We explore racial inequality in relation to Black children and young people (CYP) and Child and Adolescent Mental Health Services (CAMHS). We argue that the experience of racism should be universally considered an Adverse Childhood Experience (ACE). We argue that racism and the vicarious trauma arising from exposure to frequent media reports of racially motivated violence against persons of Black ethnicity can all predispose Black CYP to increased risk of mental health problems. We make recommendations to improve Black CYP’s early access to CAMHS, and to reduce their overrepresentation in psychiatric in-patient settings in the UK. This would require making CAMHS more welcoming to Black CYP and consideration of the impact of racism and trauma in the diagnostic and treatment formulation for Black CYP. This should include: the impact of racism in staff training, improving the cultural competence of CAMHS staff, and supporting Black CYP to articulate their experiences of racism and related traumas whilst facilitating their development of coping strategies to manage these experiences.

中文翻译：

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社论观点：黑人儿童和年轻人的心理健康需求。1 现在是时候将种族主义重新定义为一种创伤性经历了吗？

我们探讨了与黑人儿童和年轻人 (CYP) 以及儿童和青少年心理健康服务 (CAMHS) 相关的种族不平等。我们认为种族主义的经历应该被普遍认为是一种不良的童年经历（ACE）。我们认为，种族主义和因媒体频繁报道针对黑人的种族动机暴力而产生的替代性创伤，都可能使黑人 CYP 增加心理健康问题的风险。我们提出建议，以改善 Black CYP 对 CAMHS 的早期访问，并减少他们在英国精神病院住院环境中的过度代表。这将需要使 CAMHS 更加欢迎 Black CYP，并在 Black CYP 的诊断和治疗配方中考虑种族主义和创伤的影响。这应该包括：