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International Journal of Social Psychiatry
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Addressing Racism in Psychiatry: Is the Therapeutic Community Model Applicable?

Bridget Dolan

Forensic Psychiatry, Henderson Hospital, 2 Homeland

Kevin Polley

Henderson Hospital

Ruth Allen

Henderson Hospital

Kingsley Norton

Henderson Hospital

Several reports have documented the failure of statutory psychiatric services in Britain to provide for the needs of clients from minority ethnic groups. Black clients are particularly underrepresented in Psychotherapy for reasons which are complex and varied, but include the institutionalised racism which pervades British society. We argue that the Therapeutic Community (TC) model of treatment (or aspects of it deployed in other mental health situations) provides a potential for a less racist service. Usi ng the Henderson Hospital TC as a case in point, we argue that the TC is an approach which can meet the needs of black peoples. However, it is acknowledged that despite the ideological suitability of the TC model for black clients, in practice the Henderson Hospital is not fulfilling its role in providing therapy to this group. We discuss possible explanations and suggest the practical changes necessary, so that Henderson Hospital can meet the needs of clients in a multi-cultural Britain.

International Journal of Social Psychiatry, Vol. 37, No. 2, 71-79 (1991)
DOI: 10.1177/002076409103700201
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This article has been cited by other articles:


Home page
 Int J Soc PsychiatryHome page
K. Bhui, Y. Christie, and D. Bhugra
The Essential Elements of Culturally Sensitive Psychiatric Services
International Journal of Social Psychiatry, December 1, 1995; 41(4): 242 - 256.
[Abstract] [PDF]

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 Transcultural PsychiatryHome page
R. Littlewood
Ideology, Camouflage or Contingency? Racism in British Psychiatry
Transcultural Psychiatry, January 1, 1993; 30(3): 243 - 290.
[Abstract] [PDF]