Institutional Racism In Psychiatry Research Articles

Suman Fernando, Institutional racism in psychiatry and clinical psychology: Race matters in mental health

Suman Fernando, Institutional racism in psychiatry and clinical psychology: Race matters in mental health

Stewart Brings a Robust and Eventful Presidential Year to a Close

APA President Altha Stewart, M.D., told Annual Meeting attendees that because of efforts over the past year, the values of diversity, equity, and inclusion “have been firmly embedded in the core wo...

P01-454 - Culture, vultures and the politics of post-neoliberalism a foot sodier’s perspective

AimsTo review the current status, directions and distortions in the field of culture and mental health, and their interface with politics.Background reviewArising from the ruins of Adam Smith's shattered capitalist dream, shattered by the Great Depression, Keynesenian economics underpinned post-neoliberal thought and shaped politics, culture and science in ways few could have imagined.Biomedical science did not remain immune, and mental health provided a soft target to political activists and reformers. Research evidence relating to ethnic variations in the prevalence, pathways to care and outcomes in schizophrenia, generated from epidemiological studies on migrant populations and a series of WHO-sponsored cross-cultural studies, has become enmeshed in the dialectic around alleged institutional racism in psychiatry, with deeply entrenched and highly adversarial posturing on both sides.MethodExamine research evidence linking schizophrenia and culture, and how the politics of post-neoliberalism impacts scientific inquiry, with illustrations from different countries, and attempt to identify islands of credible research and outline possible future directions.ResultsFragmented and often contradictory evidence in this area does not lend itself to coherent inferences, with the problem being compounded by allegations of institutional racism.ConclusionsThere are many unanswered questions:•Does cultural research improve clinical practice?•Or does it merely distract attention from core/ important secular issues?•Does it tend to demonise mainstream services and alienate ethnic minority patients?•Does what some term cultural gimmickry serve a hidden political agenda?•Has cultural research evidence lead to meaningful macro or micro-level interventions?

Ethnicity and coercion among involuntarily detained psychiatric in-patients

We assessed whether adult Black and minority ethnic (BME) patients detained for involuntary psychiatric treatment experienced more coercion than similar White patients. We found no evidence of this from patient interviews or from hospital records. The area (mental health trust) where people were treated was strongly associated with both the experience of coercion and the recording of a coercive measure in their records. Regarding charges of institutional racism in psychiatry, this study highlights the importance of investigating the role of area characteristics when assessing the relationship between ethnicity and patient management.

Institutional racism in psychiatry: lessons from inquiries

‘While everyone is entitled to their own opinions, they are not entitled to their own facts' (attributed to Daniel Patrick Moynihan). The President of the Royal College of Psychiatrists recently reiterated the College's determination to tackle institutional racism in psychiatry, as defined in the MacPherson Report (MacPherson, 1999). This reaction was prompted by a paper suggesting that racism was perhaps not the only explanation for ethnic differences in rates of psychosis and detention under the Mental Health Act 1983 (Singh & Burns, 2006). Although not providing a scientific criticism of the BMJ paper or any evidence to the contrary, the President stated that the paper risked setting ‘psychiatry back by 20 years’ (Hollins & Moodley 2006).

Better mental healthcare for minority ethnic groups – moving away from the blame game and putting patients first: Commentary on … Institutional racism in psychiatry

Providing better mental healthcare for the Black and minority ethnic population often requires much more than the efforts of the individual clinician. Problems may range from getting the right interpreters when they are needed, for as long as they are needed, to accessing psychotherapy and social

Institutional racism in psychiatry: author's response

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Institutional racism in psychiatry

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Searching for racists under the psychiatric bed: Commentary on … Institutional racism in psychiatry

In our view, Professor Singh’s article (2007) is one of the most important papers to appear in the Bulletin in recent years. Singh & Burns ([2006][1]) have been very courageous in challenging the idea that British psychiatry is institutionally racist, and not unexpectedly have provoked reaction.

Institutional racism in mental health services does not imply racism in individual psychiatrists: Commentary on … Institutional racism in psychiatry

The Mental Health Act Commission has been actively involved in promoting improved mental healthcare for Black and minority ethnic groups for many years. The Commission’s First Biennial Report 1983–85 ([Mental Health Act Commission, 1985][1]) highlighted our concerns about the over-representation

Institutional racism in psychiatry

Institutional racism in psychiatry

Dimensions of institutional racism in psychiatry.

Defining institutional racism in terms of self-perpetuating barriers to blacks' participation as equals in all areas of psychiatry, the authors review the influence of white racism on the image of the black patient, neglected problem areas, treatment accessibility, community mental health, research, and the professional functioning of psychiatrists. These analyses lead to specific recommendations for new institutionalized practices to be supported by the white power structure of psychiatry if eradication of racism in psychiatry is to be accomplished.