Morrissey Hana, Benoit Celine, Ball Patrick Anthony, Ackom-Mensah Hannah
Consultant Pharmacist, Perth, WA 6036, Australia.
School of Sociology and Social Policy, Law and Social Sciences Building, University Park, Nottingham NG7 2RD, UK.
Healthcare (Basel). 2024 Dec 11;12(24):2506. doi: 10.3390/healthcare12242506.
The Black Country (BC) is an area of the United Kingdom covering Dudley, Sandwell, Walsall, and Wolverhampton. The area is ethnically, culturally and religiously diverse. One-fifth of the total population is in the lowest socioeconomic quintile, with an uneven distribution of wealth. The area manifests unmet needs and as perceived underserved community groups. To better understand the situation and inform future provision, listening events were organised across the BC to engage with local underserved communities. A mixed-methods design was employed, using collaborative workshops. The workshops enabled stakeholders to explore priorities, perceived barriers and solutions to mental health services' access within the BC. Sixty participants verbally consented and signed in to attend the three workshops. There were nine groups that provided 247 statements on the topic, yielding a total of 12 codes and six themes (priorities). The top identified priorities were inappropriate periodisation of accessible funded healthcare needs (n = 42, 18.03%), barriers to appropriate healthcare (n = 49, 21.03%) and limited resources for training, health promotion, preventative care and support networks (n = 62, 26.61%). Addressing the identified priorities will require location and community-specific solutions to establish those communities' trust and engagement. Cultural stigma should not be viewed as the only barrier to access healthcare but should be considered in combination with the population's reluctance to reach out to healthcare services due to loss of trust between community groups and lack of co-design of culturally and religiously appropriate services for the community.
黑乡（BC）是英国的一个地区，涵盖达德利、桑德韦尔、沃尔索尔和伍尔弗汉普顿。该地区在种族、文化和宗教方面具有多样性。总人口的五分之一处于社会经济最底层，财富分配不均。该地区存在未得到满足的需求，并且被视为服务不足的社区群体。为了更好地了解情况并为未来的服务提供提供参考，在整个黑乡组织了倾听活动，以与当地服务不足的社区进行接触。采用了混合方法设计，使用协作式工作坊。这些工作坊使利益相关者能够探讨黑乡地区心理健康服务获取方面的优先事项、感知到的障碍和解决方案。60名参与者口头同意并签到参加这三个工作坊。有9个小组就该主题提供了247条陈述，共产生了12个代码和6个主题（优先事项）。确定的首要优先事项是可获得的资助医疗保健需求的分期不合适（n = 42，18.03%）、获得适当医疗保健的障碍（n = 49，21.03%）以及培训、健康促进、预防保健和支持网络的资源有限（n = 62，26.61%）。解决确定的优先事项需要针对具体地点和社区的解决方案，以建立这些社区的信任并促进其参与。不应将文化耻辱视为获取医疗保健的唯一障碍，而应结合社区群体之间缺乏信任以及缺乏针对社区文化和宗教适宜服务的共同设计导致民众不愿寻求医疗保健服务的情况来考虑。
