In the UK the rates of depression and suicide are on the rise, with the last known statistic suggesting 1 in 4 adults experience a diagnosed mental health issue. The statistics suggest that 1 in 10 children and young people have a mental health problem including depression, anxiety and conduct disorder, with 70% of children and young people not having had an appropriate intervention at a sufficiently early age. This is worrying. What is more worrying is the constraints and challenges faced when attempting to access mental health services.
Having spent a decade working in the mental health field with children, young people and adults I have heard one too many narratives of how our community struggles to overcome the barriers and challenges which prevent people from accessing statutory mental health services. And for those who access services, the challenges they face are numerous.
Following the brutal austerity measures and financial crises here in the UK, as well as an increase in racist and Islamophobic hate crimes in a post Brexit society I question if we are experiencing further mental health distress. How does race intersect with the crisis people of colour experience at being disproportionately affected and diagnosed with the label of a mental health problem?
In July, several colleagues and I went to the streets of London and took part in a Black Lives Matter protest. Many of us were and still are outraged at the racial injustices towards our brothers and sisters. During the protest I felt at home with many of my black brothers and sisters and it reminded me of some of my driving forces. One of which is knowing that our mental health system has many flaws. More often than not, members of our community fall through the cracks or do not receive appropriate support. One way we have tried to tackle this issue is with the rise of grassroots community organisations.
With an awareness that our National Health Service continues to experience cuts, and staff are continually stretched I remain optimistic, although some might call me disillusioned. When we compare our mental health system with America for example, I consider the benefits of receiving therapy on the NHS. Many of my clients have often come from a lower socio-economic background which has meant that they would not be able to access therapeutic services if it was not for the NHS.
That said, people of colour face many challenges in accessing appropriate mental health support. We need a mental health system that acknowledges different knowledge systems and ontologies in order to better meet the needs of these communities. I believe that this can be achieved by inciting structural change within the systems which at times perpetuate the disparity of mental health care our cultural groups receive.
I have been fortunate to meet several psychologists and psychotherapists employed within the NHS tackling some of these concerns and encouraging a shift in white Western paradigms that are not always functional for people of colour. As well as working in the NHS, I also engage in independent work and through this avenue I am passionate for us to build safe spaces where we can have open and honest discussions about the difficulties and distress we experience as people of colour in Luton and Birmingham. If you are interested in self-care and taking care of your mental health please get in touch (author contact details below).
About the author
Dr Amirah Iqbal is a womanist, an advocate for equality, a counselling psychologist, a writer and an activist. She has worked with many disenfranchised groups in Birmingham, and more recently Bedfordshire, notably Black (African, Caribbean and Asian) communities. In her spare time she enjoys reading, travelling, painting (the key word being abstract), exploring, writing, meditation and prayer. She can be found on Twitter and Facebook.
Disclaimer: the opinions expressed in this article are solely those of the original author and do not necessarily reflect the views of the website.
Image credit: Jon Grainger