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Power Redistribution and Upending White Supremacy in Implementation Research and Practice in Community Mental Health
Amanda L Sanchez1, Lauren Pilar Cliggitt1, Natalie L Dallard1
1Department of Psychology, George Mason University, Fairfax, Virginia (Sanchez); Hall Mercer Community Mental Health Center, Philadelphia (Cliggitt); Philadelphia Alliance for Child Trauma Services (Dallard, Irby) and Evidence-Based Practice and Innovation Center (Harper, Schaffer), Department of Behavioral Health and Intellectual disAbility Services, Philadelphia; Department of Anesthesiology and Critical Care, Perelman School of Medicine, and Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia (Lane-Fall); Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Beidas); Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Beidas). Send correspondence to Dr. Sanchez (asanch49@gmu.edu).
Abstract:
This Open Forum explores how implementation research and practice may sustain White supremacist ideas, perpetuate unequal power dynamics, and maintain mental health care inequities. The following questions were considered: What information is valued and considered evidence? and How do power differentials within implementation research and practice manifest? The implementation of evidence-based interventions within community mental health clinics is used as an example to explore these questions. Recommendations are provided to envision a future that centers collaboratively developed and community-led approaches to foster equity in mental health care.
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