“Community engagement via restorative justice to build equity-oriented crisis standards of care”

Long, Ruby; Manchanda, Emily C. Cleveland; Dekker, Annette M.; Kraynov, Liliya; Willson, Susan; Flores, Pedro; Samuels, Elizabeth A.; Rhodes, Karin V.

doi:10.1016/j.jnma.2022.02.010

Cited by 6 publications

(6 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These circles are designed to build connection and address conflicts that disrupt a group’s ability to function as a community; through facilitation by a trained circle-keeper, RJ circles allow for safe, inclusive spaces that foster personal connections and center on humanistic values (Behel, 2019 ). Although most often utilized in criminal justice settings, RJ practices are more recently being implemented in healthcare settings (Long et al, 2022 ).…”

Section: Subcommittees and Related Initiativesmentioning

confidence: 99%

A Path Toward Equity and Inclusion: Establishing a DEI Committee in a Department of Pediatrics

Bersted

Lockhart

Yarboi

et al. 2022

J Clin Psychol Med Settings

View full text Add to dashboard Cite

The Diversity, Equity, and Inclusion (DEI) committee was established in 2017 within the Department of Pediatrics at Rush University Medical Center (RUMC), an academic medical health center located on the near west side of Chicago, IL. Results from climate surveys highlighted the need for increased DEI initiatives within the department, and a renewed national reckoning on racial tensions sparked an additional sense of urgency for system-level change. This paper outlines the initial creation and ongoing efforts of the DEI committee. Information related to the structure of our committee, aims of our work, progress toward identified goals, as well as ongoing barriers is provided. Academic medical health centers are tasked not only with working and training together, but also to care for a diverse group of patients within a larger community. As such, academic medical health centers represent a unique backdrop and opportunity for individual and system-level change.

show abstract

Section: Subcommittees and Related Initiativesmentioning

confidence: 99%

A Path Toward Equity and Inclusion: Establishing a DEI Committee in a Department of Pediatrics

Bersted

Lockhart

Yarboi

et al. 2022

J Clin Psychol Med Settings

View full text Add to dashboard Cite

show abstract

“…Restorative justice processes have been used in multiple settings including schools, criminal justice, correctional and mental health facilities, and foster homes . Rather than formal investigatory processes that focus on whether a rule or policy was violated, RJPs respond to reports of harm by allowing for a safe, facilitated space for affected persons to tell offenders how they were affected and allows for support persons to provide additional, holistic descriptions of the effect of the harm . Moreover, affected persons play an active part in deciding how harm can be repaired, giving the opportunity for offenders to repair relationships and restore their standing in their community.…”

Section: Introductionmentioning

confidence: 99%

Physician Perspectives on Addressing Anti-Black Racism

Brown,

Marshall,

Cueva

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceUncertainty remains among clinicians regarding processes to address and resolve conflict around anti-Black racism.ObjectiveTo elicit clinicians’ perceptions of their role in addressing concerns about anti-Black racism among Black patients with serious illness as well as their families.Design, Setting, and ParticipantsIn this qualitative study, one-on-one semistructured interviews were conducted with 21 physicians at an academic county hospital between August 1 and October 31, 2022. Participants were provided clinical scenarios where anti-Black racism was a concern of a patient with serious illness. Participants were asked open-ended questions about initial impressions, prior similar experiences, potential strategies to address patients’ concerns, and additional resources to support these conversations. A framework based on restorative justice was used to guide qualitative analyses.Main Outcomes and MeasuresPerspectives on addressing anti-Black racism as described by physicians.ResultsA total of 21 medical subspecialists (mean [SD] age, 44.2 [7.8] years) participated in the study. Most physicians were women (14 [66.7%]), 4 were Asian (19.0%), 3 were Black (14.3%), and 14 were White (66.7%). Participants identified practices that are normalized in clinical settings that may perpetuate and exacerbate perceptions of anti-Black racism. Using provided scenarios and personal experiences, participants were able to describe how Black patients are harmed as a result of these practices. Last, participants identified strategies and resources for addressing Black patients’ concerns and facilitating conflict resolution, but they stopped short of promoting personal or team accountability for anti-Black racism.Conclusions and RelevanceIn this qualitative study, physicians identified resources, skills, and processes that partially aligned with a restorative justice framework to address anti-Black racism and facilitate conflict resolution, but did not provide steps for actualizing accountability. Restorative justice and similar processes may provide space within a mediated setting for clinicians to repair harm, provide accountability, and facilitate racial healing.

show abstract

“…10 BIPOC and Latinx are reported to suffer the highest mortality and morbidity from COVID-19. 2 Unfortunately, racism is deeply embedded in all facets of the US systems, including but not limited to education, research, health care delivery, and the socialization of new members of the society. 4,10,11 Indeed, racism has been normalized over a long period and requires extraordinary efforts to identify and rectify.…”

mentioning

confidence: 99%

“…Historically marginalized groups are socially vulnerable to external stressors due to racial oppression and discriminatory practices. And inequities, creating high socially vulnerable index communities2,3 comprised primarily Black, Indigenous, people of color (BIPOC), and Latinx. These individuals experience harm through higher health risk exposures, unequal access to health services, and a lack of empowering resources.…”

mentioning

confidence: 99%

“…The COVID-19 pandemic further illuminated and amplified the damaging effects of systemic racism on historically marginalized communities 10. BIPOC and Latinx are reported to suffer the highest mortality and morbidity from COVID-19 2. Unfortunately, racism is deeply embedded in all facets of the US systems, including but not limited to education, research, health care delivery, and the socialization of new members of the society 4,10,11…”

mentioning

confidence: 99%

See 1 more Smart Citation

Racism Declared a Public Health Emergency

Adeniran¹

2023

Holistic Nursing Practice

View full text Add to dashboard Cite

The only thing necessary for the triumph of evil is for good men to do nothing.-Edmund Burke Vestal 1 asserted that being Black is bad for your health and the etiology of disparities in health care is pervasive racism. Disturbingly, African Americans are not the only historically marginalized group in the United States that experience racial injustice in health care. Persistent harm, poorer outcomes, and inequities are associated with the legacy of racism in health care delivery. Historically marginalized groups are socially vulnerable to external stressors due to racial oppression and discriminatory practices. And inequities, creating high socially vulnerable index communities 2,3 comprised primarily Black, Indigenous, people of color (BIPOC), and Latinx. These individuals experience harm through higher health risk exposures, unequal access to health services, and a lack of empowering resources. A body of evidence documents disparities to be rooted in racism and discriminatory health care practices and racism is embedded in structural and systemic inequities. 4,5 After accessing the health care system, BIPOC and Latinx individuals are more likely to receive substandard and/or disparate treatments due to health care providers' conscious and unconscious bias and discriminatory and culturally disconnected health care practices. 6,7

show abstract

“Community engagement via restorative justice to build equity-oriented crisis standards of care”

Cited by 6 publications

References 39 publications

A Path Toward Equity and Inclusion: Establishing a DEI Committee in a Department of Pediatrics

A Path Toward Equity and Inclusion: Establishing a DEI Committee in a Department of Pediatrics

Physician Perspectives on Addressing Anti-Black Racism

Racism Declared a Public Health Emergency

Contact Info

Product

Resources

About