Research urges culturally informed mental health support for Gypsy and Traveller communities

January 2026

Recent joint research found that mistrust and lack of cultural understanding are among the barriers to mental health support for Gypsy and Traveller communities in West Sussex. Find out more about our research with Friends, Families and Travellers and how we plan to better serve these communities and influence the wider Sussex health system

Did you know that Gypsy and Traveller communities are three times more likely to be anxious compared to the general population and twice as likely to be depressed? These are just two of many health inequalities faced by Gypsy and Traveller people.

As part of our work to address health inequalities among minoritised communities, West Sussex Mind did some research late last year in collaboration with Friends, Families and Travellers (FFT) to explore the barriers to mental health support facing Gypsy and Traveller communities in West Sussex.

Based on in-depth interviews with 18 individuals from Romany Gypsy, Irish Traveller and New Traveller communities, which were conducted by FFT, the research found that barriers to support included:

  • Stigma around mental health (especially among men)
  • Fear of prejudice or social services involvement when asking for support
  • Literacy barriers and digital exclusion when accessing support
  • Lack of cultural understanding of Gypsy and Traveller communities among healthcare professionals
  • A widespread lack of support for people living in roadside camps or with no fixed address.

The goals of the research were to explore attitudes to mental health, better understand the barriers to support and find meaningful ways to improve and increase engagement of our services with Gypsy and Traveller people.

Finding a way forward

The report makes a number of recommendations to improve our charity's support, and we are looking to cascade the recommendations to the wider Sussex health community. They include:

  • Assigning a single mental health worker to build relationships and trust
  • Training for employees towards delivering more inclusive services to Gypsy and Traveller people
  • Offering a choice of support venues (eg community venues, Traveller site/home visits, remote support) and support types (one-to-one, group or family-based)
  • Offering a variety of communications options, including phone calls, voice notes and in-person visits, avoiding over-reliance on letters and digital forms.

Stigma around mental health, fear of prejudice and lack of cultural understanding of Gypsy and Traveller communities among healthcare professionals were among the barriers to support cited by research participants.

Kate Scales, deputy CEO of West Sussex Mind, said: “This joint report recognises that while there are barriers to support for these communities, there is also a strong desire for better support that is more consistent, flexible and culturally competent.

“We are committed to continuing our collaboration with Friends, Families and Travellers to change our own practices and to support NHS colleagues to embed the learning from the research.”

A spokesperson from Friends, Families and Travellers said:

“This partnership and research report demonstrate the importance of local action for local communities. West Sussex Mind’s proactiveness towards widening engagement with Sussex’s Gypsy and Traveller communities is a template for other service providers - from identifying barriers, to actioning recommendations.

"We look forward to working closely with West Sussex Mind and improving the mental health outcomes for Sussex’s Gypsy and Traveller communities.”

Knowledge, attitudes and barriers to support for the Gypsy and Traveller community in West Sussex: a qualitative report

Download the research report