DEIA Resources for Psychiatrists Last updated: 5/22/2023
The CPS DEIA Committee released the following statement on the recent Club Q shooting in Colorado Springs
We at the CPS DEIA committee are heartbroken by the recent deadly shooting at Club Q. We mourn those who lost their lives and our thoughts are with their folx and family grieving their deaths. The victims of this crime encompass Colorado's diverse LGBTQIA+ community. The CPS DEIA committee stands in solidarity with the LGBTQIA+ community, and everyone traumatized by this act of violence. We come together in support of one another. Violence based on hate is intolerable and abhorrent.
The shooting may cause significant distress and pose potential threats to the mental health of all those involved, including survivors, friends and relatives, emergency workers, the LGBTQIA+ community, and all Coloradans. If you feel you need help during this tragedy, please seek help immediately by calling the Colorado Crisis Line (844-493-8255) or 988 and someone will be there to support you.
Gun violence is a public health crisis. There have been 611 mass shootings in the US in 2022, which is the second highest since the Gun Violence Archive started collecting data in 2013 (Forbes, 2022). The American Psychiatric Association (APA) has worked over the past years, often in concert with other physician and mental health organizations, to call attention to this fact and to promote legislation that strengthens background checks, research, and other methods to control access to firearms. At the same time, APA strongly opposes rhetoric that would link violent acts of hate and mass shootings to mental illness. Mental illness is prevalent across the globe, but this level of firearm violence is unique to the United States.
DEIA Resources for Psychiatrists
The CPS DEIA (Diversity, Equity, Inclusion, and Accessibility) committee has compiled DEIA resources for psychiatry members and other clinicians. This broad collection includes informational and educational articles, webinars, books and organizations with DEIA focus. These are categorized into Introductory resources, which are intended for someone who is just beginning to learn about this topic and needs to understand the most important core concepts for clinical and personal competency. Advanced resources, which are for individuals who have a basic understanding of DEIA and would like to learn more; this category is organized by topic and is ideal either for your own use or for sharing with your patients. The Other resources are a collection of various local and national organizations, resources, and materials for physicians and others. All of these resources will be reviewed and updated on a regular basis.
Juneteenth Resource Spotlight
Pride Resource Spotlight
- Denver Pride Parade and Festival
https://denverpride.org/
- Boulder Pride Festival
https://www.outboulder.org/pride
- Longmont Pride Festival
https://www.outboulder.org/events/longmont-pride-2023
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One Colorado: “The state’s leading advocacy organization dedicated to advancing equality for lesbian, gay, bisexual, transgender, and queer (LGBTQ) Coloradans and their families. We effectively advocate for LGBTQ Coloradans and their families by lobbying the General Assembly, executive branch, and local governments on issues like safe schools, transgender equality, relationship recognition, and LGBTQ health and human services.” https://one-colorado.org/
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Transgender Health Resource Guide “What every Health Professional needs to know.” - CCAPS/AAP https://docs.google.com/document/d/e/2PACX-1vSfyDQpZuIgk7f-twUdjNDnru2FZzPRfQX05badSbr0keGOP8dclIlHaTE8Y-nedYy4XrBhYw9cv7Yt/pub
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The Center on Colfax: “a safe and welcoming place for Colorado's proud, diverse LGBTQ community. When you visit our space, you’ll be affirmed and accepted, heard and understood.” https://lgbtqcolorado.org/
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Queer Asterisk: “A Colorado 501(c)(3) nonprofit organization providing queer-informed counseling services, educational trainings, and community programming.” https://queerasterisk.com/
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Queer & Trans People of Color Resources (courtesy of Queer Asterisk)
Black Queer & Intersectional Collective The Okra Project Lama Rod Owens Therapist of Color Collaborative YouthSeen Prentis Hemphill Queer Nature QTBIPOC Eating Disorder Support
INTRODUCTORY:
ADVANCED
LGBTQIA+
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One Colorado: “The state’s leading advocacy organization dedicated to advancing equality for lesbian, gay, bisexual, transgender, and queer (LGBTQ) Coloradans and their families. We effectively advocate for LGBTQ Coloradans and their families by lobbying the General Assembly, executive branch, and local governments on issues like safe schools, transgender equality, relationship recognition, and LGBTQ health and human services.” https://one-colorado.org/
