- The purpose of this document is to take the debate and practice concerning the situation of Black people who are diagnosed as suffering from mental illness beyond the point of counting heads, and instead to focus more on acknowledging and highlighting positive methods of diagnosing and treating mental health problems within these communities. Black people in Britain who suffer from mental health problems, are frequently over-diagnosed, under-diagnosed, or mis-diagnosed. Their care is undertaken with a eurocentric bias which often leads to ineffective or culturally insensitive treatment. This situation is made worse by black people's historical unequal access to service provision and, for those for whom English is not a first language, poor levels of communication. There is increasing concern about the way in which mental health services in hospitals, general practice and community settings are provided in Britain's multiracial and pluralistic society. Psychiatric services have failed to respond to the needs and secure the confidence of Britain's ethnic communities. Furthermore, services are often discriminatory, culturally insensitive and inappropriate. Consultation with members of the ethnic communities about the planning and delivery of services has been sadly lacking.