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The Self-assessment for Modification of Anti-Racism Tool (SMART): Addressing Structural Racism in Community

Rachel M Talley1,2, Sosunmolu Shoyinka3,4, Kenneth Minkoff3,5,6

  • 1American Association for Community Psychiatry, Dallas, TX, USA. Rachel.Talley@pennmedicine.upenn.edu.

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Summary

This study introduces the Self-assessment for Modification of Anti-Racism Tool (SMART) to help community behavioral health organizations address systemic racism. SMART facilitates measurable organizational change and supports equity work.

Keywords:
AntiracismCommunity mental healthEquityOrganizational change

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Area of Science:

  • Health Equity
  • Organizational Psychology
  • Public Health Policy

Background:

  • Heightened national dialogue on systemic racism following high-profile deaths of Black Americans.
  • The AACP Board sought actionable strategies to address racism within its membership.
  • Existing frameworks for organizational health inequity were reviewed.

Purpose of the Study:

  • To introduce the Self-assessment for Modification of Anti-Racism Tool (SMART).
  • To provide a quality improvement tool for community behavioral healthcare organizations.
  • To facilitate measurable progress in addressing structural racism and disparities.

Main Methods:

  • Literature review of existing organizational frameworks for health equity.
  • Development of the SMART tool tailored for community behavioral healthcare.
  • Description of the SMART tool's components, application, and future directions.

Main Results:

  • The SMART tool is presented as a novel quality improvement resource.
  • SMART is designed to address specific domains of structural racism and disparities.
  • The tool aims to support organizational change and anti-racism initiatives.

Conclusions:

  • The AACP SMART offers a practical approach for healthcare organizations to tackle systemic racism.
  • SMART builds upon previous equity tools with a focus on behavioral healthcare.
  • The tool supports measurable actions toward achieving health equity and dismantling racist structures.