Racism, early psychosis, and institutional contact: A qualitative study of Indigenous experiences.
Int J Soc Psychiatry
; 69(8): 2121-2127, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-37665228
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 Maori youth with early psychosis, 10 family members and 4 Maori 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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos Psicóticos
/
Disparidades en Atención de Salud
/
Racismo
/
Pueblo Maorí
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adolescent
/
Humans
Idioma:
En
Revista:
Int J Soc Psychiatry
Año:
2023
Tipo del documento:
Article
País de afiliación:
Nueva Zelanda