Advancing Antiracism in Community-Based Research Practices in Early Childhood and Family Mental Health

Structural racism—the ways that institutional policies, practices, and other norms operate to create and sustain race-based inequities1—has historically been foundational to the operations of academic medical centers and research institutions. Since its inception, academic medicine has depended on t...

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Published in:	Journal of the American Academy of Child and Adolescent Psychiatry Vol. 61; no. 1; pp. 15 - 22
Main Authors:	Lane, Ambrose, Gavins, Arrealia, Watson, Ar'Reon, Domitrovich, Celene E., Oruh, Chioma M., Morris, Christina, Boogaard, Claire, Sherwood, Claudine, Sharp, Destiny N., Charlot-Swilley, Dominique, Coates, Erica E., Mathis, Erin, Avent, Gail, Robertson, Hillary, Le, Huynh-Nhu, Williams, J. Corey, Hawkins, Janaíre, Patterson, Jenise, Ouyang, Jessica X., Hartz, Karyn A., Beers, Lee S., Cole, Linwood, Biel, Matthew G., Bodrick, Nia Imani, Bravo, Noel, Baylor, Randall S., Arbit, Ruthie, Zuskov, Sabrina F., Hoffman, Sarah B., McPherson, Satyani K.L., Singh, Sharon, Greer, Sharra E., Banks-Mackey, Simone N., Caleb, Susan, Thomas, Stephanie, Brent, Torrian, Spencer, Travis
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-01-2022 Elsevier BV
Subjects:	Adolescent Child Child & adolescent psychiatry Child Development Child, Preschool Childhood Children Community involvement Community research COVID-19 Cultural sensitivity Evidence-based practice Exploitation Family Health Health disparities Humans Leadership Medical research Mental Health Mental health care Quality of care Race Racial justice Racism Research centers Research institutions Research Methodology Systemic Racism United States White supremacy Young Children United States United States > US
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Summary:	Structural racism—the ways that institutional policies, practices, and other norms operate to create and sustain race-based inequities1—has historically been foundational to the operations of academic medical centers and research institutions. Since its inception, academic medicine has depended on the exploitation of vulnerable communities to achieve medical, educational, and research goals.2 Research practices have long ignored or taken advantage of the individuals purportedly benefiting from the research, a dynamic most manifestly true for Black, Indigenous, and People of Color (BIPOC) communities in the United States. Reflecting current practices in racial justice work, we intentionally use the term “BIPOC” to highlight shared experiences within racially and ethnically minoritized communities, given the history of White supremacy in the United States. We acknowledge limitations of this term, which collapses myriad unique communities and histories into one construct. Specifically, child and adolescent psychiatry has historically been driven by Eurocentric approaches, paradigms, and methodology. These nonparticipatory dominant research practices have contributed to a lack of culturally responsive interventions for BIPOC communities, a paucity of evidence-based practices with demonstrated effectiveness within BIPOC communities, and disparities in access and quality of care.3 Mental health research involving BIPOC communities has been replete with exploitation and inequality.2
Bibliography:	SourceType-Other Sources-1 content type line 63 ObjectType-Editorial-2 ObjectType-Commentary-1 ObjectType-Article-3
ISSN:	0890-8567 1527-5418
DOI:	10.1016/j.jaac.2021.06.018