EXPLORING THE EXPERIENCES OF BLACK NOVA SCOTIANS WITH INVOLUNTARY PSYCHIATRIC CARE THROUGH AN INTERSECTIONAL LENS

Abstract

This qualitative study aimed to hear the experiences of diverse Black Nova Scotians (DBNS) who have undergone involuntary psychiatric care (IPC). Help-seeking, stigma, trust, community, family, and health system were investigated. A narrative approach was used in six semi-structured interviews. Results were examined using an intersectional framework and Minority Stress Theory. Results show trust and help-seeking are interconnected in the times leading to and during IPC. Family and trust were found to be essential aspects of initiating help-seeking. Help-seeking is fleeting and degrades with illness. Stigma is present after IPC ends and relates to trust. Law enforcement and crisis services were prominent in all participants’ pathways of care. Six recommendations were given to support DBNS within the involuntary mental health care system, including creating a Black Pathway of Care, reducing the gap between inpatient and outpatient services, and decreasing the reliance on law enforcement for the care of DBNS.