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Addressing Health Equity and Racism Through a Hispanic Psychiatry Fellowship
Esperanza Díaz1, Luis Añez Nava1, Susan Parke1
1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Díaz, Nava, Parke, Silva, Davidson, Restrepo-Toro, Vassallo, Mendiola, Steiner, Dike); Department of Psychiatry and Behavioral Sciences, University of California Davis, Sacramento (Lu); Department of Psychiatry, New York University, New York City (Jordan). Michael Mensah, M.D., M.P.H., Lucy Ogbu-Nwobodo, M.D., M.S., and Ruth S. Shim, M.D., M.P.H., are editors of this column.
Abstract:
The scarcity of bilingual psychiatrists, as well as appropriate mental health services for populations with limited English proficiency, has led to inequitable health outcomes. A fellowship program was developed, which draws from a clinical model staffed by bilingual (Spanish-English) professionals from racial-ethnic minority groups, to address access to care and the structural determinants of health. This new Hispanic Psychiatry Fellowship focuses on health inequality and racism in policy and leadership, clinical care for Spanish-speaking patients, cultural psychiatry, recovery, forensics, substance use, and education. This column describes the program's development, first 2 years of implementation, and feasibility indicators for use in creating similar programs.
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