Minority voices: Research into the access and acceptability of ... - MMC

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• Family therapy and family support based projects including generic help with benefitsand legal rights.• Projects focused on young refugees and asylum seekers, sometimes with funding fromnational government initiatives that aim to promote social cohesion and tacklediscrimination.• Campaigns that aim to demystify mental health service provision and challenge stigmathrough the targeted use of the media and the use of ‘non-traditional’ routes for sharinginformation such as local sports and community radio stations, music events, cinematickets and advertisements in bus shelters.Information supplied by some of the projects/services also indicated that a number oforganisations were trying to build local networks to improve the knowledge and informationbase; some were acting as the link between the statutory and voluntary sectors in trying toimprove the coordination of services for young people from Black and minority ethnic groups,and several noted that part of their work involved the development of a local database ofmental health/other relevant services in their area.Minority Voices Research Report23
6. STUDY FINDINGS II: YOUNG PEOPLE’S EXPERIENCES AND VIEWSKey Findings• Amongst the young people who took part in the study there was generally very limitedunderstanding of mental health and of mental health services• Even when young people (and their families) recognised that they needed help many did notknow where to go - or were wary of seeking help due to worries about stigma and confidentiality• Many young people are only accessing help at a critical point in their difficulties. Often thisaccess only occurs if the young person has come into contact with and formed a trustingrelationship with a professional with knowledge of local mental health services• For young people from Black and minority ethnic groups the influence of parents and parents’perceptions of services, and the wider influence of Black and minority ethnic communities, isoften underestimated or not fully understood• The importance of considering diverse religious and cultural needs was highlighted and crucially,of professionals not making assumptions about young people on the basis of these factors• The social isolation and lack of a general understanding of the working of UK health and welfaresystems is marked amongst young refugees and asylum seekers and creates a significant barrierto them accessing specialist mental health servicesAs noted in Chapter 4, young people were invited to participate in the Minority Voices studyeither by taking part in an individual interview and/or a focus group held in each of the sampleareas. iIn total 76 young people (43 male, 33 female) shared their experiences and views aboutmental health services with the research team. They came from a wide range of minorityethnic backgrounds of which the largest groups were young people who described themselvesas Black African (25 young people) and White and Black Caribbean (12 young people). Thesecategories are based on the 2001 census categories. The young people were also drawn fromvarious religious backgrounds with a number specifying that they had no religion. Most were inthe age range 16-18 years and 24 were young refugees or seeking asylum in the UK.Issues raised by young peopleWhilst the data gathered indicated some geographic variations and also some differencesamongst young refugees and asylum seekers that were related to their migration status,across the different sample areas, and in both the individual interviews and the focus groups,there was considerable consistency in some of the prominent issues and concerns raised byyoung people. For this reason, the following material does not attempt to break down theinformation by either focus group or interview but rather, presents a discussion of the keythemes emerging from the data overall. Any differences between those who had experience ofusing CAMHS/statutory mental health services and those without are noted under theparticular issues discussed.A general point to note is that many of the concerns and views expressed about mental healthprovision have much in common with the information often obtained from all young people,irrespective of their ethnic background. 92 However where there were indications of variations inthe extent of the difficulties encountered or factors that are perhaps specific to young peoplefrom minority ethnic groups, these are also highlighted in the discussion of each of the issuesraised.iTwo additional focus group meetings were held in non-sample areas - the first in response to a request by a group of young refugeesto share their experiences with the research team and the second, a meeting with young people supported by social services afterleaving care.Minority Voices Research Report24
Page 1 and 2: Minority VoicesResearch into the ac
Page 3 and 4: ACKNOWLEDGEMENTSThis eighteen-month
Page 5 and 6: factors that study participants ide
Page 7 and 8: Study recommendations• The lack o
Page 9 and 10: ! Concerns about the provision of m
Page 11 and 12: 3. CONTEXT OF THE STUDYVarious area
Page 13 and 14: • A measure of general psychiatri
Page 15 and 16: and some minority groups have poore
Page 17 and 18: 4. METHODOLOGYThe study methodThe p
Page 19 and 20: Staff: The interview schedules for
Page 21 and 22: 5. STUDY FINDINGS I: MAPPING OF ACT
Page 23: In a number of areas attempts to im
Page 27 and 28: ! Awareness of mental health and me
Page 29 and 30: “The therapist I was seeing was A
Page 31 and 32: Suggestions from young people for i
Page 33 and 34: 7. STUDY FINDINGS III: INFORMATION
Page 35 and 36: • High DNA (Did Not Attend) rates
Page 37 and 38: they felt sufficiently supported an
Page 39 and 40: Table 4: Areas of unmet need/defici
Page 41 and 42: • The breakdown of whether some B
Page 43 and 44: 8. CONCLUSIONS AND RECOMMENDATIONST
Page 45 and 46: The study recommendations are:• T
Page 47 and 48: Wide-ranging review of the issues c
Page 49 and 50: REFERENCES1 Silvera, M. & Kapasi, R
Page 51 and 52: 69 German, G. (2002). Antiracist st
Page 53 and 54: Minority VoicesA GUIDE TO GOODPRACT
Page 55 and 56: ContentsIntroduction04 The basis f
Page 57 and 58: Meeting NeedsThe level and typeof s
Page 59 and 60: Good practice example 1 - Sharing V
Page 61 and 62: Elements of good practiceThese thre
Page 63 and 64: Neville Street also offers provisio
Page 65 and 66: Tier 3 CAMHSIn providing for local
Page 67 and 68: Services targeted on 1) particular
Page 69 and 70: 3) Particular mental health problem
Page 71 and 72: 3.Good practice in service planning
Page 73 and 74: APPENDIX IIAs set out in Delivering
Page 75:
This guide to good practice is base
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