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摘要
摘要
This new edition of Mental Health in a Multi-Ethnic Society is an authoritative, comprehensive guide on issues around race, culture and mental health service provision. It has been updated to reflect the changes in the UK over the last ten years and features entirely new chapters by over twenty authors, expanding the range of topics by including issues of particular concern for women, family therapy, and mental health of refugees and asylum seekers.
Divided into four sections the book covers:
issues around mental health service provision for black and minority ethnic (BME) communities including refugees and asylum seekers critical accounts of how these issues may be confronted, with examples of projects that attempt to do just that programs and innovative services that appear to meet some of the needs of BME communities a critical but constructive account of lessons to be drawn from earlier sections and discussion of the way ahead.With chapters on training, service user involvement, policy development and service provision Mental Health in a Multi-Ethnic Society will appeal to academics, professionals, trainers and managers, as well as providing up-to-date information for a general readership.
目錄
List of illustrations | p. xii |
Notes on contributors | p. xiii |
Acknowledgements | p. xvii |
Introduction | p. 1 |
Part 1 Current scene | p. 11 |
1 Meanings and realities | p. 13 |
Terminology of 'race' and culture | p. 13 |
What is mental health? | p. 19 |
Care and therapy - control or liberation? | p. 22 |
Summary | p. 25 |
2 Race relations, mental health and human rights - the legal framework | p. 27 |
Race relations legislation | p. 27 |
Race Relations (Amendment) Act 2000 and Human Rights Act 1998 | p. 31 |
Mental health legislation | p. 33 |
Implications for the black and minority ethnic (BME) communities | p. 40 |
Conclusions | p. 40 |
3 Inequalities and the politics of 'race' in mental health | p. 42 |
History of psychiatry and racism | p. 43 |
Ethic issues in mental health | p. 46 |
Judicial and education systems | p. 48 |
Redressing inequalities | p. 51 |
Conclusions | p. 56 |
4 Black and minority ethnic women | p. 58 |
General research findings | p. 59 |
Research findings on BME experience | p. 61 |
Gender and race within government policy documents | p. 65 |
Developing services for BME women: examples from London | p. 67 |
Discussion and conclusions | p. 70 |
5 Race equality training in the UK: a historical overview | p. 72 |
Models of race equality training in the UK | p. 75 |
Race equality training (RET) in the UK: current situation | p. 80 |
Conclusion | p. 82 |
Part 2 Confronting issues | p. 85 |
6 Management approaches to effecting change | p. 87 |
Developing coherent race equality frameworks | p. 88 |
Conclusions | p. 95 |
7 Innovation in the voluntary sector | p. 96 |
Current context | p. 97 |
Examples of voluntary sector programmes | p. 101 |
Conclusion | p. 106 |
8 The challenges of race equality and cultural capability (RECC) training | p. 108 |
Challenges in developing training materials | p. 110 |
Challenges in presentation to participants | p. 115 |
Challenges for trainers | p. 118 |
Training materials | p. 120 |
9 Developing psychological services for refugee survivors of torture | p. 122 |
Refugees and torture | p. 122 |
In search of safety | p. 123 |
Providing mental and psychological health services | p. 126 |
Conclusions | p. 135 |
10 Black service 'user involvement' - rhetoric or reality? | p. 136 |
Personal experience | p. 137 |
Roles and power in mental health services | p. 139 |
Conclusion | p. 143 |
11 A programme for changing attitudes in the statutory sector: dialogue is critical | p. 147 |
Context | p. 147 |
The Mellow 4 Sight programme | p. 150 |
What's happened since | p. 155 |
Conclusions | p. 157 |
Part 3 Making it happen | p. 159 |
12 Working therapeutically with hidden dimensions of racism | p. 161 |
Resilience | p. 162 |
The grinding down experience | p. 162 |
Black identity wounding | p. 164 |
Cultural shame | p. 166 |
The internal oppressor | p. 170 |
Summary | p. 173 |
13 The Marlborough Cultural Therapy Centre | p. 174 |
Setting the scene | p. 174 |
Behind the scenes | p. 177 |
People and relationships | p. 182 |
Conclusions | p. 185 |
14 Mental health Services for Chinese people | p. 187 |
Practical problems | p. 189 |
Projects | p. 190 |
The future | p. 195 |
15 Counselling and day care for South Asian people | p. 196 |
Background | p. 196 |
Philosophy and practice | p. 197 |
Working with communities | p. 203 |
The future | p. 204 |
16 African and Caribbean Mental Health Services in Manchester | p. 205 |
Background | p. 207 |
Staff and services | p. 209 |
Achievements | p. 214 |
Conclusion | p. 215 |
17 The Sanctuary Practice in Hackney | p. 217 |
Launch and structure | p. 218 |
Service offered | p. 220 |
User satisfaction | p. 222 |
Challenges | p. 223 |
The future | p. 224 |
18 A movement led by Black service users in south London | p. 226 |
Barriers to user involvement | p. 227 |
Creating a Black user group | p. 228 |
Conclusion | p. 230 |
Part 4 Lessons for the future | p. 233 |
19 The way ahead | p. 235 |
Emerging socio-political context | p. 236 |
Why is the statutory sector stuck? | p. 237 |
How can things be different? | p. 241 |
Learning from the black-led voluntary sector (BVS) | p. 243 |
Raising the profile of black service user involvement | p. 245 |
Training, legal framework, and management | p. 246 |
Families and carers | p. 248 |
General conclusions | p. 250 |
Summary | p. 257 |
References | p. 259 |
Index | p. 282 |