Evidence map›Paper›PMID 32134280›Full record

ArticleThe American psychologist2021

Implicit organizational bias: Mental health treatment culture and norms as barriers to engaging with diversity.

Miraj U Desai, Nadika Paranamana, Maria Restrepo-Toro, Maria O'Connell, Larry Davidson, Victoria Stanhope

Open access · greenAbstract read
In one paragraph

Article in The American psychologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Exploring Issues of Culture in Peer Work - A Qualitative Study.Administration and policy in mental health · 2026
    Article
  4. Implicit Bias in Health Professionals: A Scoping Review.International journal of environmental research and public health · 2026
    Article
  5. Person-centred suicide prevention: key elements from the perspective of people living with suicidality.International journal of qualitative studies on health and well-being · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. System-Centered Care: How Bureaucracy and Racialization Decenter Attempts at Person-Centered Mental Health Care.Clinical psychological science : a journal of the Association for Psychological Science · 2023
    Article
  10. Article
  11. Strengthen and Respect Each Thread.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Miraj U DesaiProgram for Recovery and Community Health, Yale University.ORCID 0000-0003-0905-3275
Nadika ParanamanaDepartment of Psychology, University of Hartford.ORCID 0000-0002-5883-6121
Maria Restrepo-ToroProgram for Recovery and Community Health, Yale University.
Maria O'ConnellProgram for Recovery and Community Health, Yale University.
Larry DavidsonProgram for Recovery and Community Health, Yale University.ORCID 0000-0003-1183-8047
Victoria StanhopeSilver School of Social Work, New York University.
Institute for Health and Recovery · USNew York University · USUniversity of Hartford · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Person Centered Care Planning and Service EngagementR01MH099012 · NIMH · NEW YORK UNIVERSITY · PI STANHOPE, VICTORIA E · 2013 to 2017
$3.0M
NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH099012
6 · The paper itself

Abstract

There are increased efforts to improve patient-provider relations and engagement within North American mental health systems. However, it is unclear how these innovations impact care for ethnic minorities, a group that continues to face social and health disparities. This study examined one such engagement innovation-person-centered care planning-to gain a better understanding of this overall process. We specifically explored how mental health providers trained in person-centered care planning work with their patients of Latinx and Asian backgrounds. In-depth interviews were conducted with mental health providers in community clinics, and narratives were analyzed via phenomenological methods. Findings revealed that regardless of specific practice innovations, it was providers' own embeddedness in their mental health organizational culture that became conspicuous as a determinant of care. This culture contained implicit preferences for clients considered to be ideal (e.g., are verbal, admit a problem or illness, accept services, and are individually oriented). These clients were experienced as ideal largely because they helped the system operate efficiently. Findings suggest that these organizational norms, preferences, and expectations-and bureaucratic demands for efficiency-may engender an implicit organizational bias that creates barriers for culturally different groups. These biases may also hinder practice innovations, whether patient-centered, disparities-focused, or otherwise. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Healthcare DisparitiesMental HealthPrejudiceAdultEthnicityFemaleHumansMaleMental Health ServicesMinority Groups

Identifiers

PMID32134280
PMCPMC7483157
OpenAlexW3010125531

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.