Racism, early psychosis, and institutional contact: A qualitative study of Indigenous experiences

Making Education Easy

Authors:

Manuel J et al.

February 8, 2024

Summary:

A qualitative study informed by Critical Race Theory has illustrated the inter-related nature of interpersonal, institutional and structural racism experienced by young Māori within the mental health sector. Focus groups and individual interviews were conducted with nine Māori youth with early psychosis, ten family members and four Māori mental health professionals. Three major themes were identified: (1) selective responses based on racial stereotypes; (2) race-related risk assessment bias; and (3) institutional racism in the mental health workforce. Reported impacts of racism were inaction in the face of social need, increased use of coercive practices and an under-resourced Māori mental health workforce. Social responsiveness, risk discourse and the distribution of workforce expenditure are important targets for anti-racism efforts, concluded the study authors.

Comment:

Well written and considered paper demonstrating the levels of racism in mental health, and how they play out for people within its ecosystem.

Reference: Int J Soc Psychiatry. 2023;69(8):2121-2127.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.