Evidence map›Paper›PMID 34971730›Full record

ReviewJournal of the American Academy of Child and Adolescent Psychiatry2022

Review: Structural Racism, Children's Mental Health Service Systems, and Recommendations for Policy and Practice Change.

Kiara Alvarez, Paige E Cervantes, Katherine L Nelson, Dana E M Seag, Sarah McCue Horwitz, Kimberly Eaton Hoagwood

Abstract readReview
In one paragraph

Review in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kiara AlvarezMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: kalvarez2@mgh.harvard.edu.
Paige E CervantesNew York University Langone Health, New York.
Katherine L NelsonDornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania; Merck & Co., Inc., Kenilworth, New Jersey.
Dana E M SeagNew York University Langone Health, New York.
Sarah McCue HorwitzNew York University Langone Health, New York.
Kimberly Eaton HoagwoodNew York University Langone Health, New York.

Funding

National Survey of State Policy Decision-making and SimulationP50MH113662 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORWITZ, SARAH MCCUE · 2019 to 2022
$6.9M
Early Intervention for Suicide Risk among Immigrant YouthK23MH112841 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALVAREZ, KIARA · 2017 to 2021
$821k
Understanding Multilevel Factors that Contribute to Utilization of Mental Health Services in ChildrenF31MH122155 · NIMH · DREXEL UNIVERSITY · PI NELSON, KATHERINE LYNN · 2020 to 2020
$39k
NIMH NIH HHS F31 MH122155NIMH NIH HHS K23 MH112841NIMH NIH HHS P50 MH113662
6 · The paper itself

Abstract

objectiveRacism is a public health crisis that impacts on children's mental health, yet mental health service systems are insufficiently focused on addressing racism. Moreover, a focus on interpersonal racism and on individual coping with the impacts of racism has been prioritized over addressing structural racism at the level of the service system and associated institutions. In this paper, we examine strategies to address structural racism via policies affecting children's mental health services.

methodFirst, we identify and analyze federal and state policies focused on racism and mental health equity. Second, we evaluate areas of focus in these policies and discuss the evidence base informing their implementation. Finally, we provide recommendations for what states, counties, cities, and mental health systems can do to promote antiracist evidence-based practices in children's mental health.

resultsOur analysis highlights gaps and opportunities in the evidence base for policy implementation strategies, including the following: mental health services for youth of color, interventions addressing interpersonal racism and bias in the mental health service system, interventions addressing structural racism, changes to provider licensure and license renewal, and development of the community health workforce.

conclusionRecommendations are provided both within and across systems to catalyze broader systems transformation.

Indexed as

Mental Health ServicesRacismAdolescentChildHealth PolicyHumansMental HealthSystemic Racismadolescentchildhealth equitymental health servicesracism

Identifiers

PMID34971730
PMCPMC9237180

What OpenQuestion holds

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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.