Welcome to Acacia's dedicated section for professionals working with mums and dads from black, Asian and minority ethnic (BAME) backgrounds. Here we have tried to pull together some resources and information to help you. Please click links to find BAME specific video's, information and free downloadable stuff.
PND in BAME mothers is around 13% higher than others because of additional factors related to culture and ethnicity. Despite this fact fewer than expected BAME mothers receive diagnosis or treatment for maternal mental health issues. The additional factors affecting BAME parents can include:
• Unaware of healthcare support a mother could receive
• Lack of support of where to go
• Family expectations and responsibilities
• Differences in child rearing practices
• Language barriers
• Caring for others in the family (elderly, partner’s parents)
• Traditions and cultural barriers
• Stigma attached to mental health
And there could be many more
It is important to understand that different cultures have many different beliefs and practices, and we need to try to understand these and to maintain a person centred and flexible approach to care. This is vitally important to ensure that BAME mothers receive proper and timely support. Acacia is committed to breaking down and reducing the barriers which exist in our own service and in the wider perinatal mental health sector.
It is also important to say that although it is a convenient acronym, grouping people of colour together with terms such as BAME can sometimes give the impression that we are lumping large numbers of people together as a single entity. We use this acronym for convenience but recognise that this carries an inherent risk which we must remain aware of, that the humanity, the complexity, the experiences and identities of people can get swallowed up in a four letter acronym. We recognise that different families/communities/cultures are made up of individuals and we must continue to resist ascribing pre-conceived ideas and approaches based purely on their racial/cultural grouping.
Please click on any of the links below to find multilingual video's, information and other free downloadable resources to help you support people of colour/BAME. Please remember that the use of these resources is not intended to be a substitute for a consultation with a healthcare provider/professional and it must not be automatically assumed that Acacia Family Support endorses any or all of the providers and/or services in this list.
If you have any questions please call 0121 301 5990 or click here to email us
6 New Multilingual PNMH Awareness Raising Films
We are hoping that these films are dissemintated far and wide in the UK and this is only the beginning. More films/languages will be added as funding allows. Click here for more information and to view the films.
Acacia Secure Online Referral Form for Birmingham Families
Local Support for Families Outside of Birmingham
click here to go to the Hearts and Minds map of local support groups around the country. All you need to do is put in your postcode and the map will show you what's available locally to you. Unfortunately the page is only currently available in English.
Covid advice for pregnant mums and other vulnerable family members in various languages
Coronavirus guides in various languages from Birmingham Women's Hospital
We understand that mums will be worried about the physical impact of coronavirus on their pregnancy and baby. These leaflets aim to provide information about coronavirus, pregnancy care and changes Birmingham Women's Hospital have made to maternity services during the coronavirus outbreak to keep mums and babies safe.
Please click on the links below to download the free information in various languages.
ver=4597 – English
ver=4567 – Arabic
ver=4568 – Bengali
ver=4569 – Urdu
ver=4570 – Somalian
Spark's extensive resource directory for people of colour
Spark and Co. is a Community Interest Company that supports people of colour in the UK by providing information, education & opportunity. Their goal is to tackle inequalities exacerbated by Covid-19 by equipping people with knowledge, information & resources which are appropriate for their individual needs accross a very broad range of subjects including health and social. Click on the link below and enter basic details to narrow the search to find what culturally appropriate services are available to each individual/family in the area they live.
Click here to access Spark's resource page.
Visit their facebook page for video's and other information
Click here to vist the Facebook page
You can also follow the Raham Project on:
EHSAAS Perinatal Support for Pakistani Women in Birmingham
We are culturally sensitive, speak the community language and understand barriers faced by Pakistani women. We provide tailored support through one-to-one help, sign-posting and peer support through our trained volunteers.
We aim to raise awareness and increase engagement of Pakistani women into perinatal services and mental health services. We aim to build a bridge between services.
Click on the links below for more information on referral pathways, contact details and referral form
Basic information sheets about PND in various languages
Emotional changes after birth
Postpartum depression (PND)
Both of these fact sheets provide very brief overview of some of the feelings and emotions a mum can face after giving birth. The sheets both point out that if the feelings are severe and/or endure longer than a couple of weeks they may indicate a more serious problem.
Examining Postnatal Depression Among African Women
Click here to visit site and read article
Below you will find viewable and downloadable handy factsheets on the two most commonly used medicines for PND/Anxiety. Please click on the link to open the factsheet. These are written in easy to understand English.
For information sheets on other medications (written in English) which may be used during pregnancy or in the postnatal period please click here to visit NHS24 and search for the factsheet you are looking for.
Alternatively, for mums who are currently pregnant you can also click here to visit Bumps and search for client information sheets on the use of most medications (written in English).
A range of printable medication information leaflets in many different languages are available by clicking here and then searching for the correct leaflet in your chosen language.
PHQ9 and GAD Forms in other languages
MORS (attachment) forms available in various languages
Mothers Object Relations Scales (MORS) - A core component of an attachment relationship between one person and another is the mental representation that each person has of the other’s feelings for them. A caregiver’s perception of their infant’s/child’s thoughts, feelings and intentions towards them builds this internal representation as an ‘object’ in the caregiver’s mind. This plays a large part in how the caregiver behaves and interacts, with consequences for the development of the infant/child.
