Following their book "Racism and Mental Health", the authors here re-examine the intersections of racism and mental health, adding sexism as another divisive issue that profoundly affects mental health. The book aims to offer fresh perspectives on contemporary controversial issues, including: interracial adoptions, teenage motherhood, gender bias in mental health diagnosis and therapy, prisons used as substitutes for hospitals, homeless families, and increasing violence in the home and on the streets.
Learn to identify and combat unintentional and overt racism This provocative book identifies and addresses racism in mental health and educational settings, providing proven strategies for overcoming this stubborn barrier to culturally competent practice. While addressing overt forms of racism, the book also explores and sensitizes practitioners to covert and unintentional forms of racism that may be equally detrimental in denying persons of color access to unbiased, high-quality education and mental health care. Despite the dismantling of overt racist policies, such as segregated schooling, and the implementation of policies aimed at remedying racial inequities, such as affirmative action, racism continues to persist in American society. Drs. Madonna Constantine and Derald Wing Sue, two of the leading researchers and advocates for multicultural competence, have collected sixteen thought-provoking and challenging chapters on the many ways that racism can affect a practitioner's interactions in mental health and school settings. These contributions collectively bring to the forefront highly charged issues that need to be discussed, but are too often hidden away. The book is divided into four parts: What Do We Know about Racism? Racism in Mental Health Contexts Racism in Educational Settings Eradicating Racism: Future Directions Faced with the responsibility of understanding multiple oppressions and the intersections of racism with sexism, classism, and heterosexism, mental health practitioners and educators must be vigilant of their personal role in perpetuating racism. This collected work will help you identify forms of racism, both within yourself and the systems you work in, and then implement strategies to eliminate them.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
People with mental illness commonly describe the stigma and discrimination they face as being worse than their main condition. Discrimination can pervade every part of their daily life - their personal life, working life, sense of citizenship, their ability to maintain even a basic standard ofliving. Though things have certainly improved in the past 50 years, discrimination against the mentally ill is still a major problem throughout the world. It can manifest itself in subtle ways, such as the terminology used to describe the person or their illness, or in more obvious ways - by the waythe mentally ill might be treated and deprived of basic human rights. Should we just accept such discrimination as deeply rooted and resistant to change, or is this something that we can collectively change if we understand and commit ourselves to tackling the problem?Shunned presents clearly for a wide readership information about the nature and severity of discrimination against people with mental illness and what can be done to reduce this. The book features many quotations from people with mental illness showing how this has affected their home, personal,social, and working life. After showing, both from personal accounts and from a thorough review of the literature, the nature of discrimination, the book sets out a clear manifesto for change.Written by a leading figure in mental health in a lively and accessible manner, the book presents a fascinating and humane portrayal of the problem of stigma and discrimination, and shows how we can work to reduce it.
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
In this edited volume, three leading experts in race, mental health, and contextual behavior science address the urgent problem of racial inequities and biases, whichoften prevent people of color from seeking mental health services--leading to poor outcomes if and when they do receive treatment. This critical and timely guide provides clinicians and educators with evidence-based recommendations for addressing inequities at multiple levels, as well as best practices for compassionately and effectively helping clients across a range of cultural groups and settings.
In the relatively short history of psychology as a science, our understanding of human behavior, cognition, emotion, and perception has moved forward in leaps and bounds. This knowledge is frequently applied today to help make improvements in people's lives, from more effective therapies for the mentally ill to educational strategies to increased work productivity. But if we step back in time only a few decades, we find psychologists playing a key role in a very different effort: the attempt to support racist and sexist attitudes and policies with results from experiments and other forms of research. This book provides a window into this period, reprinting over 20 journal articles from the late nineteenth and early twentieth centuries with commentary from noted educators Abramson and Lack. Will we continue to twist science to fit our preformed beliefs or can we learn from the mistakes of our past? "This is an important contribution to the literature in psychology regarding a very uncomfortable time in our history. I applaud the authors for taking on this challenging topic and shining light on this dark time in the history of social science." Dr. Robert Mather, Associate Professor of Experimental Psychology, University of Central Oklahoma
