‘You've got to have a Chinese chef to cook chinese food!!’ Issues of power and control in the provision of mental health services

Abstract

This paper examines issues of power and control in mental health service provision, as discussed by African-Caribbean parents within a series of focus groups. These issues are multifaceted and incorporate aspects of con®dentiality, stigmatization, accessibility and ethnic matching. The impact of migration and the option of community self-reliance are discussed, along with implications for the provision of mental health services.

An interpretative phenomenological analysis of African Caribbean women’s experiences and management of emotional distress

“…Therefore, providing services within non-stigmatising settings is important for this group (e.g. Fatimilehin & Coleman 1999). Such a model is adopted by the self-help workshops.…”

Building Bridges in Liverpool: Delivering CAMHS to Black and Minority Ethnic Children and their Families

“…It has long been accepted that experiences of discrimination and disadvantage result in significant barriers to the use of statutory services by people from minority ethnic groups. The research literature suggests that BME people have often had negative experiences with statutory services (Fatimilehin & Coleman, 1999), have little confidence in the ability of services to understand and meet their needs (Street et al, 2005), experience a lack of appropriate and accessible information about existing services (Fatimilehin & Coleman, 1999;Messent & Murrell, 2003), experience language and communication barriers in using services (Fatimilehin & Nadirshaw, 1994;Stein et al, 2003;Malek, 2004), and can experience different, more coercive treatment as a result of the racial stereotypes held by professionals. In addition, people from BME communities are often concerned about issues of confidentiality and stigma associated with the use of mental health services (Fatimilehin & Coleman, 1998;Street et al, 2005).…”

“…In addition, people from BME communities are often concerned about issues of confidentiality and stigma associated with the use of mental health services (Fatimilehin & Coleman, 1998;Street et al, 2005). Enough is known about the barriers to the use of preventative and early intervention services to suggest that services need to be delivered differently (Beliappa, 1991;McMiller & Weisz, 1996;Fatimilehin & Coleman, 1999;Malek, 2004;Kurtz et al, 2005).…”

Engaging Service Users and Carers in Health and Social Care Education: Challenges and Opportunities in the Chinese Community

“…The fear that confidentiality may be compromised is a major obstacle for the BME groups when using interpreting services (Fatimilehin and Coleman, 1999;Sainsbury Centre for Mental Health, 2002;Webb-Johnson, 1991).…”