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

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Good PracticeGood practice in the provision of services for the mental health of youngpeople from Black and minority ethnic backgrounds – as for all young people -can be considered from two related perspectives:i) good practice in terms of meeting local population needs andii) good practice in meeting individual needs.Cultural awareness and sensitivity, with appropriate staff skills, are as importantin the strategic and joint planning, commissioning, and multiagency collaborationrequired to meet population needs as they are in the delivery of good practiceby service providers. In both cases, good practice depends upon theseissues being addressed in close collaboration with service users and therelevant local communities.Strategic approaches and commissioningThe availability of appropriate and reliable service responses to meet theneeds of BME young people depends almost entirely on informed commissioning,committed to full inclusion of BME communities in health and social care.Three examples of good practice are presented in this section: A community development approach to mental health– the Sharing Voices Bradford project. A strategic approach that addresses the national targets set out in Saving Lives:Our Healthier Nation 7 to reduce suicide and aims to reduce stigma– Bedfordshire’s Campaign against living miserably (CALM). A co-ordinated network of children’s services– London Borough of Croydon.06
Good practice example 1 - Sharing Voices in BradfordSharing Voices has three broad aims: To liaise and work with statutory providers toimprove the range and quality of services. To stimulate voluntary sector activity, developcommunity capacity and support self-help groupsand networks. To encourage local, national and internationaldebates about the nature of mental health, diverseperspectives and ethnicity.And seven objectives: Initiate the process of developing a mutual interestgroup (a forum in which a wide range of professionalsand users can come together to discuss current issuesand think about solutions). Promote and develop capacity and infrastructurewithin communities around mental health and wellbeing(such as recruiting local people to mental healthservices, volunteering schemes, befriending, accessto employment). Engage with individuals, groups and organisationsand stimulate debate and dialogue around ethnicity,mental health and well-being (demystifyingpsychiatry/mental health, legitimising critical andalternative perspectives, identifying and creating safespaces in local communities for individuals). Create a dialogue between local communities,statutory agencies and voluntary organisations andprovide support and advice to other agencies todevelop appropriate responses for their client group(supporting existing organisations to boost theircapacity in addressing needs of BME communities). Facilitate and support individuals and localcommunities to participate in national debates aboutethnicity and mental health. Signpost people and communities to appropriateagencies for support. Network with local and national service providers.Some of the work undertaken includes: Befriending – including one-to-one support forpeople who have often refused to access statutorymental health services. Mutual interest group – a general discussion groupdrawing together mental health professionals, serviceusers and carers to look at how to eradicate barriersto services. Recruitment of volunteers. Employment training and support. Self-help groups and peer support – through arange of activities including music and health andfitness (have established links with local sports centreand a group from the project go along regularlyto use the facilities). Family work and support. Faith-based support. Capacity building of local groups and voluntarysector organisations. Partnerships with non-mental health services. Advice on BME issues/awareness raising –presentations at seminars, conferences etc. Feedback to local statutory mental health servicesfrom local people.A recent development has been the linking withanother local organisation, the Bangladeshi YouthOrganisation (BYO), where Sharing Voices works ona regular basis with young men from BYO aboutissues to do with mental health. A number of youngmen from BYO have since registered as volunteerswith Sharing Voices Bradford and are involved inrunning workshops and providing ‘safe spaces’ foryoung people to come and talk about what mentalhealth and well-being means for them.The importance of gradually building relationshipsbased on trust is highlighted, as is beingable to respond to contexts and communitiesin imaginative and flexible ways.It is not about a ‘one size fits all’ model.07
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Minority VoicesResearch into the ac
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ACKNOWLEDGEMENTSThis eighteen-month
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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
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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
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Page 25 and 26: 6. STUDY FINDINGS II: YOUNG PEOPLE
Page 27 and 28: ! Awareness of mental health and me
Page 29 and 30: “The therapist I was seeing was A
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Page 33 and 34: 7. STUDY FINDINGS III: INFORMATION
Page 35 and 36: • High DNA (Did Not Attend) rates
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Page 39 and 40: Table 4: Areas of unmet need/defici
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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: Meeting NeedsThe level and typeof s
Page 61 and 62: Elements of good practiceThese thre
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Page 65 and 66: Tier 3 CAMHSIn providing for local
Page 67 and 68: Services targeted on 1) particular
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Page 73 and 74: APPENDIX IIAs set out in Delivering
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