Mental health services designed for Black, Asian and Minority Ethnics (BAME) in the UK: a scoping review of case studies

Date24 January 2020
Pages81-95
DOIhttps://doi.org/10.1108/MHSI-10-2019-0031
Published date24 January 2020
AuthorMariam Vahdaninia,Bibha Simkhada,Edwin van Teijlingen,Hannah Blunt,Alan Mercel-Sanca
subjectMatterHealth & social care,Mental health,Social inclusion
Mental health services designed for Black,
Asian and Minority Ethnics (BAME) in the
UK: a scoping review of case studies
Mariam Vahdaninia, Bibha Simkhada, Edwin van Teijlingen, Hannah Blunt and
Alan Mercel-Sanca
Abstract
Purpose Mental healthdisparities exist among Black, Asian andMinority Ethnics (BAME) populations.
This paperaims to provide an overview of mentalhealth services designed for the BAMEpopulation in the
UK, bothestablished BAME communities andrefugee/asylum-seekers.
Design/methodology/approach A range of electronic databases were searched for peer-reviewed
studies conductedwithin the past decade in the UK. Using the Arksey and O’Malleymethodology, data
were extracted,analysed and summarised.
Findings A total of 13 paperswere identified, mostly non-randomisedcommunity-based. Studieswere
very heterogeneousin terms of their sample and service provided. After the initialappraisal, the authors
presented a narrative synthesis. Overall, all studies reported positive mental health outcomes and
beneficialeffects.
Research limitations/implications Because of the time limitations and quality of the papers, the
authorsonly included peer-reviewed journalpapers.
Practical implications Mental health services provided for BAME people, both established and
refugee/asylum-seekers are feasible and improve engagement with the services and mental health
outcomes. Initiatives are required to facilitate the integration of these targeted services within mental
healthand community services for BAME in the UK.
Originality/value This scoping review is a snapshot of the mentalhealth services designed for BAME
people in the UK, either established or refugee/asylum-seekers in the past 10years and adds to the
evidence-basedknowledge from these studies.
Keywords Mental health, BAME, Mental health services, BME, Minority ethnics, UK, Minorities
Paper type Literature review
Introduction
Mental health disorders (MHDs) are a global public health concern and the United Nations
and World Health Organisation set goals and action plans to promote mental health and
well-being (United nations, 2015;World health Organisation, 2013). A systematic review
and meta-analysis of 174 studies across 63 countries indicated that 20 per cent of
participants met the inclusion criteria for a common MHD within the past 12 months (Steel
et al.,2014
). This review reported that 29.2 per cent of the respondents had experienced a
common MHD at some point in their life course. The UK data shows an increasing trend for
common MHD’s since 1993, with one in six adults having symptoms of these conditions
(Baker, 2018).
Poor mental health can have a hugeimpact at both a societal and personal level as globally
32 per cent of all years lived-with-disability and 13 per cent of disability-adjusted life-years
are associated with MHD (Vigo et al.,2016). People with a mental illness compared to those
Mariam Vahdaninia,
Bibha Simkhada and
Edwin van Teijlingen are all
based at the Bournemouth
University, Poole, UK.
Hannah Blunt is based at
the Dorset HealthCare
University NHS Foundation
Trust, Poole, UK.
Alan Mercel-Sanca is
based at the UK-Nepal
Friendship Society,
Bournemouth, UK.
The Astros wish to had that they
have not received any funding
for this publication.
DOI 10.1108/MHSI-10-2019-0031 VOL. 24 NO. 2 2020, pp. 81-95, ©Emerald Publishing Limited, ISSN 2042-8308 jMENTAL HEALTH AND SOCIAL INCLUSION jPAGE 81

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