American Association for Community Psychiatry, Dallas, TX, USA.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Philadelphia, PA, 19104, USA.
Community Ment Health J. 2021 Aug;57(6):1208-1213. doi: 10.1007/s10597-021-00839-0. Epub 2021 May 23.
A national dialogue on systemic racism has been reinvigorated by the highly publicized deaths of several unarmed Black Americans, including George Floyd and Breonna Taylor. In response, the AACP Board considered how to promote concrete, meaningful action to support its membership in measurably addressing structures and policies that promote racism. In this article, literature on existing frameworks aimed at addressing health inequity on the organizational level are reviewed. We introduce the Self-assessment for Modification of Anti-Racism Tool (SMART), a quality improvement tool that aims to meet the AACP's needs in facilitating organizational change in community behavioral healthcare. The AACP SMART's development, components, use, and future directions are described. The AACP SMART builds on prior organizational tools supporting equity work in healthcare, providing a quality improvement tool that incorporates domains specific to structural racism and disparities issues in community behavioral healthcare.
一场关于系统性种族主义的全国性对话，因几位手无寸铁的非裔美国人的死而重新受到关注，其中包括乔治·弗洛伊德和布雷娜·泰勒。对此，AACP 董事会考虑如何采取具体、有意义的行动，支持其成员采取切实措施，解决促进种族主义的结构和政策问题。在本文中，我们回顾了旨在解决组织层面健康不平等问题的现有框架文献。我们介绍了自我评估修正反种族主义工具（SMART），这是一种质量改进工具，旨在满足 AACP 在促进社区行为保健组织变革方面的需求。描述了 AACP SMART 的开发、组成部分、使用和未来方向。AACP SMART 建立在先前支持医疗保健中公平工作的组织工具的基础上，提供了一种质量改进工具，其中包含社区行为保健中结构性种族主义和差异问题的特定领域。
