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Structural Racism and Psychiatric Practice: A Call for Sustained Change.

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Psychiatry must integrate techniques addressing racial identity and structural racism due to systemic inequities. A sustained commitment, not a lack of methods, is needed to address these issues in clinical practice and teaching.

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Area of Science:

  • Psychiatry and Mental Health
  • Social Sciences
  • Public Health

Background:

  • Structural racism is gaining attention due to recent political and social events.
  • The field of psychiatry faces a history of systemic inequities.
  • Evidence highlights long-standing systemic inequities within psychiatry.

Purpose of the Study:

  • To emphasize the urgent need for integrating techniques addressing racial identity and racism into psychiatric practice and education.
  • To address the lack of sustained commitment in applying existing strategies for racism in psychiatry.
  • To provide recommendations for institutionalizing the focus on racism and racial identity in psychiatry.

Main Methods:

  • Utilizing clinical and supervisory work examples.
  • Reviewing published strategies for addressing racism and racial identity in psychiatric practice.
  • Developing recommendations for institutionalizing focus on racism and racial identity.

Main Results:

  • Psychiatry has a legacy of systemic inequities.
  • Existing techniques to address racism and racial identity are available but underutilized.
  • A lack of sustained commitment hinders integration of these techniques.

Conclusions:

  • There is an urgent need to integrate racial identity and racism into psychiatric practice and teaching.
  • Institutionalizing a focus on racism and racial identity is crucial for progress.
  • Existing techniques can be applied to clinical examples to address systemic inequities.