Despite these limitations, this thesis identified that psychological therapies can reduce symptom severity associated with SMI yet disparities exist in terms of who is offered a psychological therapy in this cohort based on ethnic minority group. In the empirical paper the amount of people being offered a psychological therapy was at a comparable level to statistics provided by the NCAP report (RCP, 2019) and a high amount of service users accepted the offer. The empirical paper highlighted that certain ethnic minority groups are still less likely to be offered a therapy compared to an ethnic majority reference group, however this may have changed over time due to changes in national guidelines and frameworks.
Psychosis is a complex mental health problem with a range of potential causes and risk factors. As our understanding of this experience changes over time, so will psychological interventions which aim to reduce symptom severity. Further research is needed to unpick the findings found in this body of work to determine why access to and engagement with
psychological therapies varies between ethnic minority groups. The use of term ‘ethnic minority’ can be problematic and could be argued as reductionist (Grey, Sewell, Shapiro & Ashraf, 2013). Each ethnic minority consist of a range of cultures, histories, values and experiences that shape their beliefs around mental health and interactions with mental health services. As such the answer to these concerns may not be provided quickly or readily
available in a manualised manner or by focussing on ethnicity. A possible alternative solution could focus on exploring cultural differences and how institutional and structural power inequalities have contributed towards a person’s mental health problem. Careful
123 considerations to each service user and their own experiences are required to shape
124
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Appendix A: Journal Submission Guidelines for Authors – Social Psychiatry and Social Epidemiology
Submission guidelines Contents
Instructions for Authors
o Types of Papers o Inquiries o Manuscript Submission o Title page o Classification code o Text o Scientific style o References o Tables
o Artwork and Illustrations Guidelines
o Electronic Supplementary Material
o Ethical Responsibilities of Authors
o Authorship principles
o Compliance with Ethical Standards
o Disclosure of potential conflicts of interest
o Research involving human participants, their data or biological material
o Informed consent
o Research Data Policy
o After acceptance
o English Language Editing
o Open Choice