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The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales

Smith, S. M., Kheri, A., Ariyo, K. , Gilbert, S., Salla, A. ORCID: 0000-0002-7481-2795, Lingiah, T., Taylor, C. & Edge, D. (2023). The Patient and Carer Race Equality Framework: a model to reduce mental health inequity in England and Wales. Frontiers in Psychiatry, 14, article number 1053502. doi: 10.3389/fpsyt.2023.1053502


The Patient and Carer Race Equality Framework (PCREF) is an Organisational Competence Framework (OCF), recommended by the Independent Review of the Mental Health Act as a means to improve mental health access, experience and outcomes for people from ethnic minority backgrounds, particularly Black people. This is a practical framework that should be co-produced with and tailored to the needs of service users, based on quality improvement and place-based approaches. We aim to use the PCREF to address the longstanding epistemic justices experienced by people with mental health problems, particularly those from minoritised ethnic groups. We will outline the work that led to the proposal, the research on racial inequalities in mental health in the UK, and how the PCREF will build on previous interventions to address these. By taking these into account, the PCREF should support a high minimum standard of mental health care for all.

Publication Type: Article
Additional Information: Copyright © 2023 Smith, Kheri, Ariyo, Gilbert, Salla, Lingiah, Taylor and Edge. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Publisher Keywords: competency framework, public mental health, mental health inequality, ethnic minority, epistemic injustice
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: School of Health & Psychological Sciences > Nursing
SWORD Depositor:
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