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Several decades of mental health research in the UK repeatedly report that people of African-Caribbean origin are more likely than other ethnic minorities, including the White majority, to be diagnosed with schizophrenia and related psychoses. Race-based inequalities in mental healthcare persist despite numerous initiatives such as the UK’s ‘Delivering Race Equality’ policy, which sought to reduce the fear of mainstream services and promote more timely access to care. Community-level engagement with members of African-Caribbean communities highlighted the need to develop culturally relevant psychosocial treatments. Family Intervention (FI) is a ‘talking treatment’ with a strong evidence-base for clinical-effectiveness in the management of psychoses. Benefits of FI include improved self-care, problem-solving and coping for both service users and carers, reducing the risk of relapse and re-hospitalisation. Working collaboratively with African-Caribbeans as ‘experts-by-experience’ enabled co-production, implementation and evaluation of Culturally adapted Family Intervention (CaFI). Our findings suggests that a community frequently labelled ‘hard-to-reach’ can be highly motivated to engage in solutions-focussed research to improve engagement, experiences and outcomes in mental health. This underscores the UK’s Mental Health Task Force’s message that ‘new ways of working’ are required to reduce the inequalities faced by African-Caribbeans and other marginalised groups in accessing mental healthcare. Although conducted in the UK (a high-income multi-cultural country), co-production of more culturally appropriate psychosocial interventions may have wider implications in the global health context. Interventions like CaFI could, for example, contribute to reducing the 75% ‘mental health gap’ between High and Low-and-Middle-Income counties reported by the World Health Organization.

Research suggests that African-Caribbeans are less likely than their white British counterparts to ask for mental health support (Cooper et al., 2013). This is despite research identifying that minority groups as a whole, when compared to the white majority, report higher levels of psychological distress and a marked lack of social support (Erens, Primatesta, & Prior, 2001). Those who do request support are less likely to receive antidepressants (British Fourth National Survey of Ethnic Minorities, 1994; Cooper et al., 2010) even when controlling for mental health symptom severity, with African-Caribbeans less likely to make use of medication for depression even when prescribed (Bhui, Christie, & Bhugra, 1995; Cooper et al., 2013). Studies reporting on reasons for black people being less likely to attend for mental health consultation with their GP suggest a variety of explanations why this may be, focussing both on the suspicion of what services may offer (Karlsen, Mazroo, McKenzie, Bhui, & Weich, 2005) and the concern of black clients that they may experience a racialised service with stigma (Marwaha & Livingstone, 2002). Different understandings and models of mental illness may also exist (Marwaha & Livingstone, 2002). Different perspectives and models of mental health may deter black people from making use of antidepressants even when prescribed. Despite a random control trial showing that African-Caribbean people significantly benefit from targeted therapy services (Afuwape et al., 2010), the government, despite a report by the Department of Health in 2003 admitting there was no national strategy or policy specifically targeting mental health of black people or their care and treatment has not yet built on evidence-based success. One important aspect recognised by the Department of Health (2003), was that of the need to develop a mental health workforce capable of providing efficacious mental health services to a multicultural population. Although there were good strategic objectives little appeared to exist in how to meet this important objective, particularly in the context of research showing that such service provision could show real benefit. The Department of Health Guidelines (2003) focussed on the need to change what it termed as ‘conventional practice’, but was not specific in what this might be, or even how this could improve services to ethnic minorities. There was discussion of cultural competencies without defining what these were or referencing publications where these would be identified. There was a rather vague suggestion that recent work had begun to occur, but no indication that this had been evaluated and shown to have value (Royal College of Psychiatrists, 2001). Neither British Association for Counselling and Psychotherapy nor British Psychological Society makes mention of the need for cultural competencies in organisational service delivery to ethnic minority clients. This chapter will describe, explore and debate the need for individual and organisational cultural competencies in delivering counselling and psychotherapy services to African-Caribbean people to improve service delivery and efficacious outcomes.

For the islands of the Caribbean, tourism is more than an industry to be managed. Significantly, it is a socioeconomic phenomenon that if managed effectively can address some of the challenges facing the region. Tourism higher education plays a critical role in preparing graduates to shape an improved Caribbean tourism society and in performing research. Over the years, its tourism education has been framed by “Western models” that have not taken sufficient account of the Caribbean reality. The focus of this chapter is to define Caribbean education and to propose a tourism higher education strategy for the implementation in part of this education.

Ethical consumption exemplifies thinking locally and acting globally, and the political economy in which it exists makes its ethics problematic. This chapter uses ecotourism to illustrate two aspects of thinking locally in ethical consumption. One is the local institutions and practices that this form of consumption reflects, embodied in the Western commercial capitalism that provides what Westerners consume ethically. Ethical consumption extends the reach of that local capital and its logic. The second is the local understandings and values it reflects, embodied in the desires of ethical consumers and met by commodity producers and the institutions that influence them. Ethical consumption does not, however, only impose local institutions and values globally; but it also shapes local consumers, by portraying individual market choice as an appropriate vehicle for bringing about an ethical world, thereby diverting attention from other sorts of ethical action.

This chapter examines the characteristics, challenges and prospects of environmental governance and participation in issues pertaining to human health and the ocean in the CARICOM Caribbean region.

