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Chapter 35 - Race, State and Mind

from Part IV - Special Topics

Published online by Cambridge University Press:  17 June 2021

George Ikkos
Affiliation:
Royal National Orthopaedic Hospital
Nick Bouras
Affiliation:
King's College London

Summary

The period 1960–2010 was a time of marked immigration into the UK from Commonwealth countries, either to fill employment gaps in the UK or to escape hostilities and conflict as many Commonwealth countries secured independence. The political climate of the UK; attitudes to immigration and cultural integration; the evolution of mental health sciences, including British psychiatry and the Royal College; the emerging research evidence; and the controversies around why migrants and minorities appeared to have higher incidence rates of severe mental illness and poorer outcomes were, and are still, all interrelated and contribute to the lives of minorities. In the 1970s, as a community, Black African Caribbean people of the Windrush generation were concerned about their children getting police attention, which occurred in a racist and political climate of oppression. More than sixty years later, the situation has escalated and diversified so that illegal drugs, gangs and violent crime are now stereotyped as ‘Black culture’. Inequalities generated by the education and criminal justice systems, early years care and employment practices are a backdrop against which the mental health systems are positioned to respond to societal harms to the marginalised.

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