Solanki Jay, Wood Lisa, McPherson Susan
School of Health and Social Care, University of Essex.
Psychiatr Rehabil J. 2023 Mar;46(1):14-20. doi: 10.1037/prj0000537.
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.
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.
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."
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).
在英格兰和威尔士，具有黑人种族背景的人群根据英国《精神健康法》（MHA）被作为住院患者拘留的比例过高。对该群体生活经历的定性研究很少。因此，本研究旨在探讨根据《精神健康法》被拘留的黑人种族背景人群的经历。
对12名自我认定为黑人种族背景的成年人进行了半结构化访谈，他们目前根据《精神健康法》被作为住院患者拘留。采用主题分析法确定访谈中的主题。
访谈中出现了四个主题：“帮助由他人决定，而非为我量身定制”；“我不是一个人——我是一个黑人患者”；“受到虐待或忽视而非得到照顾”；以及“被强制住院可以是一个庇护和支持的空间”。
具有黑人种族背景的人群报告称，住院拘留是一种种族主义和种族化的经历，与更广泛的系统性种族主义和不平等背景密不可分。拘留经历还从黑人种族家庭和社区内部的耻辱感以及医院外似乎缺乏的社会支持方面进行了讨论。必须以黑人种族人群的生活经历为引领，在整个精神卫生保健领域解决系统性种族主义问题。（PsycInfo数据库记录（c）2023美国心理学会，保留所有权利）
