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Addressing the Impacts of New Racism on Mental Health Service Use Among Culturally and Racially Marginalised (CaRM)
Eric Lim1, Takeshi Hamamura2, Jaya Dantas2
1School of Nursing, Murdoch University, Murdoch, WA 6150, Australia.
Nursing Reports (Pavia, Italy)
|June 25, 2026
Summary
Culturally and Racially Marginalised (CaRM) communities in Australia experience "new racism" in healthcare, impacting mental health service use. Addressing this requires community awareness, culturally safe services, and policy changes to improve equity.
Area of Science:
- Public Health
- Mental Health Nursing
- Health Equity
Background:
- Culturally and Racially Marginalised (CaRM) communities in Australia face subtle prejudice ('new racism') within healthcare settings.
- Experiences of new racism affect trust, engagement, and help-seeking behaviours for mental health services.
- Mental health nurses' recognition and mitigation of new racism are crucial for therapeutic relationships and equitable care access.
Purpose of the Study:
- To explore CaRM community members' perspectives on factors addressing new racism in healthcare.
- To identify community-defined conditions supporting engagement with mental health services.
Main Methods:
- Q methodology was employed to identify shared viewpoints on addressing new racism's impact on mental health service use.
- Thirty-five participants from CaRM backgrounds completed a Q-sort, followed by factor analysis and interpretation.
- Recruitment occurred across Australia via community settings, social media, and professional networks.
Main Results:
- Three distinct viewpoints emerged: community-focused (raising mental health awareness), service-focused (visible anti-racism and cultural safety), and policy-focused (formal recognition and addressing of new racism).
- These viewpoints highlight diverse community needs and expectations for mental healthcare.
- The findings provide an empirically derived, community-informed perspective.
Conclusions:
- This study presents the first community-informed viewpoints on tackling new racism in Australian mental healthcare.
- Findings underscore multi-level considerations for mental health nursing practice, policy development, and service redesign.
- Recommendations aim to enhance cultural responsiveness and equity within mental health systems.
Keywords:
AustraliaQ methodologyculturally and linguistically diverseculturally and racially marginalisedemotional safe spacemental healthnew racismnursingMore Related Videos
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