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From Rhetoric to Action: Justice, Equity, Diversity, and Inclusion in Coordinated Specialty Care for Early Psychosis
Shannon Pagdon1, Sarah S Shahriar1, Samuel Murphy1
1School of Social Work, University of Pittsburgh, Pittsburgh (Pagdon, Babusci, Flores, Jones); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Shahriar, Rivens, Ered, Smith, Calkins); Department of Psychiatry, University of Pittsburgh, Pittsburgh (Murphy); Department of Psychology, University of Virginia, Charlottesville (Rivens); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Phalen, Bennett).
Abstract:
Attention to inclusivity and equity in health research and clinical practice has grown in recent years; however, coordinated specialty care (CSC) for early psychosis lags in efforts to improve equity despite evidence of ongoing disparities and inequities in CSC care. This Open Forum argues that marginalization and disparities in early psychosis research and clinical care are interrelated, and the authors provide suggestions for paths forward. Commitment to equity and justice demands recentering the perspectives of those most affected by early psychosis services and investing in the integration of historically excluded perspectives across all aspects of practice, policy, and research.
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