Kwame McKenzie is Professor of Psychiatry at the University of Toronto, Medical Director for Diversity and a senior scientist in social equity and health research at the Centre for Addictions and Mental Health, Toronto (CAMH, 455 Spadina Avenue, Suite 300, Toronto, Ontario M5S 2G8, Canada. Email: Kwame_McKenzie{at}camh.net) and a Professor of Mental Health and Society at the University of Central Lancashire. He was part of the team that drafted Delivering Race Equality.
Multicultural societies offer a significant challenge to mental health services. Different groups have different rates of illness, illness models, ideas of what a suitable pathway of care is and what suitable care looks like. Trying to set up services to meet all these needs can be difficult. There may need to be modifications in clinical practice, service configuration and the way services are commissioned. Ethnic minority communities face complex problems and, consequently, strategies to deal with them can be complex, requiring support from the non-statutory sector, social services and other branches of medicine. Service development often needs research, staff training, race-equality schemes and sufficient funding to make change possible. I offer here a scheme for considering how to think through service development in this area as well as introducing the government strategy, Delivering Race Equality.
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