Anthony, EC; (2015) Pathways, Barriers and Facilitators to Psychological Therapy for Members of Black African Communities in the UK. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis explores the experiences of members of Black African communities during the process of seeking help for mental health problems. Part 1 is a systematic review of the literature on barriers and facilitators to accessing mental health care for members of Black African communities. Findings suggest that barriers experienced include the different world views held by services compared with members of this population, stigma, and lack of information. There is a paucity of research on facilitators to accessing mental health care. Studies focussing on this have found that increasing information provision and changing services would make them more accessible. Part 2 is an empirical study into the pathways taken by members of Black African communities to access NHS psychological therapy services. Qualitative interviews were used to find out how participants came to access psychological therapy, including triggers to help seeking and other sources of help and support. In particular, barriers and facilitators to accessing services were discussed. Barriers faced by participants included lack of information, stigma and reluctance to disclose, while facilitators included encouragement from others, and recognition of the need for help. There was no typical pathway although all involved a general practitioner. Part 3 is a critical appraisal examining the assumptions implicit in the literature review and empirical paper, and methodological challenges raised when studying these topics.

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