Experiences of adults from a Black ethnic background detained as inpatients under the Mental Health Act (1983).

IF 1.8 3区医学 Q3 PSYCHIATRY

Psychiatric Rehabilitation Journal Pub Date : 2023-03-01 DOI:10.1037/prj0000537

Jay Solanki, Lisa Wood, Susan McPherson

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引用次数: 0

Abstract

Objective: People from a Black ethnic (BE) background in England and Wales are disproportionately detained as inpatients under the United Kingdom's Mental Health Act (MHA). Qualitative research into the lived experiences of this group is sparse. This study, therefore, aims to explore the experiences of people from a BE background detained under the MHA.

Method: Semistructured interviews were conducted with 12 self-identified adults from a BE background who were currently detained as inpatients under the MHA. Thematic analysis was used to identify themes across the interviews.

Results: Four themes emerged from the interviews: "Help is decided by others, not tailored to me"; "I am not a person-I am a Black patient"; "Mistreated or neglected instead of cared for"; and "Sectioning can be a space for sanctuary and support."

Conclusions and implications for practice: People from a BE background report inpatient detention to be a racist and racialized experience, inseparable from a wider context of systemic racism and inequality. Experiences of detention were also discussed in terms of stigma within BE families and communities, as well as social support that appeared to be lacking outside of the hospital. Systemic racism must be addressed across mental health care, led by the lived experiences of BE people. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

查看原文本刊更多论文

根据《精神卫生法》（1983年），黑人背景的成年人作为住院患者被拘留的经历。

目的：根据英国《精神卫生法》（MHA），英格兰和威尔士黑人背景的人作为住院患者被拘留的比例过高。对这一群体生活经历的定性研究很少。因此，本研究旨在探索在MHA下被拘留的BE背景的人的经历。方法：对12名自称BE背景的成年人进行半结构化访谈，他们目前被拘留为MHA下的住院患者。专题分析用于确定访谈的主题。结果：访谈中出现了四个主题：“帮助是由他人决定的，而不是为我量身定制的”；“我不是一个人，我是一个黑人病人”；“被虐待或忽视而不是被照顾”；结论和对实践的影响：be背景的人报告说，住院拘留是一种种族主义和种族化的经历，与系统性种族主义和不平等的更广泛背景密不可分。还从BE家庭和社区内部的耻辱以及医院外似乎缺乏的社会支持的角度讨论了拘留经历。系统性种族主义必须在be人的生活经历的引导下，在整个心理健康护理中得到解决。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

期刊介绍： The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.