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The Mental Health Needs of African Caribbean Older People in Birmingham

SK/07. Britain is now faced with an ageing first generation who came to England in the 1950's and 1960's. SK/07. Experiences of migration. Family separationMen/Women working in heavy industry (textiles and engineering)Overcrowded housing conditionsThe need to send money back home. Difficulties with language and literacyRacism, Stigma and povertySocial Exclusion.

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The Mental Health Needs of African Caribbean Older People in Birmingham

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    1. SK/07 The Mental Health Needs of African Caribbean Older People in Birmingham Susan Kennedy BA (Hons)

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    4. SK/07 National Guidance Race Relations (Amendment)Act 2000 (www.dh.gov.uk) Breaking the Circles of Fear (2001) (www.scmh.org.uk) National Service Framework for Older People (2001) (www.dh.gov.uk) Inside Outside Report (2003) (www.dh.gov.uk) Ten Essential Shared Capabilities: A Framework for the Whole of the Mental Health Workforce (2004) (www.dh.gov.uk) Delivering Race Equality: A Framework for Action (2005) (www.dh.gov.uk) Everybody’s Business (2005) (www.dh.gov.uk) Equality Act (2006) (ww.cehr.org.uk)

    5. SK/07

    6. SK/07 Birmingham’s Black and Minority Ethnic Population 50+

    7. SK/07 The Care Continuum

    8. SK/07 Triple Jeopardy Challenge of racism, ageism and social deprivation (poor housing, lack of inappropriate services, poverty etc) faced by people from minority backgrounds.

    9. SK/07 The Mental Health Needs of African Caribbean older people More complex with interrelated physical and mental health needs Increase in the prevalence of dementia and depression in African Caribbean older people

    10. SK/07 Overall Concerns of African Caribbean Older People in Birmingham Overrepresentation of vascular dementia Under representation accessing mental health services Coming to service late or at point of crisis Symptoms commonly mistaken for ‘old age’ Stigma Lack of understanding of mental health

    11. SK/07 High Prevalence Diabetes Hypertension /High Blood Pressure Stroke Raised risk of vascular dementia.

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    16. SK/07 Guidelines to Consider when working with African Caribbean Older People and their Families

    17. SK/07 Three Main Aspects Assessment Communication Engagement

    18. SK/07 The Black Family Who does the person see as their family? (nuclear/extended/church/friends)

    19. SK/07 Healthy Paranoia Slavery and racism have shaped the social and psychological development of this group, therefore this group may be suspicious or distrusting of mental health professionals. We need to be sensitive and understanding of the historical reason for this. (Breaking the Circles of Fear, 2002)

    20. SK/07 Spirituality Spirituality is a very important factor and plays a significant role in the health and well-being of African Caribbean Older People. Spirituality could have an affect upon how individuals respond to mental health services and treatment.

    21. SK/07 Language/Communication Verbal Communication, Body language etc. Expression of emotional distress may be differ from terms used by Eurocentric older people Use of an interpreter (not a family member)

    22. SK/07 Differences/Similarities Be aware of your own stereotypical views, attitudes etc. Acknowledge differences or similarities Encourage client to talk about any issues they may have regarding racial differences

    23. SK/07 Barriers to engaging with the Black Family Racism, cultural ignorance and stigma Lack of ability to work flexibly or creatively to the challenge of cultural difference Attitude

    24. SK/07 Fresh approaches are required due to: The inequalities that B.E.M. people face in the Mental Health System The lack of trust some communities feel in relation to service providers Pathways to care differ from the majority populations’

    25. SK/07 CONCLUSION It is time to transfer knowledge from research and areas of good practice into mainstream work: To promote the delivery of appropriate and accessible services To encourage collaborative working To develop a culturally capable workforce

    26. SK/07 QUESTIONS ?

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