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Strategies for deconstructing racism in the health and human services

THE CONTINUING DILEMMA OF RACE IN AMERICA DEFINING THE AMBIGUOUS CONCEPT OF RACE RACE AS A SOCIAL AND POLITICAL CONSTRUCT RACE AS MYTH AND REALITY THE INTERSECTION OF RACE, CLASS, AND POVERTY SCOPE AND DEFINITION OF THE HEALTH AND HUMAN SERVICES THE HELPING PROFESSIONS ONGOING REFORMS TO BRING RACE TO THE FOREFRONT ASSESSING AND PROMOTING SUSTAINABLE ORGANIZATIONAL AND STRUCTURAL CHANGE THE ANTIRACIST APPROACH DECONSTRUCTING THE AMERICAN TRADITION OF “OTHERING”REJECTING THE CONSPIRACY OF SILENCE CHOOSING HEALTH AND WELLNESS SPEAKING TRUTH TO POWER SUMMARY REFERENCES ONE Building the Infrastructure Supporting Sustainable Change and Renewal Promoting Organizational and Systemic Change COSTS AND BENEFITS OF TRANSFORMING THE ORGANIZATION DEFINITION OF ORGANIZATIONAL AND INSTITUTIONAL RACISM GOALS AND TRANSFORMATIONS TACTICS-HELPFUL AND OTHERWISE COMPETING ADVOCACY PRESSURES UNANTICIPATED ISSUES AND THEIR IMPACT DISCUSSION QUESTIONS REFERENCES Incorporating Antiracist Work at Staff and Board Levels ESTABLISHING ANTIRACIST HUMAN SERVICE ORGANIZATIONS CHALLENGES ISSUES OF BOARD INVOLVEMENT AND LEADERSHIP DISCUSSION QUESTIONS REFERENCES FURTHER READING Education and Training of a Race-Conscious Workforce A BRIEF HISTORY THE ENVIRONMENTAL CONTEXT AS CATALYST FOR CHANGE NEW DILEMMAS ... AND OPPORTUNITIES ANTI-OPPRESSION SOCIAL WORK PRACTICE: TWO PROFESSORS’ STORIES Full-Time Male Faculty Narrative BUILDING THE PRACTICE LAB Theoretical Underpinnings of the Anti-Oppression Practice Lab CONCLUSION Implications for Social Work Faculty Recruitment and Development The Extraordinary Benefits of This Course DISCUSSION QUESTIONS REFERENCES Creating a Culturally Competent Research Agenda CULTURAL COMPETENCE AND ANTIRACIST RESEARCH AGENDAS Addressing Intersectionality Understanding the Biopsychosocial Process of Disparity Formation Promoting Multiracial Minority Alliance A CULTURALLY COMPETENT RESEARCH AGENDA The Study Community The Researcher: Conducting Cultural Self-Assessment Valuing Diversity: The Intermediate Zone ETHNOGRAPHY AS A META-FRAMEWORK FRAMING THE STUDY QUESTIONS CONCLUSION DISCUSSION QUESTIONS REFERENCES When Does Race Matter?LITERATURE REVIEW DESCRIPTION OF THE RESEARCH PROJECT IMPACT OF THE RACE OF RESPONDENTS ENGAGEMENT IN ORGANIZATIONAL CHANGE EFFORTS AMONG ALUMNI Alumni Who Became Engaged Alumni Who Did Not Become Engaged RACIAL COMPOSITION OF EXECUTIVES RACIAL COMPOSITION OF ORGANIZATION EXECUTIVES AND RACIAL EQUITY PROGRESS OTHER FACTORS ASSOCIATED WITH ORGANIZATIONAL PROGRESS LIMITATIONS AND AREAS FOR FUTURE STUDY DISCUSSION AND IMPLICATIONS DISCUSSION QUESTIONS REFERENCES TWO Reshaping Theoretical and Practice Paradigms Deconstructing White Supremacy ABOUT PISAB THE HISTORICAL ROOTS OF WHITE SUPREMACY THE “UNDOING RACISM” WORKSHOP INTEGRATION OF “UNDOING RACISM™” PRINCIPLES IN PROFESSIONAL EDUCATION CONCLUSION DISCUSSION QUESTIONS REFERENCES Theoretical Perspectives for Transformation USING CRITICAL SOCIAL THEORETICAL PERSPECTIVES TO PROMOTE ANTIRACIST PRACTICE: SETTING THE STAGE AND A CALL FOR ACTION SOCIAL CONSTRUCTION POWER AND SOCIALLY CONSTRUCTED REALITIES SOCIAL