{"id":49725,"date":"2021-03-03T14:56:06","date_gmt":"2021-03-03T13:56:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49725"},"modified":"2021-03-08T18:31:51","modified_gmt":"2021-03-08T17:31:51","slug":"findings-on-racism-in-psychiatry-underpin-the-importance-of-equality-action","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/03\/findings-on-racism-in-psychiatry-underpin-the-importance-of-equality-action\/","title":{"rendered":"Findings on racism in psychiatry underpin the importance of equality action"},"content":{"rendered":"<p><span style=\"font-weight: 400\">A <a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n181\">recent survey by the Royal College of Psychiatrists<\/a> found that almost six in ten of Black, Asian and minority ethnic respondents had experienced racism in the workplace, affecting either themselves, their colleagues, or patients. Although the sample size was select (689 responses of which 233 were from ethnic minority psychiatrists), the findings are shocking, and align with <\/span><a href=\"https:\/\/www.kingsfund.org.uk\/sites\/default\/files\/2020-07\/workforce-race-inequalities-inclusion-nhs-providers-july2020.pdf\"><span style=\"font-weight: 400\">other research<\/span><\/a><span style=\"font-weight: 400\"> and personal stories that we\u2019ve both heard of in our time working in the health service.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Psychiatrists outlined a range of different personal responses to their experiences of racism in the workplace, including feeling embarrassed and humiliated, intimidated and bullied, and isolated. These incidents had affected their health (over a quarter of ethnic minority respondents said their own health has been impacted), and caused some to even consider leaving their jobs altogether. Those who had seen abuse directed at colleagues found it deeply concerning, and understandably, painful to watch.<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, reporting rates appeared to be low. Of the minority ethnic psychiatrists who had experienced or witnessed racism\u2014only 29% could confirm the case had been reported. This raises questions around people\u2019s confidence in coming forward, as well as whether current reporting mechanisms are effective enough.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">These results are uncomfortable, but how can we change things?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">As much recent research has found, the drivers of this kind of discrimination in the workplace are complex and deep-rooted. As the body that represents psychiatrists in the UK, and with 39% of members from ethnic minorities, the Royal College of Psychiatrists has a critical role to play in addressing these issues. The <\/span><a href=\"https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/about-us\/equality-diversity-and-inclusivity\/equality-action-plan---january-2021.pdf?sfvrsn=af74a81a_4\"><span style=\"font-weight: 400\">RCPsych Equality Action Plan<\/span><\/a><span style=\"font-weight: 400\"> sets out the College\u2019s strategy to address the structural and institutional discrimination that affects the delivery of mental healthcare and career progression and wellbeing of staff.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Action Plan includes work on an improvement collaborative to support use of the <\/span><a href=\"https:\/\/www.rcpsych.ac.uk\/docs\/default-source\/improving-care\/nccmh\/amhe\/amhe-resource.pdf\"><span style=\"font-weight: 400\">Advancing Mental Health Equalities Resource<\/span><\/a><span style=\"font-weight: 400\">, developed by the National Collaborating Centre for Mental Health and NHS England and Improvement. The resource provides guidance to improve care for all those with protected characteristics, including people from minority ethnic groups. The Action Plan also supports the use of organisational competency frameworks such as the <\/span><a href=\"https:\/\/www.slam.nhs.uk\/about-us\/equality\/patient-and-carer-race-equality-framework-pcref\/\"><span style=\"font-weight: 400\">Patient and Carer Race Equality Framework<\/span><\/a><span style=\"font-weight: 400\"> which drives transformation, with equity in services as the primary goal.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Looking at the results of this survey, for us, three areas of importance spring to mind. Leadership, training and support.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Leaders who take a strong position on discrimination and set up efficient and supportive reporting processes are key to fostering a positive culture within their workplace. T<\/span><span style=\"font-weight: 400\">hey must also ensure they\u2019re gathering and making the best use of\u00a0related\u00a0data\u00a0to be able to understand where issues are and\u00a0whether solutions are having any\u00a0real impact.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Training is also incredibly important. Employers in the NHS already run training on equality for their staff, but what is key is ensuring that this training is meaningful, that it focuses on the understanding of discrimination and the prejudice it stems from; how unconscious bias affects decision-making; structural inequality, and the importance of developing practical strategies to avoid the abuse of the power differential in mental health.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Supporting staff is paramount for the NHS, and covid-19 has really brought this to light. To perform at their best, staff must be supported so they feel welcomed and able to talk to their employers and taken seriously. Essentially, healthcare staff must feel valued.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The College is also expanding its work in these three areas, through strengthening its leadership and accountability on equality issues, reviewing the core and higher training curricula, and prioritising workforce wellbeing.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Minority ethnic doctors give much to the NHS. We will be working hard to support them and contribute to fostering a positive and welcoming culture and enhancing staff wellbeing and performance. This work will not only lead to improvements for staff, but ultimately to better outcomes for patients.<\/span><\/p>\n<p><strong>See also<\/strong>: <a href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/02\/09\/tackling-racism-in-the-nhs-we-need-to-listen-to-the-voices-of-ethnic-minority-staff\/\">Tackling racism in the NHS\u2014we need to listen to the voices of ethnic minority staff<\/a><\/p>\n<p><em><strong>Shubulade Smith<\/strong> is Clinical Director of Forensic Services at the South London and Maudsley NHS Foundation Trust and one of the two Presidential Leads for Race and Equality at the Royal College of Psychiatrists. Twitter <a href=\"https:\/\/twitter.com\/drladesmith?lang=en\">@DrLadeSmith<\/a><\/em><\/p>\n<p><em><strong>Rajesh\u00a0<span class=\"il\">Mohan<\/span><\/strong>\u00a0is a consultant Rehabilitation Psychiatrist at the South London and Maudsley NHS Foundation Trust, and one of the two Presidential leads for Race and Equality at the Royal College of Psychiatrists. Twitter <a href=\"https:\/\/twitter.com\/raj_psyc?lang=en\">@raj_psyc<\/a><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A recent survey by the Royal College of Psychiatrists found that almost six in ten of Black, Asian and minority ethnic respondents had experienced racism in the workplace, affecting either [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/03\/findings-on-racism-in-psychiatry-underpin-the-importance-of-equality-action\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":43131,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-49725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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