Mental health practitioners’ experiences of discrimination from service users and carers in the UK

Purpose This study aims to explore the experiences of mental health practitioners who were discriminated against due to their perceived race, gender or sexual orientation by service users or carers in the UK, and the support sought and received from their employing organisations. Design/methodology/approach This mixed-methods study used an explanatory sequential design, with 51 mental health practitioners across the UK completing an online cross-sectional survey and six of those participants then taking part in semi-structured telephone interviews to discuss their views and experiences in greater depth. Data were analysed and reported using descriptive statistics, content analysis and thematic analysis. Findings Experiencing discrimination had a negative impact on clinical practice with the service user and on general clinical practice. It also impacted negatively on the wellbeing of practitioners, who felt stressed and demoralised. Practitioners believed that most discrimination was a result of prejudiced attitudes. Some practitioners did not seek support from within their organisation due to historic inaction and discrimination from management and peers; and for those who did, support was not always forthcoming. Practical implications Implications include the need for clear policies appropriate for mental health settings to address discrimination; organisations providing resources and intervening to support practitioners in their clinical work; and training for all staff to raise awareness and improve support. Originality/value This study explored perceived contributing factors towards discrimination and established adverse impacts of discrimination on clinical practice and personal wellbeing.

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Publication Details

Journal
Mental Health Review Journal
Published
2026-04-17
DOI
https://doi.org/10.1108/mhrj-06-2023-0028
Primary Topic
Healthcare Systems and Challenges
Type
article
Field-Weighted Citation Impact
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article

Mental health practitioners’ experiences of discrimination from service users and carers in the UK

Nicola Moran, Neha Lamech
Mental Health Review Journal
Healthcare Systems and Challenges
article

Mental health practitioners’ experiences of discrimination from service users and carers in the UK

Nicola Moran, Neha Lamech
article en

Abstract

Purpose This study aims to explore the experiences of mental health practitioners who were discriminated against due to their perceived race, gender or sexual orientation by service users or carers in the UK, and the support sought and received from their employing organisations. Design/methodology/approach This mixed-methods study used an explanatory sequential design, with 51 mental health practitioners across the UK completing an online cross-sectional survey and six of those participants then taking part in semi-structured telephone interviews to discuss their views and experiences in greater depth. Data were analysed and reported using descriptive statistics, content analysis and thematic analysis. Findings Experiencing discrimination had a negative impact on clinical practice with the service user and on general clinical practice. It also impacted negatively on the wellbeing of practitioners, who felt stressed and demoralised. Practitioners believed that most discrimination was a result of prejudiced attitudes. Some practitioners did not seek support from within their organisation due to historic inaction and discrimination from management and peers; and for those who did, support was not always forthcoming. Practical implications Implications include the need for clear policies appropriate for mental health settings to address discrimination; organisations providing resources and intervening to support practitioners in their clinical work; and training for all staff to raise awareness and improve support. Originality/value This study explored perceived contributing factors towards discrimination and established adverse impacts of discrimination on clinical practice and personal wellbeing.

Mental Health Review Journal
York University (CA), University of York (GB)
Reduced inequalities, Gender equality
Openalex Percentile: Top 8%
Healthcare Systems and Challenges
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