Utilising the fisheries sector – one of the principal economic, social and environmental drivers relating to the marine environment in the Caribbean region – we discuss the concepts of hierarchical governance in contradistinction to heterarchical governance. This is done through a socio-legal analysis of the predominant top-down model of governance, a discussion of the successes and shortcomings of bottom-up governance and a proposal for more inclusive participation methodologies in the region.

While the paradigm of new collaborative environmental governance was birthed in the aftermath of the 1985 Brundtland Commission Report, and moreso since the 1992 Rio Conference, this analysis will show that governance of the marine resource, and consequently how the individual is juxtaposed within this matrix, has not shifted from a position of hierarchy to one of heterarchy, as prescribed by the governance literature. Indeed, the structures for governance remain largely top-down in nature and while many states have begun to embrace more inclusive and participatory methodologies many of these interventions will need to be bolstered if the governance of the region’s marine resources is to progress from traditional top-down to more inclusive and representative typologies.

These concepts, when applied to the subject of environmental governance, will demonstrate that there needs to be an improvement in participatory environmental governance in the CARICOM region if the integrity of human health and the ocean is to be maintained. Importantly, while these methodologies strive for the formulation prescribed in Principle 10 of the 1992 Rio Declaration, and most famously exemplified in the 1998 Aarhus Convention, issues of environmental advocacy, transparency, inequality and justice need to be reconceptualised, if the region is to see prudent governance of the interface between humans and the ocean.

This research takes established concepts on the issue of locus standi in the common law legal tradition and juxtaposes it within the emerging paradigm of ecohealth and environmental governance. This conceptual framework has identified both the prospects and problems of environmental governance in the Caribbean region and may provide the basis for further research as well as more inclusive and sustainable environmental governance.

This study explores the history of conflict and future options for cooperation between two distinct ethnic groups in New York City, Caribbean-Americans and Jews. The argues, however, that relations between both groups cannot be read through the crude lens of “Black/Jewish relations.” The article is divided in two major parts. In the first part, the authors explore the historical trajectory of relations between the two groups largely by focusing on the Crown Heights district in Brooklyn, home to a variety of Caribbean nationals, and the Jewish Lubavitcher Hasidic community. As the survey of historical material will reveal, in the late 1960s/early 1970s, issues pertaining to contestation over space and resources increasingly affected relations between both groups. A low point was reached in 1991 with the “Crown Heights unrest,” which threw this part of Brooklyn into several days of openly violent conflict. Although – as Part II will demonstrate – issues such as crime, cultural peculiarities, access to resources and political influence, remain on the agenda, both groups have since managed to restore less conflict-prone and productive relationships. Although conflicts have been often couched in terms of these relations, additional cultural factors suggest that the conflict has been shaped by other dynamics.

This study examines the problem of unequal access to the Caribbean ICT industry on the part of women, and considers causes, consequences and possible solutions. The latter includes integrating gender perspectives in ICT policies and programmes to increase access for all to education and employment opportunities for national development.

Mixed Methods research techniques (questionnaire surveys, elite interviews and focus group discussions) were used to collect data from national stakeholders in Jamaica and St Lucia.

Despite policy commitments to gender equality and the deployment of ICTs to promote development, significant gaps persist between policy and practice. Results show that disadvantages in ICT access for women result in gender differences in sector involvement. Gender socialisation and the resulting discrimination in education and employment undermine commitments to inclusive development. Consequences include untapped opportunities for innovation, efficiency and business along the ICT value chain relating to development.

Case studies only represent Anglophone Caribbean and may not reflect all subregional contexts.

The paper demonstrates the value of collecting, analysing and using data disaggregated by sex to identify needs of vulnerable groups relating to inclusive development.

Equitable access to ICTs for women through training, community Internet-access-points, and support to establish/expand Micro Small and Medium-sized Enterprises will enable women to combine paid and unpaid family caregiving work and to participate in the ICT value chain.

There is a dearth of gender-based analysis of ICT policymaking in the Caribbean. The paper contributes theoretical, methodological and policy analysis geared towards understanding and promoting inclusive access and gender equality in ICTs for sustainable development in the Caribbean.

The purpose of this study is to explore the intersection of literacy, technology, and pedagogy and how it can address ethical challenges in schools related to providing inclusive educational experience for all students. It examines a reading intervention program that combines technology (retrofitted routers and laptops), teacher training, and high-quality educational resources (levelled digital books) to support 40 high school students who are reading 4–5 years below their grade level in two rural Jamaican schools. Drawing on an ethical framework of rights-based education which focuses on inclusive education as a dimension of education quality, the study explores how technology, teacher training, and high-quality educational resources can scaffold the development of inclusive learning environments for struggling readers in Jamaican high schools. Findings reveal that digital tools and technology, along with high-quality resources, improved students reading abilities and confidence as readers; however, it was the relationship and rapport that students developed with the reading teacher that had the greatest impact on students’ engagement and motivation to read. These findings suggest that the ability to work with students who have special needs is an essential skill for all classroom teachers to begin addressing some of the ethical challenges of inclusive education among struggling readers in high school in Jamaica. It also highlights the need to embrace diverse models of inclusive education when working in the global South.