Shared mental health care and people of non-English-speaking backgrounds: A qualitative study of key informants' views

The objective of this study was to examine the provision of mental health shared care for people of non-English-speaking backgrounds (NESB). Semi-structured interviews and discussion groups were held with key informants from across Australia. Interviews were transcribed and analysed for themes. A 'snowball' methodology was used to recruit 146 informants comprising GPs, consumers, carers, mental health service providers, bureaucrats and representatives from non-government agencies. These participants varied in terms of the nature of their involvement with shared care and in cultural and language backgrounds. The informants were positive about the potential of shared care for meeting the needs of NESB consumers. They felt that such programmes may be capable of reducing language and cultural barriers and, in turn, improving the coordination of, access to and quality of care. The importance of involving bilingual providers was stressed, although their limited numbers were noted. Appropriate use of interpreters was seen as crucial, although GPs noted various barriers to their use. Conditions seen as necessary for shared care to achieve its potential with regard to NESB consumers included system-level support, commitment from all providers and practical support. Mental health shared care initiatives show much potential in terms of meeting the needs of people of NESB. This potential should be harnessed and systematically evaluated.