Mental health services for young people from black and minority ethnic backgrounds: the current challenge

Research has highlighted problems in accessing mental health services for people from minority ethnic groups. Much of this literature is focused on adults. The Minority Voices study aimed to identify and describe the perceptions and use of mental health services from the viewpoint of black and minority ethnic (BME) young people aged between 12 and 25 in England and Wales, and to examine initiatives designed to improve the access to, and acceptability of, services for these young people. It used a mixed methods approach, including a literature review, national service mapping, in‐depth interviews and focus groups in four sample areas and action research in preparing materials designed by BME young people. A number of issues that impede access to services, and that are specific to them, were identified and explored with young people from BME groups. These include concerns related to discrimination and racism, confidentiality, family and community pressures, uncertainty about any help they may receive, and marked fears of the stigma that surrounds mental health difficulties. Within services, a lack of capacity of targeted services and of cultural competence were highlighted. The research concluded that there is a need to improve awareness of mental health and information about services among BME communities, and for child and adolescent mental health services (CAMHS) to work with these communities to explore ways in which acceptable and appropriate mental health expertise can be made more readily available through both informal and mainstream provision.