Addressing Systemic Racism and Disparate Mental Health Outcomes for Youth of Color, An Issue of Child And Adolescent Psychiatric Clinics of North America

1st Edition, Volume 31-2 - April 1, 2022
Editors: Lisa Fortuna, Cheryl S. AlMateen, Lisa M. Cullins, W. David Lohr
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 6 5 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 8 7 6 6 - 0

In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Lisa Fortuna, Cheryl S. Al-Mateen, Lisa M. Cullins, and W. David Lohr bring their considerabl… Read more

Addressing Systemic Racism and Disparate Mental Health Outcomes for Youth of Color, An Issue of Child And Adolescent Psychiatric Clinics of North America

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In this issue of Child and Adolescent Psychiatric Clinics, guest editors Drs. Lisa Fortuna, Cheryl S. Al-Mateen, Lisa M. Cullins, and W. David Lohr bring their considerable expertise to the topic of Systemic Racism and Disparate Mental Health Outcomes for Youth of Color. This issue represents a collaboration by American Academy of Child and Adolescent Psychiatry committee members and includes contributions by top experts in the field. It is an invaluable resource for practicing psychiatrists looking to address the unique needs and experiences of black and BIPOC youth in their practices.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Preface
A Personal Story
Framework for Understanding and Addressing Racial and Ethnic Disparities in Children’s Mental Health
Key points
Background
Summary
Clinics care points
Racial Disparities in the Education System: Opportunities for Justice in Schools
Key points
Introduction
The historical legacy of a separate and unequal Education system
Racial disparities in US public schools
A path to justice in the education system
Developmental considerations on the path to justice
Discussion
Summary
Clinics care points
Suicide and Suicidal Behaviors Among Minoritized Youth
Key points
Introduction
African american/black youth
American indian/alaskan native youth
Asian american, pacific islander, and native hawaiian youth
Hispanic youth
Multiracial youth
Assessment of suicide for youth: racism and racial trauma
Treatments for suicidal youth of color
Individually focused interventions
Family-focused interventions for suicide
Summary
Unpacking the Layers: Dismantling Inequities in Substance Use Services and Outcomes for Racially Minoritized Adolescents
Key points
Background
Intersectionality of race and gender and populations within settings such as schools
Illustrative vignette
Justice involved youth
Family-based interventions
Summary
Practical recommendations
Research
Clinics care points
Focusing on Racial, Historical and Intergenerational Trauma, and Resilience: A Paradigm to Better Serving Children and Families
Key points
Introduction
The “Biological Embedding” of Intergenerational Trauma
Interrelationship of Racial, Intergenerational, and Historical Trauma
Prevention Interventions
Evidence-Based Approaches
Summary
Clinics care points
Vignette 1: Maria’s story
Vignette 2: Esther
Vignette 3: Mars
Cultural and Structural Humility and Addressing Systems of Care Disparities in Mental Health Services for Black, Indigenous, and People of Color Youth
Key points
Introduction
Considerations
Applications
Conclusion
Clinics care points
The Impact of Racism on the Health and Wellbeing of Black Indigenous and Other Youth of Color (BIPOC Youth)
Key points
Introduction
Racism and youth in America
Impact of racism on health
Racism and risk behaviors
Disparities in accessing care
Role of generational trauma and deprivation on health and wellbeing
Navigating white spaces and emotional stress
Culturally relevant protective factors for BIPOC youth: ethnic-racial socialization and ethnic-racial identity development.
Promising approaches to facilitate thriving/pathways to recovery
Conflict of interest statement
Nurturing Children’s Mental Health Body and Soul: Confronting American Child Psychiatry’s Racist Past to Reimagine Its Antiracist Future
Key points
Introduction
American child psychiatry: historical perspectives
Painting the landscape of contemporary racist inequities
Discussion and summary: imagining an antiracist present and future
Clinics care points
Striving for Equity in Community Mental Health: Opportunities and Challenges for Integrating Care for BIPOC Youth
Key points
Introduction
Background & definitions
Summary
Conclusion
Parenting and Family-Based Care
Key points
Introduction
Discussion
Summary
Clinics care points
Immigration and Race: A Challenge of Many Shades
Key points
Introduction
Defining race and identity
Black Caribbean and Black African immigrants
East Indian, Pakistani, and Filipino immigrants
The role of intermarriage
Biracial identities
Language and the American identity
Discrimination, racism, and perceived racism among immigrant youth
Risk factors and protective factors in experiences of discrimination and racism
Racial and ethnic identity, ethnic-racial socialization, and cultural orientation
Recommendations for treating patients of a different racial–ethnic group
Conclusions and future directions

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Lisa Fortuna

Cheryl S. AlMateen

Lisa M. Cullins

W. David Lohr