The British Journal of Psychiatry · 2003 · 74 citations · 4 references
EthnicityFamily MedicineHealth Care DisparityEducationEthnic Group RelationNew YorkMental HealthRacial DisparitiesRaceTranscultural StudiesSeparate ServicesAfrican American StudiesCultural DiversityMedical AnthropologyRacial GroupSeparate Psychiatric ServicesMental Health CounselingHealth Services ResearchEthnic DiscriminationPsychiatryNursingCommunity Mental HealthCross-cultural PerspectiveCultural PsychiatryAdult Mental HealthCulture ChangePsychiatric ServicesMedicine
Calls for culturally competent psychiatric care have led to the creation of separate services in places such as San Francisco and the UK, where wards and voluntary sector programs target specific ethnic groups. The study questions whether these separate services are an effective strategy, whether they bring lasting change, and whether they can function in multilingual major cities such as London, Paris, or New York.
For decades there have been calls for psychiatric services to be more culturally competent. Frustration with a perceived slow pace of change has led to the development of separate services. For instance, in the USA, San Francisco General Hospital has psychiatric wards with different ‘ethnic focuses' – East Asian Americans, African Americans and Hispanic Americans are admitted to different wards. In the UK, the National Health Service has developed culturally specific services as well as funding voluntary sector services that target specific cultural or ethnic minority groups. Are such developments the correct way forward? Do they produce lasting change or just let general services off the hook? Can they work in major cities like London, Paris or New York where over a hundred languages are spoken?
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