CONSTRUCTION AND SOCIAL IDENTITIES CRITICAL RACE THEORY: HOW DOES A FOCUS ON RACE AID OUR EFFORTS?APPLICATIONS IN HEALTH AND HUMAN SERVICES COMPONENTS OF CRITICAL RACE THEORY TO FRAME OUR WORK: CRITICAL PERSPECTIVES, INTERSECTIONALITY, STORYTELLING, AND EGALITARIAN APPROACHES TO BUILDING RELATIONSHIPS A Critical Stance to Understanding Race, Power, and Inequality Intersectionality Storytelling Egalitarian Empowerment Approaches REMAINING CHALLENGES: WHAT GAPS EXIST AND WHAT AVENUES PROVIDE HOPE?CONCLUSIONS AND HOPE FOR THE WAY FORWARD DISCUSSION QUESTIONS REFERENCES Antiracist Approaches for Shaping Theoretical and Practice Paradigms THE PRIVILEGE AND SUBJUGATED TASK (PAST) MODEL THE TASKS OF THE PRIVILEGED THE TASKS OF THE SUBJUGATED Challenge Silencing and Voicelessness Regulate and Rechannel Rage Engage in a Process of Exhaling Cease and Desist Caretaking of the Privileged Maintain Investment in the Conversation CONCLUSION DISCUSSION QUESTIONS REFERENCES THREE Systemic Impacts and Special Populations Children, Youth, and Family Serving Systems STATISTICAL OVERVIEW: THE COLOR OF CHILD WELFARE Native American Children African American Children CONTRIBUTING FACTORS TO SYSTEMIC INEQUALITIES REVIEW OF THE LITERATURE CUMULATIVE EFFECT: THE PATH TO OVERREPRESENTATION IN THE CHILD WELFARE SYSTEM OUTCOME DISPARITIES: CONTEMPORARY AND HISTORICAL ANALYSIS AN HISTORICAL LOOK AT DISPROPORTIONALITY ADDRESSING FOSTER CARE INEQUITIES Court-Mandated Systems Improvement ADDRESSING ORGANIZATIONAL ISSUES RELATED TO RACE AND CULTURE IN CHILD WELFARE SYSTEMS EFFECTIVE STRATEGIES IMPLICATIONS FOR IMPROVED POLICY AND PRACTICE CONCLUSION DISCUSSION QUESTIONS REFERENCES Systems Serving Ethnically Diverse Older Adults PURPOSE AND ORGANIZATION DEMOGRAPHIC AND POPULATION TRENDS POLICY AND PROGRAM DEVELOPMENTS DEFINITIONS AND THEMES OF LATE ADULTHOOD ETHNIC AND RACIAL DIVERSITY AMONG OLDER ADULTS THE IMMIGRANT ELDERLY THE LATINO ELDERLY THE BLACK ELDERLY AGING IN PLACE IN FAMILIES AND COMMUNITY Informal In-Home Caregiving Out-of-Home Care Nursing Homes CULTURALLY COMPETENT RACE-CONSCIOUS CARE CONCLUSION DISCUSSION QUESTIONS REFERENCES Barriers to Mental Health and Treatment among Urban Adolescent and Emerging Adult Males of Color PREVALENCE OF MENTAL ILLNESS AMONG YOUNG MALES OF COLOR PREVALENCE OF MENTAL HEALTH TREATMENT AMONG YOUNG MALES OF COLOR FACTORS RELATED TO UNDERUTILIZATION CONTRIBUTIONS OF SERVICE SECTORS TO MENTAL HEALTH TREATMENT UNDERUTILIZATION Child Welfare Juvenile Justice VIABLE STRATEGIES TO REDRESS THE MENTAL HEALTH TREATMENT UNDERUTILIZATION OF YOUNG MALES OF COLOR A Race-Sensitive Focus on Treatment Engagement Greater Coordination of Treatment, with Schools as the Centerpiece Greater Use of Evidence-Based Practice SUMMARY AND CONCLUSIONS DISCUSSION QUESTIONS REFERENCES FOUR The Helping Relationship The Influence of Race and Ethnicity on Consumer Behaviors “HISPANIC” VERSUS “LATINO”: DOES IT REALLY MAKE A DIFFERENCE?CULTURAL CHARACTERISTICS OF HISPANICS GENDER-SPECIFIC ROLES RELIGION AND SPIRITUALITY LANGUAGE OPERATIONALIZING RACE AND ETHNICITY IN THE HELPING PROCESS “Outline for Cultural Formulation”Clinical Skills for Racially and Ethnic-Sensitive Practice CONCLUSION DISCUSSION QUESTIONS REFERENCES