The Mothers Object Relations Scales provide a validated and easy-to-use way of assessing the representation as part of screening in primary care, in making treatment decisions and monitoring response, and in research in perinatal mental health and early child development. It is being used extensively in primary and secondary perinatal mental health services in UK and more widely.
MORS comes in two versions MORS-SF (short-form)
A 14-item questionnaire for use with caregivers of infants. An equivalent, MORS-Child
For use with caregivers of children aged between 2 and 4 years.
Please click here to access/download the tool/form in various different languages including Arabic, Hindi, Russian and may others
Common themes within the pre and postnatal practices amongst different cultures:
When working with People of Colour/BAME families it is useful to be aware of the following common themes:
The idea around organised support, is for female family elder to provide care to the mother and baby, usually in the form of practical support (household duties). They may also advise the mother on how to care for their newborn.
Organised support and rest periods can be seen to correspond together and during the rest period a mother would be restricted in performing her usual duties, which can span between 21 days to 5 weeks. In many cultures, certain diets are also followed to prevent ill health.
Certain foods are believed to carry certain properties during the postnatal phase. For instance, in some cultures hot foods (i.e. those high in protein) such as milk, ghee, nuts are all thought to help regain balance after giving birth along with a salty and acidic diet. However cold foods such as yogurt and cold water will be avoided as it is thought to be associated with body pain. Contrastingly, in other cultures salty foods are avoided as it is thought to be associated with lower back pain. A high protein diet (hot food) is recommended throughout most Eastern Asian cultures.
In some cultures, postpartum women are seen as contaminated and therefore would need to follow hygiene and warmth practices. For instance, some women may take a bath ‘ghusl’ after they have stopped bleeding and in some cultures cold baths are prohibited as it is believed to cause fevers and infection.
Infant care & breastfeeding
There can also be specific practices related to breastfeeding. Some religious and cultural practices only allow women to initiate breastfeeding after the 2nd day or the 6th day after a naming ceremony, and others may wait up to three days postpartum. For some, breastfeeding is a religious and holy practice.
We don't need to be cultural experts to provide culturally safe and effective care. If we approach each individual from an attitude of cultural humility and curiosity, taking the time, being open, willing to ask questions and listen, we are able to effectively remove barriers and build better therapeutic relationships with ethnically diverse clients.
Acacia Black Asian and Minority Ethnic (BAME) Project
This project was originally launched in May 2017 and was initially funded by The Big Lottery.
Birmingham is a diverse ethnic community and the aim of this project is to:
Raise awareness of perinatal mental health in BAME communities
Develop BAME specific awareness raising resources
Promote access and awareness of PIMH services for mothers within the BAME communities
Advocate for vulnerable/marginalised groups in the perinatal sector
Provide training for services and organisations which support BAME groups to have an increased knowledge to address PND
Develop training & resources for BAME groups
Provide volunteer training and cultural awareness
As the project has progressed we have broadened our geographical focus so that our awareness raising, resources and training become more generic and available more widely to support the development of BAME focussed perinatal services and communities accross the country.
Why focus on people of colour?
As stated at the top of the page, although we use the BAME acronym for convenience we recognise that it can't possibly convey the diversity which exists amongst people of colour. Different families/communities/cultures are made up of individuals and we must continue to resist ascribing pre-conceived ideas and approaches based purely on their racial/cultural grouping.
Acacia's Printed Leaflets
General Acacia Resources
Click on this link below to go to Acacia's general help and support resources page (all resources are in English)
Evidence based parenting courses for Muslim families
Bethel Doula Service for vulnerable and isolated pregnant women
The Bethel Doula service provides support to vulnerable and isolated pregnant women in Birmingham during their pregnancies, their childbirth and after their babies have been born. Our staff and team of experienced Senior Doulas and Volunteer Doulas help service users by:
For more information click on this link: www.bethelnetwork.org.uk/doula
or ring 0121 306 0111
W Mids Forced Marriage and Honour Based Abuse Multi Lingual 24 Hr Helpline
helpline is delivered by staff who are able to speak in the main South Asian languages. Professionals, victims and survivors can all call for support.
If you are worried about yourself, or are concerned about someone you know being at risk of forced marriage or honour based abuse, the multi lingual helpline is here to help. Offering confidential, empathic, non-judgemental emotional and practical support over the phone. You can call 24 hours, day or night. To discuss options, access immediate emergency refuge, or simply ask questions or tell us how you are feeling please ring 0800 953 9777.
Click on the link below for the flyer:
Bharosa culturally appropriate domestic abuse support
referral form and emailing it to us.Contact usWe are available from 9am to 5pm Monday to Thursday and 9am to 4 pm on Fridays.
Black, Asian and Minority Ethnic Parents and Perinatal Mental Health Svcs Conference Resources
It was really encouraging and exciting to see so many attendees and such a diverse cross section of PMH professionals meeting together to face the challenge head on. As promised we've uploaded the presenters slides from the day and also the three reports our Ops Director referred to in his talk. Please feel free to download and make use of these free resources.
If you live in Birmingham and need help?
If you need help or support or have any questions please call.
0121 301 5990
or click here to email us