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There’s a quiet power in pausing to notice where we are and how far we’ve come. For Jesse James, our Managing Director and EDI Lead, Black History Month is both personal and political. It’s a moment to reflect on ancestry, resilience, and the strange, beautiful symmetry of legacy: that the struggles of the past made space for the freedoms we now inhabit and that we, in turn, are responsible for shaping what comes next.

From rural Jamaica to the halls of The Aspen Clinic, Jesse’s leadership is grounded in this awareness. He reminds us that there is more that unites us than divides us, and that equity work is not about performance, but about presence. About showing up, listening deeply, and building systems that honour the full complexity of being human.

This ethos of courage, kindness, and radical inclusion echoes through our team. It’s the same spirit captured in American poet, Walt Whitman’s, call to re-examine what we’ve been told, to dismiss what insults the soul, and to live with integrity. It’s also the spirit that underpins our clinical delivery model.

The disparities we must name

Black History Month is not just a celebration it’s a reckoning. In mental health and neurodivergent care, the data tells a painful story:

  • Black adults are four times more likely to be detained under the Mental Health Act compared to White Individuals.
  • Black individuals are 8 times more likely to be placed on a Community Treatment Order (CTO) than White individuals.
  • Black children with ADHD and autism are underdiagnosed, mislabelled, or excluded from support pathways.
  • Only 6% of Black individuals receive timely mental health treatment, compared to 13% of White individuals.
  • Many Black individuals enter services through policing routes, not primary care.
  • Black families often report dismissal of concerns, delayed referrals, and lack of cultural resonance in care plans.
  • People from the Mixed White and Black Caribbean ethnic group are the most likely to use NHS-funded mental health, learning disability, and autism services, though this may reflect crisis-driven access rather than early intervention.

These aren’t anomalies, they are the result of systems that were never designed with Black neurodivergent lives in mind.

Intersections: race, neurodivergence, and mental health

At the intersection of Black identity, neurodivergence, and mental health lies a landscape shaped by misrecognition and exclusion. Here, individuals are:

  • Misdiagnosed or missed entirely due to racialised behavioural expectations
  • Penalised for cultural expression, in tone, movement, or communication style
  • Overrepresented in school exclusions and criminal justice pathways
  • Underrepresented in trauma-informed, neuroaffirmative carea
  • Expected to navigate services that neither reflect nor respect their lived experience

These realities are compounded by generational trauma, systemic racism, and the near-total absence of Black neurodivergent voices in clinical research and service design.

EDI Network Reflections: Dr Levi Tafari and the Power of Poetic Truth

At a recent Equity Diversity and Inclusion gathering that The Aspen Clinic attended, Dr Levi Tafari offered more than a performance, he offered a mirror. His poems captured by ‘Being Human’ reminded us that equity is not just a policy, it’s a posture. A way of seeing people in their wholeness, not in fragments. A refusal to filter humanity through someone else’s lens.

In that moment, the room shifted. What had been staged as a conference became a call to action. Dr Tafari’s words cut through the noise of compliance and reached something deeper: the need for care that is not just clinically sound, but spiritually honest.

At The Aspen Clinic, we take moments like that seriously. Not as inspiration, but as instruction.

How The Aspen Clinic responds

We don’t just acknowledge these intersections, we design for them. Our approach is built on four pillars:

Inclusive assessment

We believe assessment should illuminate, not obscure. That’s why we use culturally attuned screening tools and neuroaffirmative language. We adapt formats to meet sensory, linguistic, and emotional needs, and embed trauma awareness into every consultation. Our reports reflect the person, not just the presentation.

Community-Led Pathways

We embed lived experience into service design and offer flexible referral routes that bypass traditional gatekeeping. Our patient feedback loops are structured, time-bound, and iterative. We use visual and narrative-based documentation to ensure identity is not just acknowledged, but centred.

Neurodivergent justice & governance

We’re building integrated training pathways for Assistant Psychologists from underrepresented backgrounds and exploring university partnerships to diversify the pipeline. Our flexible working policies reflect neurodivergent needs, and our succession planning centres equity, retention, and representation. Our governance structures embed psychological safety with EDI leadership affirmed in our board architecture.

Our Commitment

At The Aspen Clinic, we build systems that see the whole person, not just the presenting problem. We honour poetry, policy, and people. We honour the past by redesigning the future.

This Black History Month, we don’t just reflect, we recalibrate. Because equity isn’t what we say. It’s what we build. And we’re building it with rhythm, with rigour, and with radical care. The kind of clinic where being human is not just a poem, but a practice.

References

Care Quality Commission. (2024, October 25). Black men’s mental health. In State of Care 2023/24. https://www.cqc.org.uk/publications/major-report/state-care/2023-2024/areas-of-concern/bmmh

Department for Health and Social Care. (2025). Evidence briefing on the drivers of racial disparities in the Mental Health Act. UK Parliament. https://data.parliament.uk/DepositedPapers/Files/DEP2025-0227/Evidence_summary_drivers_of_racial_disparities-Mental_Health_Act.pdf

NHS Digital. (2025, September 18). Mental Health Act Statistics, Annual Figures, 2024–25: Detentions – Differences Between Groups of People. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-act-statistics-annual-figures/2024-25-annual-figures/detentions-differences-between-groups-of-people

Race Equality Foundation. (2022, October). Racial disparities in mental health: Delivering Race Equality in Mental Health Care.
https://raceequalityfoundation.org.uk/wp-content/uploads/2022/10/mental-health-report-v5-2.pdf

UK Government. (2024, August 16). Use of NHS mental health, learning disability and autism services. Ethnicity Facts and Figures. https://www.ethnicity-facts-figures.service.gov.uk/health/mental-health/adults-using-nhs-funded-mental-health-and-learning-disability-services/latest/

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