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Editorial
. 2022 Oct;61(10):1211-1217.
doi: 10.1016/j.jaac.2022.03.013. Epub 2022 Mar 28.

Using Digital Technology to Overcome Racial Disparities in Child and Adolescent Psychiatry

Madeline O Jansen  1 , Tashalee R Brown  2 , Kevin Y Xu  3 , Anne L Glowinski  4
Affiliations
Editorial

Using Digital Technology to Overcome Racial Disparities in Child and Adolescent Psychiatry

Madeline O Jansen et al. J Am Acad Child Adolesc Psychiatry. 2022 Oct.

Abstract

Racial inequity in mental health care quality is influenced by many systems-level factors, as elucidated by critical race theory, structural competency, and other keystone frameworks.1 A growing body of literature also suggests provider-level bias to be a key driver.1-3 There is specific evidence that racism is an important driver of health inequities among youth4 and that it is mediated, in part, by provider-level processes related to diagnosis and treatment.2 For example, in child and adolescent psychiatry, youth who are Black, Indigenous, and People of Color (BIPOC) experience disproportionate rates of delayed diagnosis and treatment of autism spectrum disorder, overdiagnosis of conduct disorder, and underdiagnosis of attention-deficit/hyperactivity disorder.4 Black and multiracial adolescents are at highest risk of suicide,5 yet are least likely to receive preventive psychotherapy.4.

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Conflict of interest statement

Disclosure: Drs. Jansen, Brown, Xu, and Glowinski have reported no biomedical financial interests or potential conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Digital Technology–based Implementation Schematic for Child and Adolescent Psychiatry Provider Antiracism Education
See this image and copyright information in PMC

References

    1. Brown TR, Xu KY, Glowinski AL. Cognitive behavioral therapy and the implementation of antiracism. JAMA Psychiatry. 2021;78:819–820. - PMC - PubMed
    1. Cooper LA, Roter DL, Carson KA, et al. The associations of clinicians’ implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. Am J Public Health. 2012;102:979–987. 10.2105/AJPH.2011.300558 - DOI - PMC - PubMed
    1. Birtel MD, Crisp RJ. Psychotherapy and social change: Utilizing principles of cognitive-behavioral therapy to help develop new prejudice-reduction interventions. Front Psychol. 2015;6:1771. 10.3389/fpsyg.2015.01771 - DOI - PMC - PubMed
    1. Lu W Child and adolescent mental disorders and health care disparities: Results from the National Survey of Children’s Health, 2011–2012. J Health Care Poor Underserved. 2017;28:988–1011. 10.1353/hpu.2017.0092 - DOI - PubMed
    1. Liu CH, Stevens C, Wong SH, Yasui M, Chen JA. The prevalence and predictors of mental health diagnoses and suicide among US college students: Implications for addressing disparities in service use. Depress Anxiety. 2019;36:8–17. 10.1002/da.22830 - DOI - PMC - PubMed

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