MERIDEN FAMILY PROGRAMME Cultural Diversity and Family work Special Interest Group

1. MERIDEN FAMILY PROGRAMMECultural Diversity and Family workSpecial Interest Group Ranjit Senghera Race Equality Regional Lead NIMHE West Midlands Monday 21st February 2005

2. The National Institute for Mental Health in England July 2001 – a world first Policy Implementation Monitoring Research and Development National Office with 8 RDCs

3. NIMHE West Midlands’ Programmes • Acute Inpatient • Suicide Prevention • New Models of Community • Teams • Primary Care • Workforce • Race Equality and Ethnicity • Prison Mental Health • CAMHS • Older people • Service Redesign • Social Inclusion • Substance Misuse • Dual Diagnosis • Voluntary Sector • User Involvement • Carer Involvement • Out of Area Treatment • Personality Disorder • Knowledge Management • Mental health of Women • Mental heath promotion • Leadership and Team Effectiveness

4. NIMHE West Midlands Mission Statement • We aim to support a whole systems approach to establishing mental health services that could be used with confidence by our families, our friends and ourselves. NIMHE West Midlands’ Mission Statement

5. Recent National Agenda on Ethnicity and Mental Health • Race Relations (Amendment) Act , 2000 and Human Rights Act ,1998 • Inside outside: Improving Mental health services for Black and minority Ethnic Communities (2003) • Delivering race equality in mental health : An Action Plan for reform inside and outside (2005) • And The Government’s response to the independent inquiry into the death of David Bennett (2005) • Community Development Workers for Black and Minority Ethnic Communities – Interim Guidance (2004)

6. Three key building blocks • Better Information • Appropriate and responsive services • Engaged communities and to support mental health agencies to meet the national target on Community Development workers (CDWs)

7. Better information • National Ethnicity and Mental health Census – March 2005 • Awareness Road shows – Oct 2004 – Jan 2005 • Promotional video and Census pilots sites – 5 across the west midlands – North Staffs combined Healthcare, BSMHT, Dudley, North Warwickshire, Worcestershire • Census Technical Road shows – 2nd March 2005 in Birmingham • Data Analysis – Healthcare Commission & Mental Health Act Commission • Service User Project – Questionnaire – June – Oct 2005

8. Appropriate and responsive services • Race Equality scheme and action plans on developing cultural capability frameworks – feed into governance frameworks of organizations – Sir Nigel Crisps Ten Point Plan on Race Equality • BME Themed reviews – needs analysis and identify gaps for developing action on the ground. • David Bennett Audits – Responses and Actions on recommendations • Performance Indicators – analysis on serious untoward incidences, violent incident reports and safety measures in relation to racial and cultural issues.

9. Appropriate and responsive services • Action to develop the workforce • Developing a culturally capable workforce – Sainsbury Centre for Mental health – looking at practice and innovation • NHSU – the 10 essential shared capabilities • A race equality and cultural capability framework • Development of workshops and toolkits for delivery • Action to improve clinical services • Improving pathways to recovery – NIMHE/CHIMES project on whole systems change – community, primary care, inpatients, forensic services

10. Engaged communities • Community Development Workers for Black and Minority Ethnic Communities – Interim Guidance (2004) • Department of Health’s target to employ 500 CDWs by December 2006 • Primary Care Trusts (PCTs) are responsible for meeting this target, in partnership with local agencies i.e. Mental Health Trusts, Community and Voluntary sector • West Midlands – BBC SHA – 28 CDWs target • CDW Pilots in West Midlands – Sandwell (CAMHS); South Warwickshire (adults); Birmingham (specific role – Chinese communities)

11. Aim of the CDW • To enable greater understanding and ownership of the issues facing people from BME communities • To ensure real improvement in the commissioning and provision of mental health services across the full age range • To ensure full participation and greater ownership in the development of effective health and social care with BME communities recognising their experiences and reflecting their aspirations • A Change agent; Service Developer; Capacity builder; Access Facilitator

