Careif report: The Health Needs of the Indo-Caribbean Community in the United Kingdom

'The Indo-Caribbean community has played a key part in the life of the United Kingdom, but this has not often been recognised. Little is known about this populations’ physical and mental health needs and its experience of health and social services in the UK.

This report, The Health Needs of the Indo-Caribbean Community in the United Kingdom, examines the history of the Indo-Caribbean community in the UK, the prevalence of mental health conditions among the community, barriers to accessing mental health services, and the existing services available.'



Includes:

"The absence of a unique category designating ‘Indo-Caribbean’ as a unique category in the UK Census was identified as a major barrier to obtaining vital epidemiological data on the UK’s Indo-Caribbean population."

Above text:
https://www.careif.org/news-and-events/2025-10-9-careif-report-the-health-needs-of-the-indo-caribbean-community-in-the-united-kingdom

n.b. 
In my community mental health nursing career in Chorley, Preston, and West Lancashire as services were established, the diversity of the local populations was evident, but there was an assumption that many communities were essentially 'closed': one explanation for lack of referrals from specific racialised communities - was that some communities 'looked-after their own'.

Of course this can be racism (acute or subtle), an excuse for inaction, delayed response, lack of action - outreach and translation services. There were marked examples of intervention. I have seen first-hnad interpreting and translation services in action since full-time retirement and the services offered are amazing for the insights and care delivery they can facilitate. Is this why we also need mental health nurses and the team? To translate in challenging circumstances, even by being there, seeking avenues, giving time - especially in instances of psychoses and doing so safely (for all)?

In addition to the main body of Careif's report and its recommendations, it may be helpful to consider the report's key terms relating them to the domains of Hodges' model? I also note reference to the bio-medical model as an explanatory framework. A conference abstract has been submitted today for April 2026, highlighting the need for bio-psycho-socio-political model / framework (Hodges' model - of course?).

See also:

RCN North West Multicultural Group

History: Hepatoscopy and the Census

INDIVIDUAL

|

     INTERPERSONAL    :     SCIENCES               

HUMANISTIC --------------------------------------  MECHANISTIC      

SOCIOLOGY  :   POLITICAL 

|

GROUP

"Perhaps it was merely an oversight of this historian that he failed to mention another religious practice, hepatoscopy. For this, the Romans down to imperial times relied on Etruscans. Divination from the liver of sacrificed animals was a most complicated business.

To get the interpretation right required a sound knowledge not only of astronomy but also of anatomy and pathology. In 1877 at Piacenza a bronze model of a liver was found. It was evidently a model used in a priests' school for teaching the art of haruspicy, and of a fairly late period. On the upper surface are marked sixteen divisions in which are inscribed the names of some thirty gods, some more than once. Each of the sixteen divisions corresponded to a section of the heavens, for the Etruscans regarded the liver as an image of the cosmos, as a microcosm of the universe. The liver, it was believed, exactly reproduced the heavenly firmament with its sacred laws and controlling divinities and its division, first into four, by the intersecting axes and then into sixteen subdivisions." p.87.

The Etruscans

"Censuses for purposes of taxation and military service still exist. But not many know that it was an Etruscan king who first legally established such a registration in Rome, from whence, with the rise of the Roman empire, it spread throughout Europe."  "What this measure was is stated by Livy thus: 'The population was divided into classes and 'centuries' according to a scale based on the census, and suitable for both peace and war." p.146.

Keller, W. (1975) The Etruscans. Norfolk: Book Club Associates. [Cover image: AbeBooks]