Funding for the Striving for Excellence Series was made possible by Grant No. H79FG000591 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by SAMHSA/HHS, or the U.S. Government.
Description
The Self-Assessment for Modification of Anti-Racism Tool (SMART) (Talley et al 2021) is a quality improvement tool recently developed by the American Association for Community Psychiatry (AACP) to address structural racism in a variety of organizational settings, with particular emphasis on mental health. SMART builds on existing healthcare inequity frameworks (Spitzer-Shohat & Chin 2019; Metzl & Hansen 2014; Gomez et al 2016) by facilitating self-directed, stepwise quality improvement processes for eliminating discriminatory practices and policies. The Level of Care Utilization Services Tool (LOCUS) was developed by the AACP in 1996 to promote level of care decision-making processes that are unbiased, effective, and consistent with professional standards (AACP, 1996). In this presentation, panelists will describe the development, content, and implementation processes for the SMART and LOCUS. Panelists will engage the audience in an interactive discussion of the application of a SMART item and LOCUS to a case example and will present the results of a real-world application of the SMART process.
Format
Recorded webinar.
Learning Objectives
Target Audience
Psychiatrists
American Association of Community Psychiatrists. (1996). Level of Care Utilization System for psychiatric and addiction services. https://www.communitypsychiatry.org/resources/locus
California Insurance Commissioner. (2020, December 10). Notice to All Insurance Companies re: “Enactment of Senate Bill 855 – Submission of Health Insurance Policies for Compliance Review”. http://www.insurance.ca.gov/0250-insurers/0300-insurers/0200-bulletins/bulletin-notices-commiss-opinion/upload/Notice-to-Health-Insurers-re-Requirements-of-Senate-Bill-855.pdf
New York State Office of Mental Health. (2019, November 25). Guiding Principles for the Review and Approval of Clinical Review Criteria for Mental Health Services. https://omh.ny.gov/omhweb/bho/omh_mnc_guiding_principles.pdf
Talley RM, Shoyinka S, Minkoff K (2021). The Self-assessment for Modification of Anti-Racism Tool (SMART): Addressing Structural Racism in Community Behavioral Health. Community Ment Health J, 57(6): 1208-13
Spitzer-Shohat, S. & Chin, M. H. (2019). The “Waze” of Inequity Reduction Frameworks for Organizations: a Scoping Review. J Gen Intern Med, 34(4), 604-17.
Gomez, M.L., Charnigo, R., Harris, T.T., Williams, J.C., Pfeifle, W. (2016). Assessment of National CLAS Standards in Rural and Urban Local Health Departments in Kentucky. J Public Health Manag Pract, 22(6), 576-85.
Metzl J.M. & Hansen, H. (2014). Structural competency: theorizing a new medical engagement with stigma and inequality. Social Science & Medicine, 103, 126-33.
Instructional Level
Introductory
Estimate Time to Complete
Estimated Duration: 1.0 hour Program Start Date: July 27, 2023 Program End Date: July 27, 2026
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ or a certificate of participation may do so by viewing the live presentation and completing the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (other disciplines) showing the event date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
Planners
Accessibility for Participants with Disabilities
The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar.
Technical Requirements
This internet-based CME activity is best experienced using any of the following:
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