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Racism, early psychosis and institutional contact: a qualitative study of Indigenous experiences

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Summary:

A study informed by critical race theory has shown that organisational cultures may differentially affect Indigenous and minority people to impact early psychosis. A total of 23 Indigenous individuals participated in four family focus group interviews and 13 individual interviews, comprising youth, family members and mental health professionals. Themes identified included selective responses based on racial stereotypes, race-related risk assessment bias, and institutional racism in the mental health workforce. Impacts of racism were noted as inaction in the face of social need, increased coercion and an under-resourced Indigenous workforce. Important targets for anti-racism efforts include social responsiveness, risk discourse and the distribution of workforce expenditure, concluded the study authors.

Comment:
Great examples of qualitative and quantitative studies informing research on inequities. The focus on organisational culture and policy here, as areas to focus anti-racism interventions, is excellent.
Reference: Int Rev Psychiatry. 2023;35(3-4):323-330.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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