一个全面的框架,以促进公平,多样性和纳入法医服务
Sumeeta Chatterjee1, Alexander I F Simpson2, Treena Wilkie2
1Dr. Chatterjee is Person in Charge, Forensic Service, Centre for Addiction and Mental Health, Toronto, Canada, and Director, Forensic Psychiatry Subspecialty Program and Assistant Professor, University of Toronto. Dr. Simpson is Chair in Forensic Psychiatry, The Centre for Addiction and Mental Health and University of Toronto, and Professor, Department of Psychiatry, University of Toronto. Dr. Wilkie is Deputy Physician in Chief, Medical Affairs and Practice, and Chief, Division of Forensic Psychiatry, The Centre for Addiction and Mental Health; and Associate Professor, University of Toronto. sumeeta.chatterjee@camh.ca.
法医心理健康服务正在调整一个公平,多样性和包容 (EDI) 框架,以解决系统性障碍,并改善对少数民族和土著人口的护理. 该框架通过持续学习和结构化举措促进持久变革.
科学领域:
- 法医精神病学 法医精神病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 少数民族和土著人口在法医心理健康服务中面临着严重的差异,原因是社会决定因素和系统性歧视.
- 现有的法医系统在人员和结构方面面临着公平,多样性和包容性 (EDI) 的挑战,反映了更广泛的医疗保健问题.
- 在法医心理健康环境中,缺乏指导公平,多样化和包容性实践的文献.
研究的目的:
- 在法医心理健康服务中适应和实施公平,多样性和包容性 (EDI) 框架.
- 建立一个可持续的平台,将EDI原则和倡议纳入法医服务文化.
- 促进患者,家庭和工作人员对实践的持久,积极的变化.
主要方法:
- 为法医精神卫生服务量身定制的全面EDI框架的开发和调整.
- 将框架结构划分为六个主要领域:组织承诺,员工/劳动力能力,服务获取和提供,促进响应,社区宣传和数据收集.
- 在持续学习和改进的文化中整合EDI原则和倡议.
主要成果:
- 调整后的EDI框架为组织和整合EDI原则提供了一个结构化的方法.
- 该框架的六个领域为开发有针对性的倡议提供了基础,以解决系统性障碍.
- 实施促进学习和持续改进的文化,这对于可持续的EDI实践至关重要.
结论:
- 开发的法医EDI框架为加强法医心理健康中的公平,多样性和包容性提供了一个实用的模型.
- 这种结构化的方法对于解决少数民族和土著居民在这些服务中面临的独特挑战至关重要.
- 该框架支持创建更具响应性,可访问性和公平的护理服务.
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