Abstract
This article presents research findings useful in formulating a Best Practices Model for the delivery of mental health services to underserved minority populations. Aspects of the role of racism in health care delivery and public health planning are explored. An argument is made for inclusion of the legacy of the slavery experience and the history of racism in America in understanding the current health care crisis in the African-American population. The development of an outline in APA DSM IV for the use of cultural formulations in psychiatric diagnosis is discussed.
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REFERENCES
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington D.C., American Psychiatric Association, 1994.
Stone AA: Conceptual ambiguity and morality in modern psychiatry. American Journal of Psychiatry 137:887–891, 1980.
Davidson B: The African Slave Trade, 3rd ed. Boston, Little, Brown and Company, 1980.
Toppin EA: A Biographical History of Blacks in America Since 1528, 2nd ed. New York, David McKay Company, Inc., 1971.
Poussaint AF, Alexander, A: Lay My Burden Down: Unraveling Suicide and the Mental Health Crisis among African-Americans, 1st ed. Boston, Beacon Press, 2000.
Higginbotham AL, Jr.: In the Matter of Color: Race & The American Legal Process: The Colonial Period, 1st ed. New York, Oxford University Press, 1978.
Gates HL, Jr., McKay NY: The Norton Anthology of African American Literature, 1st ed. New York, W. W. Norton & Company, Inc., 1997.
Edelman MW: Families in Peril: An Agenda for Social Change, Cambridge, MA, Harvard University Press, 1987.
Shi L: Primary care administered to minorities. Medical Care 37:1–8, 1999.
Epstein AM, Ayanian JZ, Keogh JH et al.: Racial disparities in access to renal transplantation: Clinically appropriate or due to underuse or overuse? New England Journal of Medicine 343:1537–1544, 2000.
Todd KH: Racial disparity in utilization of pain medication. Annals of Emergency Medicine 35:11–16, 2000.
Bach PB, Cramer LD, Warren JL et al.: Racial differences in the treatment of earlystage lung cancer. New England Journal of Medicine 341:1198–1205, 1999.
King TE Jr, Brunetta P: Racial disparity in rates of surgery for lung cancer. New England Journal of Medicine 341:1231–1233, 1999.
Strakowski SM, Hawkins JM, Keck PE, Jr., et al.: The effects of race and information variance on disagreement between psychiatric emergency service and research diagnoses in first-episode psychosis. Journal of Clinical Psychiatry 58: 457–463, 1997.
Taketomo Y, Feiner J: An Introduction to Culture for Psychiatric Residents. (unpublished manuscript) 1980.
Cultural Competence: A Pamphlet published by New York State Office of Mental Health,1995.
Mezzich JE: Outline for cultural formulation and glossary of culture-bound syndromes, in Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington D.C., American Psychiatric Association, 1994.
Mezzich JE: Cultural formulation and comprehensive diagnosis: Clinical and research perspectives. Psychiatric Clinics of North America 18:649–657, 1995.
Mezzich JE, Berganza CE: Culture and Psychopathology, New York, Columbia University Press, 1984.
Lin KM, Poland RE, Nakasaki G: Psychopharmacology and Psychobiology of Ethnicity. Progress in Psychiatry #39, Washington D.C., American Psychiatric Press, 1993.
Ruiz P: Ethnicity and Psychopharmacology, Washington D.C., American Psychiatric Press, 2000.
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Hollar, M.C. The Impact of Racism on the Delivery of Health Care and Mental Health Services. Psychiatr Q 72, 337–345 (2001). https://doi.org/10.1023/A:1010341332036
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DOI: https://doi.org/10.1023/A:1010341332036