​​Thought Piece: Culturally Appropriate Peer Support and the Liasion and Diversion Pathway 


Our thought piece, funded by Health Education England (HEE), has now been published. The thought piece explores the role of culturally appropriate peer support along the liaison and diversion pathway. As a thought piece, the document is designed to be thought-provoking and offer perspectives on critical issues regarding Peer Support Workers and the wider health and social care system.  HEE commissioned the document with the aim of making a helpful contribution to understanding, planning and expanding the presence of Peer Support Workers in health and care settings. 

This thought piece (which is part of a larger collection) consists of background information, published research and opinions and analysis. Evidence in this thought piece points towards an absence of culturally appropriate practice and the dissonance between the habitude of organisations operating in this arena and the urgent need to prioritise a more racially equitable approach. You can download and read the full report here. Culturally appropriate peer support can improve engagement in L&D services, since there is fear amongst BAME people about discriminatory treatment by services. 


 Policy and Research

Black Voices Project - Service User Perspectives in Secure Care


Account and Informed Thinking were commissioned by NHS England to research the experience of Black men in low and medium secure (forensic) settings in 2017-2018. The research was carried out across nine secure care sites in England, working alongside experts by experience.


Very little research has looked specifically at the experience of Black men in secure care. Unfortunately, as with many other areas which involve coercion and detention, Black men are over-represented in forensic settings. Data shows Black men are more likely to experience longer stays that other racial and ethnic groups in forensic environments. The findings from our research add significantly to the knowledge based about the qualitative nature of their experience.  


A detailed version of the report can be downloaded and a condensed version of the report can be downloaded 

​​​Culturally Appropriate Advocacy: Scoping exercise 


Thank you for showing an interest in this piece of work.

Following on from the Mental Health Act review, Account, and the University of Birmingham, have been commissioned by the Department of Health and Social Care (DHSC) to scope the commissioning and provision of culturally appropriate Independent Mental Health Act Advocacy (IMHA), and to identify positive practice. We will be conducting a survey with LA and CCGs, commissioners, and carrying out interviews with service users, advocacy workers and commissioners to inform the scoping exercise. An advisory group comprised of experts from the field of advocacy, experts-by-experience and carers, has been established to shape the direction of the project.









We are very keen to hear the views of people who have experience of culturally appropriate advocacy from various perspectives, including how it can be commissioned effectively, what makes it effective, what is the best way that it can be delivered and what types of organisations are best placed to provide culturally appropriate advocacy? If you would like to take part in this project, please contact Anthony@account-cic.org for more information. 

Copyright @ Account CIC. All rights reserved.

Independent Review of Mental Health Act


In October 2017, the Prime Minister commissioned an independent review of the Mental

Health Act, seeking to address concerns about how the legislation is presently used. 

The aims of the review were to: 

·      rising rates of detention under the Act

·      the disproportionate number of people from black and minority ethnic groups

      detained under the Act

·      processes that are out of step with a modern mental health care system 

Account CIC have played a twin role in informing the consultation process. This has involved organising, facilitating and analysing findings from consultation exercises. Account have also been represented on the Independent Advisory Panel for African and Afro-Caribbean people. In October 2018 and February 2020 we attended No,10 Downing Street to contribute to the Review and influence the policy debate respectively. 

Further information on the independent review, including terms of reference, can be found here: