therapeutically with hidden dimensions of racism	p. 161
Resilience	p. 162
The grinding down experience	p. 162
Black identity wounding	p. 164
Cultural shame	p. 166
The internal oppressor	p. 170
Summary	p. 173
The Marlborough Cultural Therapy Centre	p. 174
Setting the scene	p. 174
Behind the scenes	p. 177
People and relationships	p. 182
Conclusions	p. 185
Mental health Services for Chinese people	p. 187
Practical problems	p. 189
Projects	p. 190
The future	p. 195
Counselling and day care for South Asian people	p. 196
Background	p. 196
Philosophy and practice	p. 197
Working with communities	p. 203
The future	p. 204
African and Caribbean Mental Health Services in Manchester	p. 205
Background	p. 207
Staff and services	p. 209
Achievements	p. 214
Conclusion	p. 215
The Sanctuary Practice in Hackney	p. 217
Launch and structure	p. 218
Service offered	p. 220
User satisfaction	p. 222
Challenges	p. 223
The future	p. 224
A movement led by Black service users in south London	p. 226
Barriers to user involvement	p. 227
Creating a Black user group	p. 228
Conclusion	p. 230
Lessons for the future	p. 233
The way ahead	p. 235
Emerging socio-political context	p. 236
Why is the statutory sector stuck?	p. 237
How can things be different?	p. 241
Learning from the black-led voluntary sector (BVS)	p. 243
Raising the profile of black service user involvement	p. 245
Training, legal framework, and management	p. 246
Families and carers	p. 248
General conclusions	p. 250
Summary	p. 257
References	p. 259
Index	p. 282
Table of Contents provided by Ingram. All Rights Reserved.

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Mental Health in a Multi-Ethnic Society: A Multidisciplinary Handbook

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