Eunice Yuen, Susan Daily, Julie Sadhu, Janet Baek, Gabrielle Shapiro, Cynthia Pfeffer, Jonathan Dowben, Kamilah Jackson, B. Sarvet, Dorothy Stubbe
{"title":"与有色人种儿童和青少年合作的临床考虑:过去,现在和未来","authors":"Eunice Yuen, Susan Daily, Julie Sadhu, Janet Baek, Gabrielle Shapiro, Cynthia Pfeffer, Jonathan Dowben, Kamilah Jackson, B. Sarvet, Dorothy Stubbe","doi":"10.2174/2210676613666230901125251","DOIUrl":null,"url":null,"abstract":"\n\nBackground Objectives: Systemic racism and health inequality for\nChildren and Adolescents of Color (CAoC) and their families need to be\nacknowledged and addressed in the provision of mental health treatment by child and\nadolescent psychiatrists. The lack of parity for behavioral health drives the lack of\nintegration of “mental” health with overall health and the lack of funding, policy,\nplanning, and practices to support the social and emotional health of children and\ntheir families. Additionally, the unequal treatment faced by Black, Indigenous, and\nPeople of Color (BIPOC) children and their families further impacts their overall\nhealth and mental health outcomes. Implicit biases, conscious and unconscious,\ninfluence clinical judgments, lead to errors in diagnostic and treatment decisions and\nimpair child and adolescent psychiatrists’ ability to fully partner with families to treat,\nadvocate for, and improve the clinical and life trajectories of this diverse group of\nyoung people and families that child and adolescent psychiatrists are called to serve.\n\nMethods: Using a case vignette, this paper discusses historical examples showing\nhow child and adolescent psychiatrists’ implicit bias may manifest when working\nwith CAoC. Medical training and clinical practice have paid scant attention to the\nbroader impacts of systemic racism and inequities in healthcare until recent years.\n\nDiscussion: This article provides clinical recommendations for clinicians to navigate\nthese factors through trauma-centered and patient-centered care. Viewing through the\nlens of intergenerational racial trauma and acknowledging one’s own bias, clinicians\ncan better help and support CAoC as they strive toward a brighter future.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Considerations in Working with Children and Adolescents of Color: Past, Present and Future\",\"authors\":\"Eunice Yuen, Susan Daily, Julie Sadhu, Janet Baek, Gabrielle Shapiro, Cynthia Pfeffer, Jonathan Dowben, Kamilah Jackson, B. Sarvet, Dorothy Stubbe\",\"doi\":\"10.2174/2210676613666230901125251\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\nBackground Objectives: Systemic racism and health inequality for\\nChildren and Adolescents of Color (CAoC) and their families need to be\\nacknowledged and addressed in the provision of mental health treatment by child and\\nadolescent psychiatrists. The lack of parity for behavioral health drives the lack of\\nintegration of “mental” health with overall health and the lack of funding, policy,\\nplanning, and practices to support the social and emotional health of children and\\ntheir families. Additionally, the unequal treatment faced by Black, Indigenous, and\\nPeople of Color (BIPOC) children and their families further impacts their overall\\nhealth and mental health outcomes. Implicit biases, conscious and unconscious,\\ninfluence clinical judgments, lead to errors in diagnostic and treatment decisions and\\nimpair child and adolescent psychiatrists’ ability to fully partner with families to treat,\\nadvocate for, and improve the clinical and life trajectories of this diverse group of\\nyoung people and families that child and adolescent psychiatrists are called to serve.\\n\\nMethods: Using a case vignette, this paper discusses historical examples showing\\nhow child and adolescent psychiatrists’ implicit bias may manifest when working\\nwith CAoC. Medical training and clinical practice have paid scant attention to the\\nbroader impacts of systemic racism and inequities in healthcare until recent years.\\n\\nDiscussion: This article provides clinical recommendations for clinicians to navigate\\nthese factors through trauma-centered and patient-centered care. 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Clinical Considerations in Working with Children and Adolescents of Color: Past, Present and Future
Background Objectives: Systemic racism and health inequality for
Children and Adolescents of Color (CAoC) and their families need to be
acknowledged and addressed in the provision of mental health treatment by child and
adolescent psychiatrists. The lack of parity for behavioral health drives the lack of
integration of “mental” health with overall health and the lack of funding, policy,
planning, and practices to support the social and emotional health of children and
their families. Additionally, the unequal treatment faced by Black, Indigenous, and
People of Color (BIPOC) children and their families further impacts their overall
health and mental health outcomes. Implicit biases, conscious and unconscious,
influence clinical judgments, lead to errors in diagnostic and treatment decisions and
impair child and adolescent psychiatrists’ ability to fully partner with families to treat,
advocate for, and improve the clinical and life trajectories of this diverse group of
young people and families that child and adolescent psychiatrists are called to serve.
Methods: Using a case vignette, this paper discusses historical examples showing
how child and adolescent psychiatrists’ implicit bias may manifest when working
with CAoC. Medical training and clinical practice have paid scant attention to the
broader impacts of systemic racism and inequities in healthcare until recent years.
Discussion: This article provides clinical recommendations for clinicians to navigate
these factors through trauma-centered and patient-centered care. Viewing through the
lens of intergenerational racial trauma and acknowledging one’s own bias, clinicians
can better help and support CAoC as they strive toward a brighter future.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.