K. Bhui et al., THE ESSENTIAL ELEMENTS OF CULTURALLY SENSITIVE PSYCHIATRIC-SERVICES, International Journal of Social Psychiatry, 41(4), 1995, pp. 242-256
The recent re-structuring of the British National Health Service (NHS)
involving a greater emphasis on community treatment has not specifica
lly taken account of the unequal access to mental health services expe
rienced by black people. The greater use amongst black people of compu
lsory orders, police involvement and reliance on psychotropic medicati
on, although well established, has not influenced policy or led to a s
trategy to ensure that services appropriately meet the needs of the cu
lturally diverse population in this country. We present the literature
on service utilisation by black people and emphasise potential soluti
ons in areas with which black people are dissatisfied. The service str
uctures, ideology and mechanisms presented form the foundations of goo
d practice.