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Buyer’s guide to trans-friendly health insurance https://one-colorado.org/health-insurance-buyers-guides/
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Transgender Health Resource Guide “What every Health Professional needs to know.” - CCAPS/AAP https://docs.google.com/document/d/e/2PACX-1vSfyDQpZuIgk7f-twUdjNDnru2FZzPRfQX05badSbr0keGOP8dclIlHaTE8Y-nedYy4XrBhYw9cv7Yt/pub
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The Center on Colfax: “a safe and welcoming place for Colorado's proud, diverse LGBTQ community. When you visit our space, you’ll be affirmed and accepted, heard and understood.” https://lgbtqcolorado.org/
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Queer Asterisk: “A Colorado 501(c)(3) nonprofit organization providing queer-informed counseling services, educational trainings, and community programming.” https://queerasterisk.com/
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Queer & Trans People of Color Resources (courtesy of Queer Asterisk)
Black Queer & Intersectional Collective The Okra Project Lama Rod Owens Therapist of Color Collaborative YouthSeen Prentis Hemphill Queer Nature QTBIPOC Eating Disorder Support
RACE & RACISM
Articles/Presentations/Webinars
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Racism as a Unique Social Determinant of Mental Health: Development of a Didactic Curriculum for Psychiatry Residents. - Medlock M, Weissman A, Wong SS, Carlo A, Zeng M, Borba C, Curry M, Shtasel D. - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788030/ - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788030/bin/mep-13-10618-s001.zip
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What Will White Psychiatrists Sacrifice? - Gallagher K. https://ps.psychiatryonline.org/doi/10.1176/appi.ps.711201
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One of Us - Givens, R. https://www.nejm.org/doi/full/10.1056/NEJMpv2100228?query=pfwNGTpc&jwd=000008003671&jspc=P
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How to stand up to racism in healthcare - Jessica Isom https://physiciansguidetodoctoring.com/learn-how-to-stand-up-to-racism-in-healthcare-with-dr-jessica-isom
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Racism in Medical Field - Patient experience https://pxjournal.org/cgi/viewcontent.cgi?article=1623&context=journal
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Suicide Crisis for Communities of Color - Kaiser Health News https://khn.org/news/article/pandemic-unveils-growing-suicide-crisis-for-communities-of-color/
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Addressing clients' racism and racial prejudice in individual psychotherapy: Therapeutic considerations - Bartoli E, Pyati A. https://content.apa.org/record/2009-08897-001 (paywall)
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White therapists addressing racism in psychotherapy: An ethical and clinical model for practice - Drustrup, D. https://www.tandfonline.com/doi/abs/10.1080/10508422.2019.1588732?journalCode=hebh20 (paywall)
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Learning How to Listen - Jennifer Loubriel https://thebodyisnotanapology.com/magazine/4-ways-white-people-can-process-their-emotions-without-bringing-the-white-tears/
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Phrases Allies Can Say Instead of Being Defensive - Sam Dylan Finch https://everydayfeminism.com/2017/05/allies-say-this-instead-defensive/
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What's My Complicity? - Robin Diangelo https://www.learningforjustice.org/magazine/summer-2019/whats-my-complicity-talking-white-fragility-with-robin-diangelo
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Training to stop Anti-Asian/American and Xenophobic harassment - Hollaback https://www.ihollaback.org/bystanderintervention/
- Diversity In Healthcare - EduMed
https://www.edumed.org/medical-careers/diversity-in-healthcare/
Books
Culturally Specific Resources
- Black History Month articles
- https://www.ozy.com/true-and-stories/the-trailblazing-black-female-doctor-that-american-history-forgot/92708/ - https://www.facebook.com/yolanda.watson.5/posts/3072576999433131
- South Asian Cultural Appropriation
- https://www.hinduamerican.org/ - https://uproxx.com/life/chai-tea-company-backlash-cultural-appropriation/ - https://kirannotkeiran.medium.com/why-saying-namaste-is-culturally-insensitive-and-not-just-a-yoga-term-36c0e99f9851
Documentary
Organizations
OTHER RESOURCES:
Articles/Presentations/Webinars (Healthcare)
Books
