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The recent re-structuring of the British National Health Service (NHS) involving a greater emphasis on community treatment has not specifically taken account of the unequal access to mental health services experienced by black people. The greater use amongst black people of compulsory orders, police involvement and reliance on psychotropic medication, although well established, has not influ enced policy or led to a strategy to ensure that services appropriately meet the needs of the culturally diverse population in this country. We present the literature on service utilisation by black people and potential solutions in areas with which black people are dissatisfied. The service structures, idoology and mechanisms presented form the foundations of good practice. © 1995, Sage Publications. All rights reserved.

Original publication




Journal article


International Journal of Social Psychiatry

Publication Date





242 - 256