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View article: Governance for anti-racist AI in healthcare: integrating racism-related stress in psychiatric algorithms for Black Americans
Governance for anti-racist AI in healthcare: integrating racism-related stress in psychiatric algorithms for Black Americans Open
While the world is aware of America's history of enslavement, the ongoing impact of anti-Black racism in the United States remains underemphasized in health intervention modeling. This Perspective argues that algorithmic bias—manifested in…
View article: “See Me as Human:” Reflections on an Experiential Curriculum Led by People With Lived Experience of Incarceration
“See Me as Human:” Reflections on an Experiential Curriculum Led by People With Lived Experience of Incarceration Open
Improving physical and mental healthcare delivery to incarcerated patients and people with carceral histories provides an opportunity to improve health equity more broadly. This article provides a medical curriculum perspective led by the …
View article: Longitudinal and Geographic Trends in Perceived Racial Discrimination Among Adolescents in the U.S.: The Adolescent Brain Cognitive Development (ABCD) Study
Longitudinal and Geographic Trends in Perceived Racial Discrimination Among Adolescents in the U.S.: The Adolescent Brain Cognitive Development (ABCD) Study Open
This study examines longitudinal and geographic trends in perceived racial discrimination among U.S. adolescents using data from the Adolescent Brain Cognitive Development (ABCD) Study. A diverse sample of 11,868 children aged 9-10 at base…
View article: What Would Equitable Harm Reduction Look Like?
What Would Equitable Harm Reduction Look Like? Open
Structural determinants of health frameworks must express antiracism to be effective, but racial and ethnic inequities are widely documented, even in harm reduction programs that focus on person-centered interventions. Harm reduction strat…
View article: Undoing Institutional and Racial Trauma Through Interprofessional, Trauma-Informed Education
Undoing Institutional and Racial Trauma Through Interprofessional, Trauma-Informed Education Open
Trauma-informed care is a transdisciplinary framework that existed well before 2020, but it is now more imperative to teach it and incorporate it into medical education. This paper describes a novel interprofessional curriculum and its foc…
View article: How Biased and Carceral Responses to Persons With Mental Illness in Acute Medical Care Settings Constitute Iatrogenic Harms
How Biased and Carceral Responses to Persons With Mental Illness in Acute Medical Care Settings Constitute Iatrogenic Harms Open
Recognizing their roles in iatrogenesis requires clinicians and professions to take responsibility for attitudes and policies that harm patients and waste resources. A striking, neglected set of examples of iatrogenic harm involves persons…
View article: Response to “Should Clinicians Be Activists?”
Response to “Should Clinicians Be Activists?” Open
Kristen N. Pallok and David A. Ansell's "Should Clinicians Be Activists?" highlights how physician activists risk retaliation from "economically and socially" privileged physician leaders and organizational leadership who "have been traine…
View article: Community Mental Health Centers’ Roles in Depolicing Medicine
Community Mental Health Centers’ Roles in Depolicing Medicine Open
America faces widespread gun violence and police brutality against Black citizens and persons with severe mental illness (SMI). Violence perpetrated against unarmed patients is common in health care, and evidence-based safety measures are …
View article: A Call for Behavioral Emergency Response Teams in Inpatient Hospital Settings
A Call for Behavioral Emergency Response Teams in Inpatient Hospital Settings Open
Medical rapid response teams, now ubiquitous throughout hospitals, were designed to identify and proactively treat early warning signs of acute medical decompensation. Behavioral emergencies-including clinical psychiatric emergencies, copi…
View article: Insomnia and suicidal ideation in nonaffective psychosis
Insomnia and suicidal ideation in nonaffective psychosis Open
Insomnia is associated with suicidal ideation, lifetime suicide attempt, and greater psychopathology in patients with schizophrenia. Our findings suggest that formal assessment of insomnia may be germane to the clinical care of patients wi…