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Cultural Psychiatry with Children, Adolescents and Families - Ranna Parekh, M.D., M.P.H., Cheryl S. Al-Mateen, M.D., Maria Jose Lisotto, M.D., and R. Dakota Carter, M.D., EdD https://www.appi.org/Products/Cultural-Psychiatry/Cultural-Psychiatry-With-Children-Adolescents-and
Organizations:
Colorado Psychiatric Society COVID-19 Resource List
*SPECIAL EDITION*
July 15, 2020
Psychiatrist Resources on Historically Marginalized Communities - Resources related to the pandemic
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For the most complete and up-to-date race and ethnicity data on COVID-19 in the United States, seeThe COVID Racial Data Tracker - a collaboration between the COVID Tracking Project and the Boston University Center for Antiracist Research. Also see NYT -The Fullest Look Yet at the Racial Inequity of Coronavirus - New data — made available after The New York Times sued the federal government — shows the extent of racial disparities: The contraction rate is almost three times as high for Black Americans as white Americans and more than three times higher among Latinos than whites.
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CDC webpage onCOVID-19 in Racial and Ethnic Minority Groups - contains data, recommendations on what healthcare systems and healthcare providers can do and discussion of factors that explain why racial and ethnic minority groups are at increased risk during COVID-19 (6-25-20)
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JAMA -Taking a Closer Look at COVID-19, Healthcare Inequities and Racism (transcript article and 31 minute video) (6-29-20)
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NIH - Director Francis Collins, MD, PhD, discusses the heartbreaking disproportionate impact of COVID-19 on Black and Hispanic communities andthe importance of building stronger relationships with minority communities to build trust as COVID-19 vaccine development progresses (see article not 2 minute video) (6-23-20). Also see STAT -COVID-19 Vaccine Research Must Involve Black and Latinx Participants. Here are 4 Ways to Make That Happen (6-26-20)
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Virtual Forum: Healthcare Disparities through the Lens of Diversity During the COVID-19 Pandemic (slidedeck (download) and 2 hour 17 minute video) - AACAP hosted this virtual forum on June 13 highlighting mental health, COVID, and other healthcare disparities related to race and ethnicity among children and adolescents of color.
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New York Times -The Challenges of the Pandemic for Queer Youth - Issues include limited access to community support and counseling and, in some cases, quarantining with unsupportive family members (6-29-20)
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PsychNews -Hispanic Community and COVID-19: Addressing Health Inequalities Can No Longer Be Delayed (6-23-20). Also see NYT -Many Latinos Couldn’t Stay Home. Now Virus Cases Are Soaring in the Community (6-26-20)
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AMA -Widening Social and Health Inequalities During the COVID-19 Pandemic (6-10-20)
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JAMA -Strategies for Digital Care of Vulnerable Patients in a COVID-19 World—Keeping in Touch - Without action to address the digital divide,existing health and healthcare disparities will be exacerbated for the nation’s most vulnerable individuals and communities. Article explores these potential dangers and offers strategies to mitigate them (6-12-20)
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KFF -Chart of the Week: The Disproportionate Impact of COVID-19 on Black and Hispanic Medicare Recipients (6-26-20)
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Hopkins Bloomberg Public Health Magazine -Racism and COVID-19 - In this Q&A, Lisa Cooper, a practicing physician and epidemiologist, discusses racism’s role in COVID-19 cases in African American communities and solutions for the inequities.
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AMA Ethics - Ethics Talk:Antiracism, Health Equity, and a Post-COVID Future (22 minute podcast) - AMA Ethics Journal editor in chief, Dr Audiey Kao, talks with Dr Ibram Kendi, founding director of the Antiracist Research and Policy Center and a professor of history and international relations at American University, about the impact of racist policies on historically discriminated-against groups and what it means to be an antiracist (06-20). Kendi uses the metaphor of cancer and its treatment to discuss racism and anti-racism. He also addresses the importance of antiracism among healthcare providers in order to appropriately address health disparities. Of special interest is a section towards the end (approx. minutes 17-19) about the difference between truth and lies, and why it’s so difficult to communicate complicated truths to people who prefer simple one-liner answers.
