BackgroundStigma related to mental illness affects all ethnic groups, contributing to the production and maintenance of mental illness and restricting access to care and support. However, stigma is especially prevalent in minority communities, thus potentially increasing ethnically based disparities. Little is known of the links between stigma and help‐seeking for mental illness in African‐descended populations in the UK.Objective and study designBuilding on the evidence that faith‐based organizations (FBOs) can aid the development of effective public health strategies, this qualitative study used semi‐structured interviews with faith groups to explore the complex ways in which stigma influences help‐seeking for mental illness in African‐descended communities. A thematic approach to data analysis was applied to the entire data set.Setting and participantsTwenty‐six men and women who had varying levels of involvement with Christian FBOs in south London were interviewed (e.g. six faith leaders, thirteen ‘active members’ and seven ‘regular attendees’).ResultsKey factors influencing help‐seeking behaviour were as follows: beliefs about the causes of mental illness; ‘silencing’ of mental illness resulting from heightened levels of ideological stigma; and stigma (re)production and maintenance at community level. Individuals with a diagnosis of mental illness were likely to experience a triple jeopardy in terms of stigma.Discussion and conclusion‘One‐size‐fits‐all’ approaches cannot effectively meet the needs of diverse populations. To ensure that services are more congruent with their needs, health and care organizations should enable service users, families and community members to become active creators of interventions to remove barriers to help‐seeking for mental illness.

Over the last decade, Britain has undergone reforms to promote engagement in local structures of governance. These reforms have encouraged the promotion of active citizenship and have been central to the government's public service modernisation agenda. This article presents the findings from a study evaluating a pilot outreach intervention which adopted a community engagement model to address the mental health needs of African and African Caribbean groups, which entailed a partnership between faith‐based organisations, local public services and community organisations to co‐produce the pilot project. Lay people were trained to raise awareness about mental health among these communities in South London. Between 2012 and 2013, a qualitative participatory approach was used to evaluate the pilot project, which enabled a researcher to take part in the engagement phase of the pilot project, and the project co‐ordinators to be involved in the research process. Semi‐structured, one‐to‐one interviews were carried out with 13 community and well‐being champions (CWBCs) recruited from African and African Caribbean communities (seven male and six female). This study examines the impact of the relationship between the intervention and community through the participants’ engagement in the pilot outreach project and the action undertaken as champions. We found that although CWBCs used circles of influence to share ideas about mental health and well‐being and to encourage change, they encountered resistance on the part of the people they engaged with, which resulted from a lack of knowledge about mental health, taboos and ascribed stigma. We argue that CWBCs acted as healthy examples to communicate mental health knowledge to those approached, but that they needed to be equipped with bespoke communication skills to be able to talk about such sensitive issues as mental health.

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Following the success of its all-male refugee football team, the Italian voluntary-based association Liberi Nantes created a touch rugby team as a pilot project aimed at involving female forced migrants. Initially set up as an all-woman activity to provide a less intimidating environment, the touch rugby group was later turned into a mixed-sex team. While potentially enabling transformative experiences and generating opportunities for challenging gender stereotypes, the mixed-gender character of the touch rugby provision also served broader objectives within Liberi Nantes' mission. Focusing on the accounts of the activists and volunteers involved in the project, this paper investigates the practical and symbolic reasons for the strategic use of mixed-gender sport and its implications. Notably, by analysing the development of the touch rugby team, we highlight how its mixed-gender nature contributes to nourishing a wider rhetoric of social mixing and celebration of diversity, in which Liberi Nantes' identity is embedded.

The article explores welfare and health practitioners’ representations of work practices and professional values underpinning their engagement with forced migrants within a polyfunctional health service in an Italian metropolitan city. It explores the integrated approach developed to cater for asylum seekers and beneficiaries of international protection’s specific needs. Building on interviews with health professionals and welfare workers, the article aims to critically discuss how concepts of care and responsibility are talked about and what kind of values underpin their work ethics. Humanitarian representations emerging from the narratives of health and welfare workers suggest that care and compassion are asymmetric and inherently racialised emotions and the use of vulnerability to depict service users can work to legitimise problematic practices as well as maintaining a focus on the compassionate saviours, whilst at the same time silencing people in need.

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