Arundell Laura-Louise, Saunders Rob, Barnett Phoebe, Leibowitz Judy, Buckman Joshua E J, Woodcock Felicity, Pilling Stephen
CORE Data Lab, Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
National Collaborating Centre for Mental Health, Royal College of Psychiatrists, London, UK.
BJPsych Open. 2025 May 13;11(3):e104. doi: 10.1192/bjo.2025.36.
Women from minoritised ethnic communities experience inequalities in access, experience and outcomes of psychological therapy. Understanding the factors associated with these inequalities could inform improvements to mental health services.
To explore therapists' experiences of providing treatment to women from minoritised ethnic communities, including insights on adaptations made at the delivery, content and wider organisation levels, and to gather suggestions about potential treatment improvements.
Semi-structured interviews were conducted with 13 therapists working in two National Health Service Talking Therapies for anxiety and depression services and who had experience of treating women from minoritised ethnic communities. Data were analysed using thematic analysis.
Three high-order themes were identified: incorporating ethnicity and culture in the delivery of psychological therapies, challenges associated with delivering therapeutic interventions to women from minoritised ethnic groups and improvements to services that could support better access, engagement and outcomes for women from minoritised ethnic groups.
Findings indicate that therapists viewed cultural adaptation and cultural sensitivity as important to the delivery of appropriate care for minoritised ethnic women. Challenges to appropriate care included limited service resources, communication and language barriers, stigma and existing access and engagement inequalities. Therapists suggested that, to deliver high-quality care and optimise outcomes, improvements are required in cultural sensitivity training, flexibility of service delivery, outreach work with communities to encourage uptake and reduce stigma, support for staff and workforce diversity.
来自少数族裔社区的女性在心理治疗的可及性、体验和治疗效果方面存在不平等现象。了解与这些不平等相关的因素可为改善心理健康服务提供参考。
探讨治疗师为来自少数族裔社区的女性提供治疗的经验，包括在治疗实施、内容和更广泛的组织层面进行调整的见解，并收集有关潜在治疗改进的建议。
对在国民保健服务体系的两项针对焦虑和抑郁的谈话治疗服务中工作且有治疗少数族裔社区女性经验的13名治疗师进行了半结构化访谈。采用主题分析法对数据进行分析。
确定了三个高阶主题：在心理治疗实施中纳入种族和文化、为少数族裔女性提供治疗干预所面临的挑战，以及改善服务以支持少数族裔女性获得更好的可及性、参与度和治疗效果。
研究结果表明，治疗师认为文化适应和文化敏感性对于为少数族裔女性提供适当护理很重要。适当护理面临的挑战包括服务资源有限、沟通和语言障碍、耻辱感以及现有的可及性和参与度不平等。治疗师建议，为提供高质量护理并优化治疗效果，需要在文化敏感性培训、服务提供的灵活性、与社区的外展工作以鼓励参与并减少耻辱感、对工作人员的支持以及劳动力多样性方面加以改进。
