Using Digital Technology to Overcome Racial Disparities in Child and Adolescent Psychiatry - 28/09/22
, Tashalee R. Brown, MD, PhD a, b, Kevin Y. Xu, MD, MPH a, Anne L. Glowinski, MD, MPE a, b, cRésumé |
Racial inequity in mental health care quality is influenced by many systems-level factors, as elucidated by critical race theory, structural competency, and other keystone frameworks.1 A growing body of literature also suggests provider-level bias to be a key driver.1–3 There is specific evidence that racism is an important driver of health inequities among youth4 and that it is mediated, in part, by provider-level processes related to diagnosis and treatment.2 For example, in child and adolescent psychiatry, youth who are Black, Indigenous, and People of Color (BIPOC) experience disproportionate rates of delayed diagnosis and treatment of autism spectrum disorder, overdiagnosis of conduct disorder, and underdiagnosis of attention-deficit/hyperactivity disorder.4 Black and multiracial adolescents are at highest risk of suicide,5 yet are least likely to receive preventive psychotherapy.4
Le texte complet de cet article est disponible en PDF.| Drs. Jansen, Brown, and Xu are supported by the National Institutes of Health (NIH; R25 MH112473-01, of which Dr. Glowinski is the co–principal investigator). These funding sources had no role in the study design, implementation, or interpretation of results. However, the mission of the grant is the recruitment, mentoring, and retention of clinician scientists including underrepresented minority (URM) clinician scientists, which is relevant to this article. |
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| This article is part of a special series devoted to addressing bias, bigotry, racism, and mental health disparities through research, practice, and policy. The series is edited by Assistant Editor Eraka Bath, MD, Deputy Editor Wanjikũ F.M. Njoroge, Associate Editor Robert R. Althoff, MD, PhD, and Editor-in-Chief Douglas K. Novins, MD. |
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| Author Contributions |
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| MOJ, TRB, KYX, and ALG are guarantors and take full responsibility for the content of the manuscript. MOJ, TRB, KYX, and ALG contributed to conception, were involved in the critical revision of the manuscript, and approved the version submitted. |
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| The authors would like to acknowledge Eric Lenze, MD, and Katie Keenoy, MA, for their helpful review of the manuscript and recommendations through a Washington University School of Medicine mHealth Research Core consultation. |
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| Disclosure: Drs. Jansen, Brown, Xu, and Glowinski have reported no biomedical financial interests or potential conflicts of interest. |
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| All statements expressed in this column are those of the authors and do not reflect the opinions of the Journal of the American Academy of Child and Adolescent Psychiatry. See the Guide for Authors for information about the preparation and submission of Commentaries. |
Vol 61 - N° 10
P. 1211-1217 - octobre 2022 Retour au numéro
Article précédent
- Child and Adolescent Psychiatry and Underrepresented Youth With School Attendance Problems: Integration With Systems of Care, Advocacy, and Future Directions
- Christopher A. Kearney, Laelia Benoit
- Editorial: Psychotic-like Experiences: Bolstering Protective Factors in Marginalized Youth
- Bernalyn Ruiz-Yu, Derek M. Novacek, Carrie E. Bearden
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