1. ‘Inside Outside’ A programme for change

2. Delivering Race Equality

3. David ‘Rocky’ Bennet
‘…institutional racism in the mental health service’ 

4. Inside/Outside: Improving mental health services for black and minority ethnic communities in England

5. Delivering Race Equality
there is an over-emphasis on institutional and coercive models of care;
professional and organisational requirements are given priority over individual needs and rights;
institutional racism exists within mental health care

6. Delivering Race Equality
The programme is based on three 'building blocks’:
more appropriate and responsive services - develop organisations and the workforce, improve clinical services, improve services for specific groups
community engagement - supported by 500 new Community Development Workers; and
better information - Improve monitoring of ethnicity… and improved knowledge about effective services

7. Race Equality Audit
Detentions under the Mental Health Act - Black people are 4 times likely to be detained compared to white population
Access to treatment - Black and Asian people are less likely to receive treatment for mental or emotional problems and thus less access to talking therapies
Gender and common mental disorder - 29% of black/black British women experienced a common mental disorder in the past week, at a much higher rate compared with White British women and other BAME women
Psychotic disorder - Significantly higher percentage of black men experienced a psychotic disorder in the past year than white men

8. Rates of Detention (per 100,000) 2016-2017

9. ‘What has changed?’
‘ How little had changed over the past 40 years with some BME communities continuing to be admitted compulsory at an alarming rate’
Ethnicity and long-term course and outcome of psychotic disorders in a UK sample; the AESOP Study
Morgan et al 2017

10. HOBV 8 Pledges made by SWLSTG
Development of the ‘Inside and Outside programme’
BME Mental Health Forum
Family Care Networks
IAPT Co production
Building a movement through dialogue and conversations