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Logo of bmjThis ArticleThe BMJ
BMJ. 2007 April 14; 334(7597): 761.
PMCID: PMC1852034
Institutional Racism

Article too strong? I think not

Christopher L Manning, chief executive officer, Primhe (Primary care mental health and education)

Although I understand the results of AESOP and the logic of Ani and Ani's argument (previous letter),1 I fail to see how a lack of community supports can be allowed to justify restraint or the ill-informed ethnocentric misbehaviours of the NHS (or any institution that claims to care).

Unless and until every potential confounder to providing a healthy intervention is rooted out, then nothing will change. After all, if hospitals, in Ani and Ani's view, continue to support lack of community or family cohesion by admitting people because of inadequate support, what will ever happen to change those very communities and families in a more positive direction? Perhaps they are in the state they are in precisely because these folk feel so systematically enfeebled.

And, surely, this is how we help to “make mental health everyone's business”?


Competing interests: None declared.


1. McKenzie K, Bhui K. Institutional racism in mental health care. BMJ 2007;334:649-50. (31 March.) [PMC free article] [PubMed]

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