Part I: Structures and Power 1.The Beginning of the Journey, Charles Kaye, Former Chief Executive, SHSA. 2. Awareness and Change, Charles Kaye, Former Chief Executive, SHSA. 3. Mental Healthn Black and Ethnic Minorities: An Epidemiological Perspective, Veena Soni Raleigh, University of Surrey . 4. `Race', Criminality and Forensic Psychiatry: A Historical Perspective, Suman Fernando, Tizard Centre. 5. Differences in Ritual and Culture, Quintin Deeley, Maudsley Hospital. 6. Racism and the Expression of Identity in Special Hospitals, Annie Bartlett, Springfield Hospital Forensic Department. 7. Experiences in France and England: A Patient's Perspective, Anonymous. Part II: Seeking a Better Balance 8. Developing a Mental Health Service for Ethnic Minorities, Albert Persaud, Wiltshire Health Authority. 9. Supporting Black Patients in Secure Care, Chinyere Inyama, Law Society Mental Health Review Tribunal Panel. 10. Change and Progress: The Right Pace?, Georgina Linton, High Security Forensic Psychiatry Commissioning Board. Part III: Clinical Perspectives 11. Fair Treatment for Black Patients in Secure Care, Chandra Ghosh, Broadmoor Hospital. 12. Black Men in Broadmoor Hospital, Stan Grant, Independent Trainer and Counsellor. 13. Providing Clinical Care for Black Patients, Harvey Gordon, Broadmoor Hospital Authority. 14. Black Staff and their Experience at Work, Krishnan Gnanasekaran, Broadmoor Hospital Training and Education Centre. 15. Black Women Patients in the Forensic Service, Margaret Orr, Broadmoor Hospital Authority. 16. Asian Women and Community Care, Alia Khan, Katherine Knapp House. Part IV: Effecting Change 17. Making Policy Work, Jayne Hayes. 18. Measuring Progress and Improving Quality, Jane Mackenzie and Carol Morgan-Clark, Broadmoor Hospital Authority. 19. Translating a Vision into Reality: Broadmoor's Partnership with ACHMA, Elaine Elvey, ACMHA. 20. Meeting the Spiritual Needs of Muslim Patients, Nizar Boga. 21. The Experience of Being a Black Patient, Anonymous. 22. Progress in Broadmoor Hospital, Tony Lingiah, Broadmoor Hospital Authority. The Contributors. Bibliography. Index