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Updated: Jan 22, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
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Reflective Capacity: An Antidote to Structural Racism Cultivated Through Mental Health Consultation.

Miriam E Silverman1, Margaret S Hutchison2

  • 1Department of Psychiatry, Infant-Parent Program, University of California, San Francisco, California.

Infant Mental Health Journal
|July 11, 2019
PubMed
Summary
This summary is machine-generated.

Shifting from reproductive health to reproductive justice requires changes at provider and system levels. Infant mental health consultation supports providers in addressing structural racism for vulnerable perinatal patients.

Keywords:
Beratung zur psychischen GesundheitReflexionsfähigkeitSelbstwahrnehmungcapacidad de reflexióncapacité de réflexionconciencia de sí mismoconscience de soiconsulta de salud mentaljustice reproductivejusticia reproductivamental health consultationreflective capacityreproductive justicereproduktive Gerechtigkeitself-awarenessconsultation de santé mentaleاستشارة الصحة النفسيةالعدالة الإنجابيةالقدرة التأمليةالوعي الذاتي内省的能力反思能力心理健康諮詢生殖の公平性生殖公義精神保健的コンサルテーション自己の意識自我意識

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Area of Science:

  • Perinatal mental health
  • Reproductive justice
  • Healthcare systems

Background:

  • The perinatal field is shifting from a reproductive health to a reproductive justice framework.
  • This requires changes at both the individual healthcare provider and healthcare system levels.
  • Structural racism significantly impacts the health and well-being of vulnerable expectant and new parents.

Purpose of the Study:

  • To describe the extension of infant mental health consultation to perinatal service systems.
  • To support reflective practice and use-of-self in patient-provider relationships within nursing programs serving vulnerable populations.
  • To identify challenges and effective engagement strategies for advancing reproductive justice in perinatal care.

Main Methods:

  • Infant mental health consultation provided by the UCSF Infant-Parent Program to two nursing programs.
  • Focus on supporting reflective practice and use-of-self in patient-provider relationships.
  • Utilizing nurse consultation partnerships as organizational case studies.

Main Results:

  • Consultation fostered providers' capacity to identify and address issues of race, class, and culture.
  • Providers recognized and challenged structural racism within the healthcare system.
  • Providers became more aware of how policies and procedures can uphold structural racism.

Conclusions:

  • Extending infant mental health consultation to perinatal care can facilitate a shift toward reproductive justice.
  • Supporting providers' reflective practice is crucial for addressing structural racism.
  • Effective engagement strategies are needed to combat structural racism in healthcare systems.