Establishing Effective Cross-Cultural Alliances with Diverse Consumer Populations THE INCREASING DIVERSITY OF AMERICAN CULTURE CROSS-CULTURAL HELPING ALLIANCES AND THERAPEUTIC RELATIONSHIPS MANIFESTATIONS OF TRANSFERENCE AND COUNTERTRANSFERENCE THE HELPING RELATIONSHIP PRACTICE IMPLICATIONS VIEWING OTHERS WITHIN THEIR CULTURAL CONTEXT Practitioner Role Agency Role MUTUAL RELATIONSHIP BUILDING OTHER CONSIDERATIONS CONCLUSION DISCUSSION QUESTIONS REFERENCES Unpacking Racism, Poverty, and Trauma’s Impact on the School-to-Prison Pipeline THE ORIGINS OF DEVELOPMENTAL DISPARITIES Community Violence’s Disparate Impact Interpersonal Violence’s Disparate Impact Impact of Community and Interpersonal Violence THE ROLE OF TEACHERS’ SUBJECTIVITY THE ROLE OF TEACHERS’ RACIAL BIAS AND ETHNOCENTRISM THE DISPROPORTIONATE IMPACT OF “ZERO TOLERANCE” DISCIPLINARY PRACTICES ON YOUTH OF COLOR THE ROLE OF PSYCHIATRIC INTERVENTION AND MISDIAGNOSIS Implications of the Failure to Consider Trauma Histories First Overdiagnosis of ADHD The Need for Routine Systemic Trauma History Screening The Implications of Medication Overuse ALTERNATIVE APPROACHES Build Institutional Racism Awareness and Trauma Competence in Educational Settings Cultivate Safe, Supportive School Climates Committed to Inclusion and Retention Invest in Policies and Programs that Alleviate Poverty and Build Resilience DISCUSSION QUESTIONS REFERENCES FIVE Replicating Best Practices Giving Equal Access to the American Dream to All Kids THE MAKING OF A CHILDREN’S ADVOCATE CHALLENGES IN TRANSFORMING THE ADMINISTRATION FOR CHILDREN’S SERVICES THE HCZ: A DIFFERENT MODEL BUILDING A COMPREHENSIVE PIPELINE: FROM RHEEDLEN TO THE HCZ PROJECT THE URGENCY TO BRING THE HCZ MODEL TO OTHER COMMUNITIES EXECUTIVE LEADERSHIP INSIGHT: HOW OUR LEARNING HAS SHAPED THE HCZ PIPELINE QUICKLY ADVOCATING FOR THE BEST SOLUTION FOR THE CHILD AND HIS FAMILY: A PARENT’S STORY BEING AN ONGOING SUPPORT SYSTEM FOR YOUTH: A STUDENT’S STORY OUR EVOLVING MANAGEMENT APPROACH SCALING WHAT WE LEARNED: BECOMING A NATIONAL MODEL CONCLUSIONS DISCUSSION QUESTIONS REFERENCES A Racial Equity Staff Development Strategy for Public Human Service Organizations THE CHILD WELFARE CHANGE MODEL UNIVERSITY-AGENCY PARTNERSHIP COMMITTEE THE STAFF DEVELOPMENT STRATEGY PLANNING FOR THE WORKSHOPS WORKSHOP #1: SELF-CARE AND INTERNALIZED OPPRESSION WORKSHOP #2: THE USE OF THE CULTURAL GENOGRAM AS AN EXPERIENTIAL WORKSHOP WORKSHOP #3: SKILLS AND STRATEGIES FOR FACILITATING CHALLENGING DISCUSSION ON RACE, POWER, AND PRIVILEGE IN OUR WORK RELATIONSHIP WORKSHOP #4: UNPACKING RACE AT THE FAMILY TEAM CONFERENCE MEETING PARTICIPANTS’ REACTIONS TO THE WORKSHOPS DEMOGRAPHICS THE RATING INSTRUMENTS RATINGS Understanding of Myself as a Cultural Being Own Power and Privilege Own Values, Beliefs, and Attitudes Own Biases, Prejudices, and Assumptions Multiple Identities Effectiveness in Working in an Increasingly Diverse and Global Society Participants’ Awareness of and Concern with the Issues Addressed DISCUSSION Participants’ Responses to the Workshops Lessons Learned Internalized Racial Oppression Group Identity The Organizational “Space”DISCUSSION QUESTIONS REFERENCES

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