City Research Online

Abstract

Black individuals are disproportionately impacted by complex traumatic events. Despite the higher prevalence of trauma within Black adults, significant barriers exist for these groups in accessing mental health services to address their trauma. This research aimed to understand how best to support Black adults with complex trauma to ensure they receive timely culturally appropriate and effective care.

This work utilised a mixed-methods design, firstly by understanding the current evidence base for cultural adaptations to trauma care when working with racialised minority groups through a mixed-methods systematic review with meta-analysis. This was followed by an electronic healthcare record quantitative component exploring demographic variations in the receipt of trauma care within a diverse inner-city London borough, exposing current routine practices. Finally, the research explored through qualitative work the direct lived experiences Black adults with complex trauma have when navigating current mental health services and paying attention to their journeys and views of mental health support.

This research contributes to a growing call for more established trauma-informed care approaches within services, with unique insights into ensuring these approaches are crucially culturally informed and sensitive to the needs of Black adults. A significant, system-wide shift is necessary within services to ensure services do not perpetuate further distress these groups have when accessing mental health care, maintaining cycles of racial injustices and harm. This work concludes with implications for future research, practice, and policy to reduce these inequities these groups have when seeking support for complex trauma through services.

Publication Type:	Thesis (Post-Doctoral)
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine R Medicine > RT Nursing
Departments:	School of Health & Medical Sciences > Department of Nursing & Midwifery School of Health & Medical Sciences > School of Health & Medical Sciences Doctoral Theses Doctoral Theses

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