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JAMA -COVID-19 Pandemic, Unemployment, and Civil Unrest: Underlying Deep Racial and Socioeconomic Divides (6-12-20)
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Psychiatrist Resources on Historically Marginalized Communities - General Resources
We recognize this is an opportunity for growth so while the following resources are not directly COVID-related, we hope you find them useful.
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Selected APA Resources:
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Stress & Trauma Toolkit for Treating Historically Marginalized Populations in a Changing Political and Social Environment - a toolkit with screening and treatment recommendations to help providers understand the unique circumstances facing historically marginalized populations and the impact that the current socio political climate in the United States has on their mental health. Includes resources on the following patient populations:African Americans,Asian Americans,Hispanics,Indigenous People,Jewish Americans,LGBTQ,Muslims,Undocumented Immigrants, andWomen.
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Register for free APA Course on Racism, Black Mental Health (1 CME credit, 60 minute on demand course) - This free e-learning module prepares psychiatrists to practice with an anti-racism framework in the care of all patients, and especially Black Americans.
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APA -Responding to Racism from Patients, Families, and Guests Towards Residents and Practicing Psychiatrists(1 CME credit, 60 minute on demand course) (7-7-20).
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APA Presidential Task Force to Address Structural Racism Throughout Psychiatry webpage which includes APA position statements, webinar info, PsychNews articles and more. Also seeMember Town Hall: APA Addresses Structural Racism, Part One(6-5-20), PsychNews -Black Psychiatrists Call on White Colleagues To Dismantle Racism in Profession (6-23-20) andRecommended Readings.
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American Association For Community Psychiatry -The Leadership Role of Community Psychiatry in Combating Structural Racism (1 hour video) (6-3-20). Many excellent speakers, including a presentation by Dr. Shim on structural racism (starting around minute 6). Also see her article in Stat -Structural racism is why I’m leaving organized psychiatry - a piece by Ruth S. Shim on why she has made the difficult decision to end her membership with organized psychiatry, specifically the American Psychiatric Association (7-1-20)
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Taking Back Our Voices — #HumanityIsOurLane by psychiatry resident Chase T.M. Anderson, M.D. (6-30-20) - Also seeRace and Medicine on NEJM.org - a new page presents a selection of articles on race and medicine, with implications for improving patient care, professional training, research, and public health.
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Treating Mental Health in the Black Community (1.5 hour video) - Learn how you can better serve Black clients (6-9-20)
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Kevin MD -A physician awakens to racism in America (6-15-20)
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MD Edge/Clinical Psychiatry News -Examining bias (6-18-20), includes link to Harvard researcher designedImplicit Association Test.
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75 Things White People Can Do for Racial Justice(the list now includes 97 things!)
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On Being with Krista Tippett -‘Notice the Rage; Notice the Silence’(51 minute podcast) - The best laws and diversity training have not gotten us anywhere near where we want to go. Therapist and trauma specialist Resmaa Menakem is working with old wisdom and very new science about our bodies and nervous systems, and all we condense into the word “race” (6-4-20). Visithttps://www.educationforracialequity.com/resmaa for details on a two session online event on July 25th and August 1 - Reclaiming our Birthright: An Embodied Gathering for Black Men held by Resmaa Menakem and Dr. Kenneth Hardy as well as other events. Also seehttps://www.resmaa.com/.
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· Black Mental health https://blackmhsymposium.com/
· Colorado Black Health Collaborative https://coloradoblackhealth.org/
· Black Man in a White Coat: A Doctor's Reflections on Race and Medicine - Damon Tweedy https://www.goodreads.com/book/show/22857246-black-man-in-a-white-coat
· Addressing Mental Health Disparities Among African Americans/Blacks Through Patient Care - APA Webinar Series https://www.psychiatry.org/psychiatrists/cultural-competency/striving-for-excellence-series
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