This webinar will present the American Association for Community Psychiatry's Self-Assessment for Modification of Anti-Racism Tool (SMART). SMART was specifically designed to help behavioral health services organizations design and implement data driven quality improvement activities to address the impact of structural racism inside their organization. It addresses key areas such as organizational culture, hiring and recruitment, service delivery, community impact, and data/evaluation. Participants will learn about how the tool was developed, receive instructions on how to use it, and will be able to immediately use the tool to begin to address racism in their own organizations. In response to a reinvigorated national dialogue around structural racism, the American Association for Community Psychiatry (AACP) aimed to create a tool or roadmap that would support community mental health providers in addressing issues of disparity and inequity. The Self-Assessment for Modification of Anti-Racism Tool (SMART) is a quality improvement tool that aims to guide community health providers through a stepwise, concrete quality improvement process. SMART extends beyond issues of cultural competency and linguistic appropriateness to address structural issues of specific relevance to community mental health based on existing literature. In this webinar, we will review the development and content of SMART, and will guide attendees through the process of implementing this new tool in community mental health settings.  

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on August 3, 2021.

Learning Objectives

• Describe 3 ways in which structural racism manifests health services organizations.  
• Describe the 5 domains of the Self-Assessment for Modification of Anti-Racism Tool (SMART) 
• List 3 ways SMART can be designed and implemented to be used in their organization.  

Target Audience

Physician (Non-psychiatrist), Physician Assistant, Psychiatrist, Psychologist, medical students, and other mental health professionals   

Instructional Level

Intermediate

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: August 25, 2021 
Program End Date: August 25, 2024

How to Earn Credit

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

Physicians

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the American Psychiatric Association (APA). The APA is accredited by the ACCME to provide continuing medical education for physicians. 

The American Psychiatric Association designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Instructor

• Rachel Talley, MD is Assistant Professor of Clinical Psychiatry in the Department of Psychiatry at the University of Pennsylvania. She directs the University of Pennsylvania’s Fellowship in Community Psychiatry, a post-residency training program that teaches administrative and leadership skills to grow the next generation of public sector psychiatric leadership. She has several years of frontline clinical experience in community-based settings, and is currently staff attending at Horizon House, Inc where she sees patients in outpatient, integrated care, intensive case management, and homeless services settings. Dr. Talley received her B.A. from Harvard University and her M.D. from Stanford University School of Medicine. She completed both her residency training in adult psychiatry and a post-residency fellowship in public psychiatry at Columbia University/New York State Psychiatric Institute. She has several peer-reviewed publications examining the integration of physical health services into behavioral health settings. Her commitment to providing care to vulnerable populations is reflected in her longstanding membership with the American Association for Community Psychiatry, where she currently serves on the Board as Early Career Psychiatrist representative. She aims to draw on her administrative training, health services research background and direct clinical experiences to develop quality improvement interventions focused on making community behavioral health services more equitable, patient-focused, and recovery-oriented. Her current projects are focused on system improvement in primary care/behavioral health integration for individuals with SMI and structural racism/inequity in community behavioral health.  

• Sosunmolu Shoyinka, MD is the Chief Medical Officer for the Department of Behavioral Health and Intellectual disability Services (DBHIDS). In this role, he works to assure optimal population health for all Philadelphians by aligning policy, programs, and system processes with current best practice. Prior to this role, Dr Shoyinka held several leadership positions. He served as Director of the Missouri Behavioral Pharmacy Management program, a statewide program that improved the quality of psychotropic prescribing while realizing cost savings of over $10 million over a decade. During his tenure as Medical Director for the Sunflower and Home State Health Plans at Centene Corp, Dr Shoyinka co-led the development of a patent-pending addiction-focused analytic platform, developed addiction-related programs and crafted addiction services policy covering more than 12 million lives. Dr Shoyinka’s clinical experience includes telemedicine, academic medicine, for-profit and state hospitals, forensics, correctional mental health, primary care, federally qualified health centers, health homes and community mental health. He is board-certified in general adult psychiatry, community and public psychiatry, and addiction medicine.  

• Kenneth Minkoff, MD is Senior Systems Consultant at ZiaPartners, Inc., and is a Board-Certified Addiction Psychiatrist, Board Member and Health Policy Committee Chair of the American Association of Community Psychiatrists, Co-Chair of the Community Psychiatry Committee of the Group for Advancement of Psychiatry, and Part-Time Assistant Professor of Psychiatry at Harvard. Dr. Minkoff has been recognized as a national and international leader in the development of quality-driven managed behavioral health care systems and integrated services and systems for complex populations for over 20 years, through the development of the Comprehensive Continuous Integrated System of Care approach, initially developed in the 1990’s as a system design model for implementing integrated services for individuals with co-occurring mental illness and SUD. Dr. Minkoff’s tenure as a community-hospital-based Medical Director and Chief of Psychiatry extended from 1984-1999, during which he was responsible for oversight and development of every type of inpatient and outpatient MH and SUD program. He also was the Medical Director of a multi-state managed-care-oriented behavioral health hospital management company from 1990-2001, and Medical Director of a large psychiatric hospital in Massachusetts, which included both an integrated MH/SUD unit, and an integrated MI/DD unit, from 1998-2000. With David Pollack, MD, he co-edited a seminal work on public sector managed care, Public Sector Managed Mental Health Care: A Survival Manual (1997), and has been a contributor to the development of the American Society of Addiction Medicine patient placement criteria. He has worked on many national committees, most recently as one of the 14 non-federal members of the Interdepartmental SMI Coordinating Committee (ISMICC) established by the 21st Century CURES Act (2017-2020). Dr. Minkoff was the key author of the Group for the Advancement of Psychiatry Report: “ROADMAP TO THE IDEAL CRISIS SYSTEM: Essential Elements, Measurable Standards and Best Practices for Behavioral Health Crisis Response, published by the National Council in March, 2021. 

Planners

• Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be:  Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance