Fani Negar, White DeJuan, Marshall-Lee Erica, Hampton-Anderson Joya
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta.
Focus (Am Psychiatr Publ). 2022 Jul;20(3):270-276. doi: 10.1176/appi.focus.20220045. Epub 2022 Jul 1.
The COVID-19 pandemic has amplified mental health disparities among people of color, particularly for Black, Latinx, and American Indian populations. In addition to experiencing overt hostility and systemic injustice, people from marginalized racial-ethnic groups experience prejudice and bias from clinicians that has disrupted rapport and trust in mental health systems; these experiences, in turn, have deepened these health disparities. In this article, the authors describe factors that have served to perpetuate mental health disparities and outline key components of antiracist practice in psychiatry (and in mental health practice, more generally). With lessons learned in recent years, this article presents practical ways to incorporate antiracist practices into clinical care.
新冠疫情加剧了有色人种之间的心理健康差距，尤其是黑人、拉丁裔和美国印第安人群体。除了遭受公然的敌意和系统性的不公正之外，来自边缘化种族群体的人还经历了临床医生的偏见，这破坏了他们与心理健康系统之间的融洽关系和信任；而这些经历反过来又加深了这些健康差距。在本文中，作者描述了导致心理健康差距长期存在的因素，并概述了精神病学（以及更广泛的心理健康实践）中反种族主义实践的关键组成部分。通过近年来吸取的经验教训，本文提出了将反种族主义实践纳入临床护理的切实可行方法。
