Sanchez Amanda L, Cliggitt Lauren Pilar, Dallard Natalie L, Irby Deborah, Harper Mikaila, Schaffer Emily, Lane-Fall Meghan, Beidas Rinad S
Department of Psychology, George Mason University, Fairfax, Virginia (Sanchez); Hall Mercer Community Mental Health Center, Philadelphia (Cliggitt); Philadelphia Alliance for Child Trauma Services (Dallard, Irby) and Evidence-Based Practice and Innovation Center (Harper, Schaffer), Department of Behavioral Health and Intellectual disAbility Services, Philadelphia; Department of Anesthesiology and Critical Care, Perelman School of Medicine, and Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI), University of Pennsylvania, Philadelphia (Lane-Fall); Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Beidas); Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago (Beidas). Send correspondence to Dr. Sanchez (
Psychiatr Serv. 2023 Sep 1;74(9):987-990. doi: 10.1176/appi.ps.20220209. Epub 2023 Mar 6.
This Open Forum explores how implementation research and practice may sustain White supremacist ideas, perpetuate unequal power dynamics, and maintain mental health care inequities. The following questions were considered: What information is valued and considered evidence? and How do power differentials within implementation research and practice manifest? The implementation of evidence-based interventions within community mental health clinics is used as an example to explore these questions. Recommendations are provided to envision a future that centers collaboratively developed and community-led approaches to foster equity in mental health care.
本次开放论坛探讨了实施研究与实践如何可能维持白人至上主义观念、使不平等的权力动态永久化以及维持精神卫生保健方面的不平等。我们思考了以下问题：哪些信息被视为有价值且可作为证据？以及实施研究与实践中的权力差异如何表现？以社区精神卫生诊所实施循证干预措施为例来探讨这些问题。我们还提供了一些建议，以构想一个以共同制定且由社区主导的方法为核心的未来，以促进精神卫生保健方面的公平。
