Mental Health Services ‘Not Racist’
Three years ago an official inquiry into the treatment of black people within Britain’s mental health services concluded that the system was riddled with institutional racism and blamed the Department of Health for ignoring what it called “this festering abscess…a blot upon the good name of the NHS”.
{mosimage}But now senior psychiatrists, some themselves from ethnic minorities, are hitting back, arguing that labelling psychiatric services as racist is both wrong and counter-productive. Professor Swaran Singh, a consultant based in Birmingham says, “the high rates of psychosis and the high rates of detention are not a result of racism”, he insists.
The experiences of black people in mental health services are undoubtedly shocking: black men up to 18 times more likely to be diagnosed with psychotic illness than whites and four times more likely to find themselves locked up under the Mental Health Act. Understandably, for many within the black community the figures are powerful evidence that services are profoundly racist.
Professor Singh’s view has seen him accused of setting psychiatry back 20 years, but he is adamant. He says the term “institutional racism” damages the very people it purports to help and “is erroneous and too simplistic an explanation for ethnic differences. What it does is it creates a wall of mistrust between between service users and service providers.”
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