Abstract: Recently in the United States we have seen a string of widely publicized deaths of young African Americans at the hands of police, as well as increasing reports of public harassment and violence on the basis of race, gender, religion, sexual orientation, and immigration status. In the month following the 2016 U.S. presidential election, the Southern Poverty Law Center reported over 1,000 bias-related incidents, including over 300 anti-immigrant hate incidents, over 200 anti-black hate incidents, over 100 anti-Muslim hate incidents, and over 100 anti-LGBT (lesbian, gay, bisexual, transgender) hate incidents. At national meetings and on online forums, members of professional groups dedicated to promoting mental health equity, including the American Psychiatric Association’s Council on Minority Affairs and the American Association for Community Psychiatry, report heightened fear among patients from targeted groups, including young children who worry about the safety of their parents and caretakers. The relationship between systemic discrimination and mental health outcomes has been established by research findings of elevated cortisol and blunted stress response in targeted populations, as well as elevated rates of emotional dysregulation, anxiety and depression, sleep disturbance, and substance use.
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The participant will employ strategies to care for patients who have experienced targeted violence.
This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.
Estimated Time to Complete
Duration: 1 hour
Begin Date: October 1, 2018
End Date: September 30, 2020
How to Earn Credit
In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™). A score of 60% or higher is required to receive credit.
The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
Title: Alleviating the Mental Health Burden of Structural Discrimination and Hate Crimes: The Role of Psychiatrists
Authors: Helena Hansen, M.D., Ph.D., Nicholas S. Riano, M.A.S., Travis Meadows, M.D., Christina Mangurian, M.D., M.A.S.
Affiliations: From the Department of Psychiatry, Weill Institute for Neurosciences at the University of California, San Francisco (N.S.R., C.M.); and the Departments of Anthropology and Psychiatry, New York University, New York (H.H., T.M.).
Disclosures: The authors report no financial relationships with commercial interests.
Discussion of unapproved or investigational use of products*: No.
*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.
Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).
Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.
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