Consultations With Muslims From Minoritised Ethnic Communities Living in Deprived Areas: Identifying Inequities in Mental Health Care and Support

Author:

Tannerah Ashraf12ORCID,Hazel Oluwalolami3,Desson Sheree14,Farah Rahima56,Kamil‐Thomas Zalihe1,Iqbal Halima7ORCID,Eames Catrin1ORCID,Saini Pooja1ORCID,Bifarin Oladayo148ORCID

Affiliation:

1. School of Nursing and Advanced Practice, School of Psychology Liverpool John Moores University Liverpool UK

2. Alder Hey Children's NHS Foundation Trust Liverpool UK

3. Expert by Lived Experience

4. Mersey Care NHS Foundation Trust Liverpool UK

5. Central Liverpool Primary Care Network Liverpool UK

6. Liverpool City Council Liverpool UK

7. School of Nursing and Healthcare Leadership University of Bradford Bradford UK

8. Senior Research Leader Programme National Institute for Health and Care Research (NIHR) London UK

Abstract

ABSTRACTBackgroundLimited research concerning existing inequities in mental health care and support services in the United Kingdom captures perceptions and lived experiences of the significantly underrepresented Muslim population.MethodsUnderpinned by social constructivist theory, we used consultation to facilitate public and patient involvement and engagement (PPIE) to identify inequities in mental health care and support experienced by Muslims from minoritised ethnic communities living in deprived areas in Liverpool, UK. The rationale was to (a) better inform standards and policies in healthcare and (b) provide a psychologically safe space to members of the Muslim community to share perceptions and experiences of mental health care and support services. To ensure trustworthiness of the data, member checking was adopted. This paper describes the procedure to achieving this consultation, including our recruitment strategy, data collection and analysis as well as key findings.FindingsTwenty‐seven consultees attended the women's consultation and eight consultees attended the men's consultation. Consultees were from Yemeni, Somali, Sudanese, Egyptian, Algerian, Pakistani and Moroccan communities and share the Islamic faith. Four key interlinked themes were identified from consultees' narratives: (1) broken cycle of trust; (2) an overmedicalised model of care; (3) community mental health prevention initiatives; and (4) culturally conscious training and education.ConclusionsThe Muslim population has identified numerous barriers to accessing mental health support and there is a need to resource activities that would aid deeper understanding of mental health support needs through continuous and meaningful community initiatives. This would afford mental health practitioners and organisations opportunities for developing realistic anti‐racism strategies, effectively adopting social prescription, strengthening partnerships and collaborations aimed at supporting delivery of evidence‐based mental health care provisions to tackle mental health inequities.Patient and Public InvolvementThis paper reports on the involvement and engagement of Muslims from minoritised ethnic communities living in the Liverpool city region.

Publisher

Wiley

Reference67 articles.

1. “How Life Has Changed in Liverpool: Census 2021 ” Office for National Statistics accessed April 29 2023 https://www.ons.gov.uk/visualisations/censusareachanges/E08000012/.

2. Islamophobia: A British Muslim Perspective

3. S.Al‐Alaway “How Do Mental Health Practitioners Consider and Understand Identities Beliefs and Practices That Are Associated With Islam When Encountered in Clinical Practice” (London: University of East London School of Psychology 2020).

4. The Mental Health of Muslims in Britain

5. Stigma on mental illness in the Arab world: beyond the socio-cultural barriers

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