Pickover Alison M, Allbaugh Lucy J, Sun Shufang, Casimir Michelle T, Graves Chanda C, Wood Keith A, Ammirati Rachel, Cattie Jordan E, Lamis Dorian A, Kaslow Nadine J
Department of Psychiatry, Columbia University, Irving Medical Center, and New York State Psychiatric Institute, New York, New York.
Department of Psychology, University of Dayton.
Psychol Serv. 2020;17(Suppl 1):5-11. doi: 10.1037/ser0000388.
In recent years, behavioral health professionals have expressed increased interest in engaging in social justice advocacy in public health care systems. In this article, we use an ecological framework to explore opportunities for social justice advocacy in such systems and challenges associated with such efforts. We propose that ecological models are well-suited to conceptualize and address the various contexts that affect behavioral health needs, and we emphasize the importance of considering the multitude of increasingly superordinate systems within which behavioral health professionals work when pursuing advocacy initiatives. We outline the central tenets of ecological models, apply them to social justice advocacy, and provide examples of advocacy within and across ecological systems. Finally, we reflect on future directions for behavioral health professionals interested in using an ecological framework to guide their own advocacy efforts, with and on behalf of patients and communities, in public health care systems and affiliated institutions.
近年来，行为健康专业人员对在公共卫生保健系统中参与社会正义倡导表现出越来越浓厚的兴趣。在本文中，我们使用一个生态框架来探索此类系统中社会正义倡导的机会以及与此类努力相关的挑战。我们认为生态模型非常适合概念化和应对影响行为健康需求的各种背景，并且我们强调在推行倡导举措时考虑行为健康专业人员工作所处的众多日益重要的系统的重要性。我们概述了生态模型的核心原则，将其应用于社会正义倡导，并提供了生态系统内部和跨生态系统倡导的示例。最后，我们思考了行为健康专业人员未来的方向，他们有兴趣使用生态框架来指导自己在公共卫生保健系统及附属机构中为患者和社区并代表他们进行的倡导工作。
