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1.
Child Adolesc Psychiatr Clin N Am ; 33(1): 57-69, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37981337

RESUMO

The COVID-19 pandemic and murder of Mr George Floyd served as catalysts for examining antiracism efforts in psychiatry training programs and health care systems. Our recruitment and retention of Black, Indigenous, and other racial/ethnic minority psychiatry trainees has not met the demand for care and does not represent the communities served. Training directors at a critical juncture in creating systemic changes to recruitment, retention, policies, and curricular competencies to address ongoing inequities and disparities in health care. We describe several strategies and considerations for training directors in supporting a diverse psychiatric workforce.


Assuntos
Internato e Residência , Psiquiatria , Humanos , Etnicidade , Pandemias , Grupos Minoritários , Recursos Humanos
2.
Psychiatr Clin North Am ; 45(2): 283-295, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35680244

RESUMO

The COVID-19 pandemic and murder of Mr George Floyd served as catalysts for examining antiracism efforts in psychiatry training programs and health care systems. Our recruitment and retention of Black, Indigenous, and other racial/ethnic minority psychiatry trainees has not met the demand for care and does not represent the communities served. Training directors at a critical juncture in creating systemic changes to recruitment, retention, policies, and curricular competencies to address ongoing inequities and disparities in health care. We describe several strategies and considerations for training directors in supporting a diverse psychiatric workforce.


Assuntos
COVID-19 , Internato e Residência , Psiquiatria , Etnicidade , Humanos , Grupos Minoritários , Pandemias , Psiquiatria/educação , Recursos Humanos
3.
Lancet HIV ; 8(4): e237-e244, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33493438

RESUMO

Pre-exposure prophylaxis (PrEP) is a biomedical HIV prevention modality that is up to 99% effective in preventing HIV acquisition through sex if taken as directed. People with serious mental illness (eg, schizophrenia and bipolar disorder) are at high risk of acquiring HIV due to sexual behaviours, injection drug use, social factors, and structural discrimination that limits access to all types of preventive health services. We seek to show the importance of prioritising access to PrEP for people living with serious mental illness treated in community mental health settings. We describe barriers to prescribing PrEP, including provider attitudes and provider knowledge gaps, patient attitudes and knowledge, and systems issues. We also address the concerns that community mental health clinic administrators might have about taking on the responsibility of offering PrEP. In summary, despite the barriers to prescribing PrEP in these settings, we believe that there is a unique opportunity for community mental health settings to help address the HIV epidemic by facilitating the prescribing of PrEP to the at-risk populations they currently serve.


Assuntos
Centros Comunitários de Saúde Mental/organização & administração , Infecções por HIV/prevenção & controle , Profilaxia Pré-Exposição/organização & administração , Infecções por HIV/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Acessibilidade aos Serviços de Saúde , Humanos , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Serviços Preventivos de Saúde/organização & administração , Fatores de Risco
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