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倡导心理健康系统中的种族平等:带头的州政府组织工作人员的看法与经历。

Championing racial equity within mental health systems: Perceptions and experiences among state government organization staff leading the charge.

作者信息

Alden Alexandra M, Lincoln Alisa K

机构信息

Department of Sociology and Anthropology, College of Social Sciences and Humanities, Northeastern University.

出版信息

Am J Orthopsychiatry. 2025;95(4):427-434. doi: 10.1037/ort0000801. Epub 2024 Oct 3.

DOI:10.1037/ort0000801
PMID:39361375
Abstract

The COVID-19 pandemic and police brutality, especially the murder of George Floyd, have intensified the focus on racial equity within a diverse array of organizations. While a variety of strategies are employed in the pursuit of racial equity in mental health care, there is a notable gap in recognizing the crucial role of individual staff driving change within organizations. Few studies have examined these individuals and the ways they think about their work and its impact. Here, we examine the ways that state health and mental health authority (SH/MHA) staff understand racial equity in mental health care when faced with unusual support for equity reform following the Summer of 2020. Through in-depth qualitative interviews with 58 individuals working in SH/MHAs of 31 states across the United States, we examine the perspectives and experiences of staff engaging in racial equity work when they sense that sociohistoric events perhaps temporarily lifted constraints. Findings confirm the importance of people in the racial equity work process and show that study participants have the characteristics of champions with (a) a conceptualization of (in)equity that involves White systems, including their own organizations, and the need for persistent, sustainable work, (b) an emotional investment toward racial equity, and (c) autonomous motivations of morality and empathy. This study underscores the profound transformative capacity of champions within organizations. Gaining insight into their perceptions and experiences offers a deep understanding of the qualities of a champion and equips us to bolster their pursuits toward racial equity within mental health systems. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

新冠疫情和警察暴力执法事件,尤其是乔治·弗洛伊德被谋杀案,使得各类组织对种族平等的关注日益增强。尽管在追求精神卫生保健领域的种族平等方面采用了多种策略,但在认识到组织内部推动变革的个体工作人员的关键作用方面,仍存在显著差距。很少有研究考察过这些个体以及他们对工作及其影响的思考方式。在此,我们探讨了在2020年夏季之后,当州卫生与精神卫生管理部门(SH/MHA)的工作人员面对不同寻常的平等改革支持时,他们对精神卫生保健领域种族平等的理解方式。通过对美国31个州SH/MHA的58名工作人员进行深入的定性访谈,我们考察了从事种族平等工作的人员在感受到社会历史事件可能暂时消除了限制时的观点和经历。研究结果证实了人员在种族平等工作过程中的重要性,并表明研究参与者具有倡导者的特征:(a)对(不)平等的概念化涉及包括自身组织在内的白人体系,以及对持续、可持续工作的需求;(b)对种族平等的情感投入;(c)道德和同理心的自主动机。本研究强调了组织内部倡导者的深刻变革能力。深入了解他们的认知和经历,能让我们深刻理解倡导者的特质,并使我们有能力支持他们在精神卫生系统中追求种族平等。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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