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Why Won't Anyone Talk? Challenges Naming and Addressing Tokenism Within Health and Human Service Agencies Serving the
Brooke A Levandowski1, Susan Rietberg-Miller, Brytelle Walton
1Author Affiliation: Department of Obstetrics and Gynecology, University of Rochester, Rochester, New York State.
Journal of Public Health Management and Practice : JPHMP
|September 10, 2024
Summary
Workplace tokenism causes burnout in marginalized groups. Community-based research with an antiracism lens may improve inclusion for Lesbian, Gay, Bisexual, Transgender, Queer plus communities in health services.
Area of Science:
- Health Services Research
- Organizational Psychology
- Social Equity in Healthcare
Background:
- Workplace tokenism is prevalent in health and human service organizations.
- Tokenism involves superficial efforts to appear equitable, leading to burnout for marginalized groups.
- Organizations serving Lesbian, Gay, Bisexual, Transgender, Queer plus (LGBTQ+) communities are not immune to tokenism.
Purpose of the Study:
- To identify interventions addressing tokenism within LGBTQ+-serving health and human service agencies in New York.
- To understand barriers to participation in research on workplace inclusion.
- To explore strategies for mitigating challenges related to addressing tokenism.
Main Methods:
- An original research project initially planned focus groups.
- A follow-up survey with 41 participants was conducted due to low focus group engagement.
- Qualitative data on participant experiences and needs were collected.
Main Results:
- Burnout was identified as the primary reason for nonparticipation in focus groups.
- Participants desired aftercare to address the retraumatizing nature of sharing personal experiences.
- Challenges in addressing tokenism were highlighted, impacting LGBTQ+ inclusion.
Conclusions:
- Community-based participatory research (CBPR) with an antiracism lens may be effective.
- CBPR and an antiracism approach can help mitigate challenges in addressing tokenism.
- These methods may increase workplace inclusion for the LGBTQ+ community in health services.
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