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Racism, early psychosis, and institutional contact: A qualitative study of Indigenous experiences.
- Source :
- International Journal of Social Psychiatry; Dec2023, Vol. 69 Issue 8, p2121-2127, 7p
- Publication Year :
- 2023
-
Abstract
- Background: There is evidence of Indigenous and ethnic minority inequities in the incidence and outcomes of early psychosis. Racism has been implicated as having an important role. Aim: To use Indigenous experiences to develop a more detailed understanding of how racism operates to impact early psychosis outcomes. Methods: Critical Race Theory informed the methodology used. Twenty-three Indigenous participants participated in four family focus group interviews and thirteen individual interviews, comprising of 9 Māori youth with early psychosis, 10 family members and 4 Māori mental health professionals. An analysis of the data was undertaken using deductive structural coding to identify descriptions of racism, followed by inductive descriptive and pattern coding. Results: Participant experiences revealed how racism operates as a socio-cultural phenomenon that interacts with institutional policy and culture across systems pertaining to social responsiveness, risk discourse, and mental health service structures. This is described across three major themes: 1) selective responses based on racial stereotypes, 2) race related risk assessment bias and 3) institutional racism in the mental health workforce. The impacts of racism were reported as inaction in the face of social need, increased use of coercive practices and an under resourced Indigenous mental health workforce. Conclusion: The study illustrated the inter-related nature of interpersonal, institutional and structural racism with examples of interpersonal racism in the form of negative stereotypes interacting with organizational, socio-cultural and political priorities. These findings indicate that organizational cultures may differentially impact Indigenous and minority people and that social responsiveness, risk discourse and the distribution of workforce expenditure are important targets for anti-racism efforts. [ABSTRACT FROM AUTHOR]
- Subjects :
- RACISM
EVALUATION of medical care
MENTAL health personnel
IMPLICIT bias
FOCUS groups
PSYCHOSES
RESEARCH methodology
ATTITUDES of medical personnel
INTERVIEWING
CRITICAL theory
SOCIAL factors
MEDICAL care use
EXPERIENCE
QUALITATIVE research
FAMILY attitudes
PATIENTS' attitudes
INSTITUTIONAL racism
PSYCHOSOCIAL factors
RESEARCH funding
MAORI (New Zealand people)
SOCIAL services
THEMATIC analysis
MENTAL health services
CRIMINAL justice system
Subjects
Details
- Language :
- English
- ISSN :
- 00207640
- Volume :
- 69
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- International Journal of Social Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 173887603
- Full Text :
- https://doi.org/10.1177/00207640231195297