January 2025
Mental health is essential to overall well-being, yet access to help can be inequitable across the UK’s diverse communities. According to the Office for National Statistics, only 1.8% of the population received treatment through IAPT (Improving Access to Psychological Therapies) services in 2017-18, despite 18.1% having a probable Common Mental Disorder (CMD). This highlights a significant gap in addressing mental health needs.
Statistics show that only 6.5% of Asian individuals with probable CMDs accessed care compared to 9.7% of white individuals, indicating severe underrepresentation. Additionally, those with English as a first language were more likely to receive treatment (9.7%) than those for whom English was not their first language (6.0%). This indicates that cultural and linguistic barriers disproportionately hinder BAME communities from seeking help.
Self-referral, a critical pathway to accessing mental health aid, is less common among BAME communities. A PubMed study (2013-16) found that BAME individuals were less likely to self-refer compared to White individuals and were more often referred through community services. Fewer BAME individuals received assessments, and even fewer accessed treatment. These patterns point to systematic obstacles and cultural stigma as barriers to care.
Despite these challenges, outcomes for BAME patients show promising trends. A 2022-23 GOV.UK study reported that over 60% of patients in every ethnic group improved after treatment for CMDs. White British patients had the highest improvement rate (67%), while Bangladeshi individuals showed the lowest (61%), representing notable progress. Between 2015-23, Asian patients experienced the largest improvement rising from 55% to 64%. However, reliable deterioration rates remain problematically higher for BAME patients, at: 5.6% for white patients, 7.6% for Asian patients, and 8.2% for ‘other’ groups. These disparities highlight the need for more tailored interventions to improve outcomes for BAME communities.
When compared to national averages, BAME communities with CMDs accessed care less frequently than Whites. Although programs like IAPT have shown improvement, these individuals still face worse overall outcomes. Addressing these disparities is crucial to ensuring equitable access to mental health care for all.