Understanding the Impact of Racism on Psychosis for Black Americans-Presentation Slides

Presentation Slides

Pdf Summary

This document discusses the impact of racism on psychosis for Black Americans. It provides background information on the historical context of overdiagnosing Black men with schizophrenia and the efforts by pharmaceutical companies to market antipsychotic medications specifically for the treatment of Black Americans. The document also explores three focus areas: pathways to care, early intervention services, and long-term outcomes. <br /><br />In terms of pathways to care for Black clients, the document highlights three key areas that impact disparities in accessing care: experiences pre-prodrome, barriers to accessing care in the prodromal phase, and extended duration of untreated psychosis and treatment delay. It further examines the factors that contribute to delays in seeking treatment, such as misattribution of symptoms by family or informal sources and navigating services.<br /><br />The document discusses the gold standard for early intervention, which is coordinated specialty care (CSC), and the benefits it provides for clients in the top 25% of the socioeconomic status composite. However, there appear to be barriers to engaging minority clients and their families, and differences in engagement cannot simply be attributed to socioeconomic status.<br /><br />Attendance and engagement in care play a crucial role, and the document highlights the lower attendance and engagement rates of Black young people compared to white individuals in early psychosis. Potential solutions to engage clients of color more successfully are suggested, including providing administrative support at recruitment sites, developing long-term relationships with multiple stakeholders, addressing structural barriers, utilizing cultural formulation tools, diversifying the workforce, and meeting in the community.<br /><br />The document also addresses the barriers at individual, organizational, and systems levels, and suggests strategies such as adaptation of trauma-informed approach to care, examination of individual biases, changes in policies to increase patient agency, increased diversity of staff, increased training for police and first responders, and participatory research to incorporate the perspectives of Black consumers and their families on care.<br /><br />In addition, the document discusses potential reasons for worse long-term outcomes, including treatment attendance, stigma, racist policies, limited access to CSC, and post-CSC care.<br /><br />Overall, this document provides an understanding of the impact of racism on psychosis for Black Americans and offers potential solutions and strategies to improve access to care and outcomes.

Keywords

racism

psychosis

Black Americans

overdiagnosing

antipsychotic medications

pathways to care

early intervention services

engagement in care

barriers to accessing care

long-term outcomes