Barriers and challenges of people from ethnic minorities and ethnic groups accessing and using UK mental health services: a critical discussion

In the UK, people from ethnic minorities and different ethnic groups
have poorer access, experiences and outcomes with statutory mental
health services, compared to people from a White British background.
This disparity is significant given that healthcare is considered
free at the point of access. Ethnic inequalities in access to experiences
of and outcomes of healthcare are longstanding problems in the NHS, and are rooted in experiences of structural, institutional, and interpersonal racism. Cultural beliefs can influence how mental health is perceived, from stigma to acceptance. Language barriers, mistrust in healthcare systems and differing
cultural norms can influence the client-practitioner relationship. Stigma
of mental illness across cultures is a significant barrier to accessing
statutory mental health care. Policy makers and service commissioners
need to acknowledge the need for more inclusive mental health practices. Mental health practitioners should review current approaches to
assessment and treatment that are destigmatising, and promote open,
inclusive practices.