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All in the mind

Ethnic minorities suffer high rates of mental illness—because of their background as migrants, not racism

by Swaran Singh / September 22, 2010 / Leave a comment
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Published in October 2010 issue of Prospect Magazine

Swaran Singh: the social environment of immigrants explains their high rates of psychosis


Race is everywhere in British psychiatry. Responding to charges of institutional racism, politicians promise to make services more culturally sensitive. Black mental health groups argue for ethnically matched clinicians and special services for minorities. Yet, despite millions spent on equality initiatives, the number of black patients on psychiatric wards remains stubbornly high. Afro-Caribbeans are 44 per cent more likely than whites to be sectioned, 29 per cent more likely to be forcibly restrained, 50 per cent more likely to be placed in seclusion, and make up 30 per cent of inpatients on medium secure psychiatric wards.

To anti-racists this is a vivid illustration of the extent and entrenchment of institutional racism. In 2004, John Blofeld, a former high court judge, led an investigation into the death of black schizophrenic patient David Bennett at the Norvic clinic in 1998. Blofeld’s inquiry concluded that at the time, the mental health services were “a festering abscess” of institutional racism. Lee Jasper, ex-mayoral adviser to Ken Livingstone and former chair of the African Caribbean Mental Health Commission, said the inquiry proved the mental health service was like one in “an institutionally racist state.” He said: “Would you send your mother, if she were black, to a mental health institution? Not on these figures.”

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About this author

Swaran Singh
Swaran Singh is professor of social and community psychiatry at Warwick University and a consultant NHS psychiatrist
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