Developing mental-health services for multicultural societies

doi:10.1017/CBO9780511543609.031

29 - Developing mental-health services for multicultural societies

from Part IV - Theoretical aspects of management

Published online by Cambridge University Press: 11 August 2009

Harry Minas

Edited by

Dinesh Bhugra and

Kamaldeep Bhui

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Harry Minas: Affiliation:
Victorian Transcultural Psychiatry Unit Level 2, Bolte Wing St Vincent's Hospital 14 Nicholson Street Fitzroy VIC 3065 Australia
Dinesh Bhugra: Affiliation:
Institute of Psychiatry, London
Kamaldeep Bhui: Affiliation:
Barts & The London, Queen Mary School of Medicine and Dentistry

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Summary

EDITORS' INTRODUCTION

The movement of people across the globe has been at an unprecedented scale in the twentieth century. The impact of migration has been studied more on individuals and migrant groups and less on the societies to which people migrate. The health needs of healthy migrants are different from those who may accompany them. In addition, the impact of such healthcare demands on the societies and their resources has to be studied systematically. The systems of healthcare in multicultural societies are likely to be influenced by the social status of the migrants. The development of services, especially psychiatric ones, has to take into account post-migration stress and stressors.

Minas in this chapter sets the scene for needs of migrant communities and the shape of psychiatric services that can deliver the healthcare that will be effective. Furthermore, the key features of these services for culturally diverse societies have to be effective and equitable. The main characteristics would be jointly defined by patients, carers, community and service providers, who will also determine where services are provided, how capacity is developed and respond appropriately to religious, cultural and communication needs of patients. Mental-health services have to be developed in the context of national, regional and local policies. However, Minas argues, a central requirement for reform is an understanding of the policy cycle, which has six components. These include defining the problem, diagnosing the cause of the problem, making political decisions and implementing them, followed by evaluation. The engagement of key stakeholders is an important step.

Type: Chapter
Information: Textbook of Cultural Psychiatry , pp. 388 - 401

DOI: https://doi.org/10.1017/CBO9780511543609.031 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2007

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