Improving mental healthcare access and experience for people from minority ethnic groups: an England-wide multisite experience-based codesign (EBCD) study

Winsper, Catherine; Bhattacharya, Rahul; Bhui, Kamaldeep; Currie, Graeme; Edge, Dawn; Ellard, David R; Franklin, Donna; Gill, Paramjit; Gilbert, Steve; Miller, Robin; Motala, Zahra; Pinfold, Vanessa; Sandhu, Harbinder; Singh, Swaran P.; Weich, Scott; Giacco, Domenico

doi:10.1136/bmjment-2023-300709

Cited by 1 publication

(2 citation statements)

References 22 publications

(47 reference statements)

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“…This semi-structured interview study was part of a multi-site experience-based co-design (EBCD) project to develop actions for improving access and experience of mental healthcare for people from minority ethnic groups. 11 Study sites included four different geographical areas covered by National Health Service (NHS) mental health trusts (i.e. Coventry and Warwickshire; Greater Manchester; East London; and Sheffield).…”

Section: Methodsmentioning

confidence: 99%

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The impact of reduced routine community mental healthcare on people from minority ethnic groups during the COVID-19 pandemic: qualitative study of stakeholder perspectives

Winsper,

Bhattacharya,

Bhui

et al. 2024

Br J Psychiatry

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Background Enduring ethnic inequalities exist in mental healthcare. The COVID-19 pandemic has widened these. Aims To explore stakeholder perspectives on how the COVID-19 pandemic has increased ethnic inequalities in mental healthcare. Method A qualitative interview study of four areas in England with 34 patients, 15 carers and 39 mental health professionals from National Health Service (NHS) and community organisations (July 2021 to July 2022). Framework analysis was used to develop a logic model of inter-relationships between pre-pandemic barriers and COVID-19 impacts. Results Impacts were largely similar across sites, with some small variations (e.g. positive service impacts of higher ethnic diversity in area 2). Pre-pandemic barriers at individual level included mistrust and thus avoidance of services and at a service level included the dominance of a monocultural model, leading to poor communication, disengagement and alienation. During the pandemic remote service delivery, closure of community organisations and media scapegoating exacerbated existing barriers by worsening alienation and communication barriers, fuelling prejudice and division, and increasing mistrust in services. Some minority ethnic patients reported positive developments, experiencing empowerment through self-determination and creative activities. Conclusions During the COVID-19 pandemic some patients showed resilience and developed adaptations that could be nurtured by services. However, there has been a reduction in the availability of group-specific NHS and third-sector services in the community, exacerbating pre-existing barriers. As these developments are likely to have long-term consequences for minority ethnic groups’ engagement with mental healthcare, they need to be addressed as a priority by the NHS and its partners.

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Section: Methodsmentioning

confidence: 99%

“…For solutions to these barriers, the reader is directed to our companion study on improving mental healthcare through co-designed action plans. 11…”

mentioning

confidence: 99%