From Rhetoric to Action: Justice, Equity, Diversity, and Inclusion in Coordinated Specialty Care for Early Psychosis.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-11-01 Epub Date: 2024-07-03 DOI:10.1176/appi.ps.20240041

Shannon Pagdon, Sarah S Shahriar, Samuel Murphy, Christina Bomnae Babusci, Ana T Flores, Ariana J Rivens, Arielle Ered, William R Smith, Nev Jones, Peter L Phalen, Monica E Calkins, Melanie E Bennett

引用次数: 0

Abstract

Attention to inclusivity and equity in health research and clinical practice has grown in recent years; however, coordinated specialty care (CSC) for early psychosis lags in efforts to improve equity despite evidence of ongoing disparities and inequities in CSC care. This Open Forum argues that marginalization and disparities in early psychosis research and clinical care are interrelated, and the authors provide suggestions for paths forward. Commitment to equity and justice demands recentering the perspectives of those most affected by early psychosis services and investing in the integration of historically excluded perspectives across all aspects of practice, policy, and research.

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从言辞到行动：早期精神病协调专科护理中的公正、公平、多样性和包容性。

近年来，对健康研究和临床实践中的包容性和公平性的关注与日俱增；然而，尽管有证据表明协调专科护理（CSC）中存在持续的差异和不公平，但针对早期精神病的协调专科护理（CSC）在努力提高公平性方面仍然滞后。本公开论坛认为，早期精神病研究和临床护理中的边缘化和差异是相互关联的，作者就前进的道路提出了建议。要致力于实现公平与正义，就必须重新考虑那些受早期精神病服务影响最大的人的观点，并在实践、政策和研究的各个方面投资于整合历来被排斥的观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.