The need for change in UK mental health services: South Asian service users' views
The need for change in UK mental health services: South Asian service users' views
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DOI：
10.1080/13557850601002239
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发表时间：
2007-01-01
影响因子：
3.1
通讯作者：
Bowl, Ric
中科院分区：
文献类型：
--
作者：
Bowl, Ric
目标.英国文献对少数民族服务用户的心理健康服务在很大程度上依赖于专业人士，餐饮和社区代表的看法。本研究调查了南亚服务用户自己的意见，心理健康服务的经验，以及他们如何可能得到改善。主题分析的材料，从焦点小组和个人访谈的亚洲精神卫生服务的用户在一个当地地区。南亚的服务使用者清楚地认识到社会经济排斥对其心理健康的影响。文化和体制上的排斥加剧了这一问题，导致医院和社区服务机构继续无视他们的特殊需要。亚洲服务用户在许多服务环境中分享他们的特殊关注时感到不安全。他们认为，承认他们的排斥经历的宣传是改善心理健康的重要资源。他们希望为文化上适当的康复服务提供更健全的资金;进一步发展主流服务中工作人员的文化能力;以及针对少数群体社区的心理健康教育方案。英国精神卫生服务仍然对南亚服务用户一贯表达的观点反应迟钝。如果联合王国政府的“实现种族平等”倡议要在地方一级产生成功的影响，就需要进行重大的文化变革。如果用户参与的言论与南亚服务用户的系统协商相匹配，它将有更大的成功机会。
Objectives. UK literature on mental health services for ethnic minority service users relies heavily on perceptions of professionals, caters and commumity representatives. This research investigates the views of South Asian service users themselves about experiences of mental health services and how they might be improved.Design. Thematic analysis of material from focus groups and individual interviews with Asian mental health service users within one local area.Results. South Asian service users clearly identify the impact of socio-economic exclusion upon their mental health. Cultural and institutional exclusion compound this, leading to continuing insensitivity towards their particular needs within hospital and community-based services. Asian service users feel unsafe to share their particular concerns within many service settings. They see advocacy that recogniscs their experience of exclusion as a significant resource for mental health improvement. They want sounder financing of culturally appropriate services for recovery; further development of the cultural competence of staff within mainstream services; and educational programmes about mental health directed at minority communities.Conclusion. UK mental health services remain unresponsive to the consistently expressed views of South Asian service users. A major cultural change is required if the UK Government initiative Delivering Race Equality is to impact successfully at the local level. It will have a greater chance of success if the rhetoric of user involvement is matched by systematic consultation with South Asian service users.