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

More documents

Recommendations

Info

REFERENCESAPPENDIX I1 Street, C., Stapelkamp, C., Taylor, E.,Malek, M. and Kurtz, Z. (2005).Minority Voices: research into the accessand acceptability of services for themental health of young people fromBlack and minority ethnic groups.London: YoungMinds.2 Maxwell, R. J. (1984). Quality assessmentin health. British Medical Journal, 288,pp. 1470-1472.3 Department for Education and Skills andDepartment of Health. (2004). NationalService Framework for children, youngpeople and maternity services: standard 9the mental health and psychologicalwell-being of children and young people.London: Department of Health. Fromhttp://www.dh.gov.uk/assetRoot/04/09/05/60/04090560.pdf4 Fonagy, P., Target, M., Cottrell, D., et al.(2002). What works for whom? A criticalreview of treatments for children andadolescents. London: The Guilford Press.5 Kurtz, Z. & James, C. What's new:learning from the CAMHS InnovationProjects. London: Department forEducation and Skills. In press.6 Department of Health. (2003).Delivering Race Equality: a framework foraction. Mental health services:consultation document. London:Department of Health. Fromhttp://www.dh.gov.uk/assetRoot/04/06/94/27/04069427.pdf7 Department of Health. (1999).Saving lives: Our Healthier Nation.London: Stationery Office. Fromhttp://www.ohn.gov.uk/ohn/ohn.htmFrom Kurtz and James (In press) What’s New:learning from the CAMHS Innovation Projects. 5Key elements in a servicethat ‘works’For children and young people,the service should: Be readily accessible, for example by offeringappointments at times that can be negotiatedto suit the service user, as well as home visitingand outreach. Be acceptable, offering a non-stigmatisingenvironment and a welcoming, respectful andempowering approach. Fully recognise the problems of thechild/young person and sensitively undertakecareful standardised assessment of their needs. Have the capability and understanding towork with the context in which the youngperson lives, eg. minority ethnic communities. Seek to engage children, young people andtheir parents/carers. Address the possible need to change theattitudes of young people and theirparents/carers and those of staff workingin the service. Offer a range of interventions tailoredto suit individual needs, to include practicalsupport, as well as individual and othertypes of therapy. Offer advice, consultation and training toothers working with children and families. Work in close collaboration with therelevant other disciplines and agencies. Have the capacity to keep in touch withyoung people over the long term, if necessary,and to offer further short-term interventionsand/or arrange for other appropriatesupport services.For professionals, managersand commissioners, the serviceshould have: Clear and achievable aims, objectives andvision shared by all agencies and the staff team. Effective and consistent leadership endorsedby all agencies. Strong inter-agency commitment, over themedium to long term, including a steering orstrategy group able and willing to tackle difficultissues. Commitment to consulting with, and actingon, the views of young people and their families. Links with existing services within thelocal CAMH service system, as an integral partof the tiered framework and the CAMHSdevelopment strategy. Links with services and initiatives not directlywithin the CAMH service system, such aseducation, the voluntary sector and local SureStart programmes. An ability to attract and retain funding. A stable, multidisciplinary staff group, withopportunities for training and development. Positive commitment to continuedevaluation and audit. Balance between providing a direct serviceto its users and influencing the broader networkon issues of young people’s mental health.20
APPENDIX IIAs set out in Delivering Race Equality:A Framework for Action. Mental Health Services(2003), 6 people from Black and minority ethniccommunities are more likely to experience: Problems in accessing services. Lower satisfaction with services. Cultural and language barriers in assessments. Lower GP involvement in care. Inadequate community-based crisis care. Lower involvement of service users,family and carers. Inadequate support for Blackcommunity initiatives. An aversive pathway into mental healthservices:- higher compulsory admission ratesto hospital;- higher involvement in legal system andforensic settings;- higher rates of transfer to medium and highsecure facilities. Higher voluntary admission rates to hospital. Lower satisfaction with hospital care. Lower effectiveness of hospital treatment. Longer stays in hospital. Less likelihood of having socialcare/psychological needs addressed withincare planning/treatment processes. More severe and coercive treatments. Lower access to talking treatments.Delivering Race Equality also states thatthe Sainsbury Centre for Mental Health hasidentified that: Many people, particularly in the Black Africanand Caribbean communities, do not believe thatmainstream mental health services can offerpositive help, so they delay seeking help. They therefore are not engaging with servicesat an early point in the cycle when they couldreceive less coercive and more appropriateservices, coming instead to services in crisis whenthey face a range of risks including over- and misdiagnosis,police intervention and use of theMental Health Act. These aversive care pathways furtherinfluence both the nature and outcome oftreatment and the willingness of communities toengage with mainstream services.21
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 and 24: In a number of areas attempts to im
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
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: 3.Good practice in service planning
Page 75: This guide to good practice is base
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?