12. Community Engagement Projects • Action to build healthier communities • Action to engage communities and change commissioning – BME LIT Themed Review • Aston Christian Centre - Vine Project, Birmingham – to develop appropriate access to counselling services for African Caribbean communities • BME Consortium, Wolverhampton – Needs assessment and capacity building with the Asian Men's Support Group • Pilots – April 2005; Projects - TBC

13. National Focused Implementer Sites • Role of the Focused Implementer sites are • a whole systems implementation of Race Equality in mental health across the health economy and • will integrate the experiences, values, approaches and knowledge of the service user, local communities, and the non- statutory sector into the whole system resulting in a fully culturally capable/competent organisation • Two sites per region; selection phase 15.2.05

14. Programmes of work within NIMHE West Midlands • Joint work with Users In Partnership – Letting through Light • Joint work with Carers in partnership – Scoping exercise across region • BME agenda within CAMHS – Event and strategic action Plan • Early Intervention and BME agenda – Hot house and new ways of working • Mental Health Promotion – promotion of celebrating cultures • Social Exclusion/Inclusion agenda – Direct Payments • Suicide prevention – awareness of targets around ethnicity • Older adults – CDW agenda • Voluntary sector – key role of community, faith based organisations • Prisons mental health – BME strategy • Mental health Bill Road shows to the BME Communities – April – June 2005

15. Cultural Diversity and Family work • People felt that supporting and empowering the families and carers was an important part to improving mental health experiences • That failure to acknowledge the effects of mental health problems on the wider family compounded the possibility of greater mental distress • ‘How to listen to the family and give support so they don’t suffer and also breakdown after caring for their loved ones and family members, is important’ • Real Vices, 2003 • PCTS to ensure that carers, families and advocates of patients from BME communities are involved in the care and recovery planning processes • Delivering Race equality in mental health care, 2005

16. Cultural Diversity and Family work Network? • Why are you here today? • Why will you be here tomorrow? • What vision to you see for this agenda by 2010?

17. Cultural Diversity and Family Work Network? • Aims of the group? • Why do you come to the meetings, • what do you gain from the meetings and • what do you hope to gain from the meetings • Objectives of the group? • Is it about sharing practice? • Is it about sharing networks? • Is it about identifying gaps in service provision? • Is it about identifying training needs? • Is it about developing culturally appropriate and sensitive family services to the BME communities?

18. Cultural Diversity and Family work • Where is the Ownership of the group? • Memberships of the group? • Model of the network, do people feel it is useful? If not what would you like to see; if like, what would you like to see improved? • Where is the leadership and mentoring around the diversity agenda? • Does it exist within the network? Can it develop within the network? • This is your network, what vision do you see for its progress in 5 years time – 2010?

19. Cultural Diversity and family work network • How can NIMHE West midlands support the continuation and development of a strategic network/group focusing on Cultural diversity and family work?

20. Negative perceptions of BME families Viewed as problematic and complex Interfering and troublemakers Focus on person not family Inter-generational conflict Social issues Myths, stereotypes, racism ‘Special’; ‘appropriate worker required Eurocentric model of psychiatry not sensitive to cultural traditions, belief systems and spirituality Positives perceptions of BME families Supportive and caring Respectful and trusting Have their own identity, traditions, norms, values and belief systems Listen and learn Need support and awareness like any other family Want respect and dignity from others Want services that are culturally sensitive and appropriate to their needs Cultural Diversity and Family work

21. Concluding remarks • This is your agenda – own it , shape it and make it happen! • Don’t get too lost in the agenda around how it will happen, take one step at a time and think of your longer term vision and aim for that! • Awareness, knowledge and common and effective communication – verbal and non-verbal - are the ways forward, so that people can function in diversity and use the richness inherent in a multi cultural society towards greater understanding and harmony • “If one can identify the similarities, differences can be easily overcome” Bhattacharyya, A. 1999

22. Contact details Ranjit SengheraRace Equality Regional Lead Tel. 01527 587622Email. Ranjit.senghera@nimhe.wmids.nhs.ukwww.nimhe.org.ukwww.nimhewm.org.uk