The very high rate for broad schizophrenia among African-Caribbean people in the UK is probably due to environmental factors.

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The activities ofa multidiscipli nary team of mental health pro fessionals during their mit ial year of work to upgrade the mental health system in the English speaking Caribbean nation of Gre nada are described. Improvement ofservices at the island's only psy chiatric hospital received top pri ority. The team belpedGrenadian staff to sharpen basic techniques ofactive treatment, which included assessment of psychiatric symp toms, development of treatment plans, and intervention with pa tients. Maintenance ofmedical re cords was improved, pro ceduresfor medication and seclusion we,@ stan dardized, weekly ward rounds were routinized, and regular staff meetings were urged. Among the obstaclesfaced by the team in im Dr. Fisher is attending psychia trist in the division of inpatient services of the Connecticut Men tal Health

The Spiritual Baptist faith has been present in the Caribbean from about the late nineteenth or early twentieth century. However, the movement only extended to Barbados in 1957 when a Spiritual Baptist preacher, a Barbadian by birth, returned to his native island from Trinidad, where he had been living for several years. The Reverend Granville Williams established the first Spiritual Baptist Church in Barbados and has continued to oversee the church's development since its inception. This article describes the evolution of the church's status over the past 50 years, as seen by both members and non-members of the group, from a marginalized religious group into a settled and accepted denomination. Explication of this transformation phenomenon is also explored through qualitative interviews with Barbadian clergy non-members of the group. The implications of this transformation for the interplay of religion, mental health, and social services in the Caribbean are then discussed.