Mental health and wellbeing strategy: delivery plan 2023-2025

Appendix 1 – Inequality Action Table

The Scottish Government Mental Health Equality Evidence Report published alongside this Delivery Plan as part of the EQIA highlights several cross- cutting themes on the causes of mental health inequalities which relate to multiple marginalised groups. The table below indicates where actions within this Delivery Plan will have an impact on these key themes. Delivery leads and partners for actions within this Delivery Plan should give due consideration to the groups highlighted as most impacted by these themes based on evidence when scoping, planning and implementing these actions. The identification of groups most impacted has been based on the strength of the evidence currently available and identified in the report. Additional detail is available in relevant sections of the report and should be used as the basis of EQIA’s for actions going forward. Further actions addressing the issues of workforce training for support of equalities groups and workforce diversity are included in the accompanying Workforce Action Plan.

Theme: Social determinants of mental health

Sub-Theme: Poverty and deprivation

Strategic Actions: 2.4, 4.4, 5.1, 5.2

Groups most impacted based on evidence:

• People from minority ethnic groups
• Women and girls (particularly those who are lone parents)
• Disabled people

Sub-Theme: Experiences of minority stress, discrimination and trauma

Strategic Actions: 2.7, 4.4, 5.1, 9.1, 10.3

Groups most impacted based on evidence:

• Women and girls (including gender based violence)
• Minority ethnic people (including racialised and generational trauma)
• LGBTI+ people (including discrimination, harassment and hate crime)
• People of certain religions (including Islamophobia and antisemitism)
• Disabled people (including discrimination and hate crime)

Sub-Theme: Loneliness and isolation

Strategic Actions: 3.2, 10.2

Groups most impacted based on evidence:

• People living in remote and rural areas
• Older adults
• Women (particularly at certain life stages, such as with children, older women)
• LGBTI+ people

Theme: Accessing services

Sub-Theme: Mental health stigma

Strategic Actions: 1.1, 2.3, 2.5, 2.7, 9.1, 10.4

Groups most impacted based on evidence:

• Men
• Older adults
• Some minority ethnic and religious groups
• People living in remote and rural areas
• People in the perinatal period

Sub-Theme: Geographical inequalities

Strategic Actions: 3.2, 4.3, 4.5

Groups most impacted based on evidence:

• People living in remote and rural areas
• LGBTI+ people
• Children and young people

Sub-Theme: Lack of targeted information and lack of inclusive communication

Strategic Actions: 2.1, 2.2, 2.3, 2.6, 2.7, 4.4, 9.1, 9.2

Groups most impacted based on evidence:

• Disabled people
• Some minority ethnic groups
• Men
• Older adults
• LGBTI+ people

Sub-Theme: Diagnostic overshadowing (where mental health concerns are dismissed, undiagnosed and untreated due to a focus on other health needs or disabilities.)

Strategic Actions: 2.7, 4.5, 7.1, 9.1, 9.2, 10.4

Groups most impacted based on evidence:

• Older adults
• Disabled people (particularly people with learning disabilities)
• Women
• Adolescents

Theme: Experience of using services

Sub-Theme: Workforce training for support of equalities groups

Strategic Actions: 2.3, 2.4, 2.7

Groups most impacted based on evidence:

• Minority ethnic and religious minority (including the need for culturally sensitive services)
• Women and girls (including the need for trauma-informed mental health services)
• LGBTI+ people (including the need for knowledge about and sensitivity to the experiences of LGBTI+ and particularly trans and non-binary people).
• Religious and minority groups

Sub-Theme: Workforce diversity

Strategic Actions: 2.3

Groups most impacted based on evidence:

• Minority ethnic groups
• Religious minority groups
• LGBTI+ people

Sub-Theme: Choice and agency in support received

Strategic Actions: 2.2, 2.3, 2.6, 3.2, 6.3, 9.2, 10.3

Groups most impacted based on evidence:

• Minority ethnic groups
• Disabled people
• Women and girls
• Children and young people
• Trans people

Theme: Data and evidence gaps

Sub-Theme: Lack of disaggregated data

Strategic Actions: 6.4, 6.5

Groups most impacted based on evidence:

• Minority ethnic groups
• Disabled people
• Belief and faith groups

Sub-Theme: Lack of quantitative and qualitative dat

Strategic Actions: 4.2, 6.4, 6.5

Groups most impacted based on evidence:

• Minority ethnic groups
• Trans and intersex people
• Men
• Belief and faith groups

Theme: Tackling a range of inequalities

Strategic Actions: 3.1, 3.2, 4.1, 4.2, 4.4, 6.1, 6.2, 6.6, 7.1, 8.1, 9.3, 10.4

Groups most impacted based on evidence:

• Multiple groups