Diversity in Mental Health by EYST

Aim Gain knowledge of the Black Minority Ethnic community’s needs Explore cultural differences and respecting diversity Have an understanding of discrimination and inequality experienced by different BME groups accessing services

Quiz

7.9% 60% 40% 10% 15% 4.4% HOW MULTICULTURAL is Wales – what percentage of ethnic minorities live in Wales

How Many different languages are spoken in Wales? 17 38 5 25 90

How much of the world’s refugees live in UK? 12% 1% 8% 7% 20%

How much of Wales population is Asylum seekers 10% 0.1% 2% 15%

Where does UK rate in accepting Asylum seekers

What is the largest ethnic minority community in Wales Polish Chinese Bangladeshi Pakistani Indian

How many children from ethnic minority families live below the poverty line 5% 10% 40% 70% 25%

What percentage of school age pupils are from ethnic minority background in Swansea 35% 25% 3% 10% 12%

Benefits of a diverse population Adds fresh skills/ experiences to communities & societies Mainstream community can experience things from outside their culture (food/ festivals/ ideas) Young people learn and respect other cultures and communities and become part of global community

Different Cultures bring Belief Religion Language Traditions Patterns of communication Family structures Attitudes towards elders Music Dance Dress Community

Cultures change, people change. The younger members of a cultural community will not necessarily have the same views or values as their older peers.

Respecting differences Diversity Respecting differences

Prejudice Prejudgement Stereotyping Shared group traits Discrimination The way we act

Terminology Acceptable Not Acceptable Coloured Black Half caste Chinky Nigger Chinky Paki Gypo Asian Oriental

Racism A Factor for Disengagement... “…ethnic minority young people disengaged from education as a result of racism.”

Effects of discrimination Alienates victims Isolation/ depression/ mental health issues/ self harm No sense of belonging Identity issues Group who have been discriminated against may lose confidence in society Legal implications

The impact of Racism on Health Research shows that there are significant links between experiences of racism and discrimination and poor physical and mental health, reduced productivity and reduced life expectancy. Racism also prevents social and economic participation which can in turn cause social exclusion and entrench disadvantage, sometimes for generations.

Racism remains a “significant issue” in Wales with the recession fuelling a culture of blame, according to a new report. When racism is occurring, victims are not reporting or challenging it, but instead changing their behaviours, language and clothing to “fit in”. Muslim girls and women in particular reported their head scarves being pulled off and people calling them names because of their religion. A “significant proportion” of people experienced racism in the street from people driving or walking past them, while others said they experienced it outside the school gates, in shops, on public transport and even at places of worship.

Allowing ‘jokes’ or ‘banter’ about someone’s skin colour, nationality, religion or culture creates a society where that behaviour is deemed acceptable and paves the way for ridicule, name calling, exclusion and more serious forms of racism like violence and murder.

Engaging BME communities into Mental health services BME Youth Identity Alienated by family & comm. Izzah Street Culture (Drugs/ Alcohol/ peer pressure) Mental Health /Spirit possession (jinn) , Black Magic Threat of /to Marriage

Barriers may include: Lack of accessible information or culturally appropriate services Language barriers and misunderstanding about for example medical terms. Poor experience of health and social care services and professionals that are not culturally sensitive or aware Stigma surrounding particular types of ill health and disability. Differing views and attitudes among the health and social care worker and the person needing care could impact upon treatment and support given.

Removing :- By creating the right services means that, as providers need to understand the demographics of the community we serve. And that includes profiling BME and other marginalised groups that have been labelled as ‘hard to reach’.

Increased the BME representation in our workforce Established partnership-style working relationships with local BME groups, which allow ideas and experiences to be exchanged. Ensure BME communities have formal representation on our governing body. Increased the BME representation in our workforce

Engage in outreach, via voluntary and other third sector organisations, to ensure we stay tuned in to what’s going on in hard-to-reach communities and keep up to date with changing BME demographics in the local population

patient stories shared at training or review sessions highlighting patient experience

& more costly for the health providers in long run Reluctance to access services may result in mental health problems becoming more severe before diagnosis, treatment and support is obtained. & more costly for the health providers in long run Lets try to engage early….

Do not be judgemental Show empathy to all Treat everyone individually Seek expert advice for support Be culturally sensitive

What is it all about? It is about recognising and respecting difference and the diversity that exists within society It is about providing quality services and fair opportunities for all

Thank You EYST Unit B, 11 St Helens road Swansea SA1 4AB www.eyst.org.uk 01792 466980