Barriers and facilitators towards recovery among Afro-Caribbean mental health service users in Canada
Bibliographic record
Abstract
We examined experiences among Afro-Caribbean mental health service users in Canada, exploring (i) barriers and facilitators towards recovery; (ii) experiences within the official health care system; and (iii) utilisation of alternative treatments and remedies. We conducted 18 in-depth interviews with Afro-Caribbean service users, and subsequent thematic analysis revealed three overlapping themes. First, participants pointed to their Christian faith as a source of comfort. Second, participants often reported that stigma in their family and community was a barrier to recovery. Third, many reported problematic issues within clinical services, including avoiding discussion of religion and spirituality, and a perceived overemphasis on medication. This study reveals that Afro-Caribbean mental health service users in Canada are experiencing many of the same issues that were identified in studies occurring decades ago, suggesting the need for concerted action. This could include cultural and religious competence training for Canadian clinicians and anti-stigma campaigns targeting minority communities.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.014 | 0.003 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".