The presentation, management, and outcome of mental disorders differ between ethnic groups.1^–3 ^w1 The most consistent findings are that African-Caribbeans with mental health problems are disproportionately found in forensic, psychiatric, and prison populations and among compulsorily detained patients.2 3 They are more likely to receive antipsychotic medication and less likely to be offered psychotherapy.4^–5 ^w2 Rates of suicide are also higher among some South Asian women and young people of Caribbean origin.6 These disparities have several causes, but it is difficult not to consider the lack of a coordinated and effective response to them as evidence of institutional racism in mental health and allied services.7^–8 ^w3 In response to the disparities and the demands of service users for action,9 the Department of Health recently launched two policy frameworks: Inside Outside, a new strategy for England,10 and a consultation document, Delivering race equality: a framework for action.11 Unfortunately these …