Evidence map›Paper›PMID 35930174›Full record

ReviewJournal of racial and ethnic health disparities2023

Structural Racism, Workforce Diversity, and Mental Health Disparities: A Critical Review.

Eric Kyere, Sadaaki Fukui

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
10.5field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 53 citations in OpenAlex.

  1. Distress Profiles and Help-Seeking Behaviors Among Diverse Healthcare Workers Participating in a Mental Health Screening Program.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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  7. An innovative DEI approach for emerging HIV investigators on Latino health.Journal of clinical and translational science · 2026
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  15. Trauma, Mental Health Workforce Shortages, and Health Equity: A Crisis in Public Health.International journal of environmental research and public health · 2025
    Review
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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

2 authors at 1 institution in 1 country.

Eric KyereIndiana University School of Social Work, Indianapolis, IN, USA. ekyere@iu.edu.ORCID 0000-0003-3998-6324
Sadaaki FukuiIndiana University School of Social Work, Indianapolis, IN, USA.
Indiana University – Purdue University Indianapolis · US

Funding

Developing a Data-Driven Management System Using Machine Learning and Mixed-Methods Research to Predict Job Turnover Among MentalHealth ProfessionalsR34MH119411 · NIMH · INDIANA UNIVERSITY INDIANAPOLIS · PI FUKUI, SADAAKI · 2020 to 2022
$845k
NIMH NIH HHS R34 MH119411
6 · The paper itself

Abstract

objectiveRacial workforce diversity has been suggested as a critical pathway to address persistent racial mental health disparities. However, structural racism has been noted to diminish such workforce diversity efforts. The purpose of this critical review is to identify the mechanisms through which structural racism operates in organizations, including mental health organizations, to undermine workforce diversity efforts and reinforce inequities.

methodsUsing the theories of racialized organizations, the current review critically draws on literature underscoring the racial character of organizations as mezzo-level racialized structures that may systematically activate and uphold white privilege in the mental health workplace.

resultsFindings suggest that in the context of institutionalized white dominance, workers of color within mental health organizations may experience race-based cultural exclusion, identity threat, and racialized workplace emotional expression, and be burdened by racialized tasks. The workers of color may also become the means for organizations to attract communities of color due to their diverse characteristics, yet workers' effects to address disparities in mental health are minimized due to potential racialized organizational forces, including the whiteness of organizational leadership and color-blindness. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Structural racism may create resistance to the efforts and effects of a racially diverse workforce within mental health organizations. This review calls for a race-conscious framework that drastically shifts the traditional organizational structure to an inverted hierarchy (i.e., client-centered management) to maximize diversity efforts in the mental health organizational workforce to address racial disparities in mental health.

Indexed as

RacismSystemic RacismHealth PersonnelHumansMental HealthWorkforceLeadershipMental health disparitiesMental health organizationsStructural racismWorkforce diversity

Identifiers

PMID35930174
PMCPMC9361976
OpenAlexW4289970012

What OpenQuestion holds

Textmetadata
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.