impact of institutional discrimination on the care service provision & its consiquenses for its service users?

Answer 1

I'm not doing your homework. I'm sure a quick internet search would give you better answers than I can.

I do know that black people get worse mental health services because they are more reluctant to see a psychologist, and in the USA they are less likely to get good healthcare, as they are less likely to be able to afford it (there's a chapter about this in 'Hey Dude where's my country' by Michael Moore)