Between belonging and backlash: rethinking diversity, equity and inclusion in mental health

Purpose This commentary aims to examine the evolving role of diversity, equity and inclusion (DEI) policies in mental health care. It highlights both the benefits (such as improved cultural responsiveness and patient outcomes) and the criticisms related to ideological overreach, tokenism and polarisation. Design/methodology/approach A narrative, evidence-informed review of existing research and organisational practices was conducted, integrating meta-analytic findings, clinical observations and policy developments to provide a balanced perspective on DEI. Findings While DEI initiatives can foster psychological safety, enhance trust and reduce disparities, their impact is often undermined by inconsistent implementation and a lack of empirical evaluation. This commentary identifies the need for evidence-based approaches, rigorous outcome measurement and constructive dialogue to bridge polarised viewpoints. Originality/value This study offers a timely synthesis of current debates around DEI in mental health, presenting a neutral and reflective framework that moves beyond binary narratives of support or opposition.

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Publication Details

Journal
Journal of Public Mental Health
Published
2025-08-20
DOI
https://doi.org/10.1108/jpmh-07-2025-0110
Primary Topic
Cultural Competency in Health Care
Type
article
Field-Weighted Citation Impact
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article

Between belonging and backlash: rethinking diversity, equity and inclusion in mental health

Artin Mahdanian
Journal of Public Mental Health
Cultural Competency in Health Care
article

Between belonging and backlash: rethinking diversity, equity and inclusion in mental health

Artin Mahdanian
article en

Abstract

Purpose This commentary aims to examine the evolving role of diversity, equity and inclusion (DEI) policies in mental health care. It highlights both the benefits (such as improved cultural responsiveness and patient outcomes) and the criticisms related to ideological overreach, tokenism and polarisation. Design/methodology/approach A narrative, evidence-informed review of existing research and organisational practices was conducted, integrating meta-analytic findings, clinical observations and policy developments to provide a balanced perspective on DEI. Findings While DEI initiatives can foster psychological safety, enhance trust and reduce disparities, their impact is often undermined by inconsistent implementation and a lack of empirical evaluation. This commentary identifies the need for evidence-based approaches, rigorous outcome measurement and constructive dialogue to bridge polarised viewpoints. Originality/value This study offers a timely synthesis of current debates around DEI in mental health, presenting a neutral and reflective framework that moves beyond binary narratives of support or opposition.

Journal of Public Mental HealthVol. 25(1)
Independent Dance (GB), Film Independent (US), McGill University (CA)
Openalex Percentile: Top 71%
Cultural Competency in Health Care
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Between belonging and backlash: rethinking diversity, equity and inclusion in mental health — Artin Mahdanian · Journal of Public Mental Health (2025) | TGRS Research Map | TGRS