Abstract

Structural inequalities and inequities are embedded in mental health care systems. This influences how mental health care is provided and experienced by different individuals and groups. This chapter explores how processes of discrimination may generate, perpetuate and reinforce inequities in mental health care services. First, it introduces the relationships between race, discrimination, mental health, drawing on intersectionality and life course perspectives. It then introduces the relevant context for discrimination and mental health care in the United Kingdom (UK), and examines how racial discrimination is experienced by service users receiving care, healthcare practitioners providing care, and the inter-relationships between these processes. It concludes with future directions and key recommendations to support efforts at reducing discrimination in mental health care practice in the UK and elsewhere, such as the United States and Canada.

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