ArticleClinical psychological science : a journal of the Association for Psychological Science2023
System-Centered Care: How Bureaucracy and Racialization Decenter Attempts at Person-Centered Mental Health Care.
Article in Clinical psychological science : a journal of the Association for Psychological Science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Improving general practice appointment booking processes: bureaucratic justice and patient-centred reforms.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Experiences with Racism Among Asian American Medical Students.JAMA network open · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
This article presents a study exploring structural biases within mental health organizations, in the context of person-centered care-an emerging framework for health systems globally. Findings revealed how surrounding institutional structures conditioned a powerful influence on clinical operations, in which there is a risk for clients to be systemically seen as a non-person, that is, as a racialized or bureaucratic object. Specifically, the article elucidates how racial profiles could become determinants of care within institutions; and how another, covert form of institutional objectification could emerge, in which clients became reduced to unseen bureaucratic objects. Findings illuminated a basic psychosocial process through which staff could become unwitting carriers of systemic agenda and intentionality-a type of "bureaucra-think"-and also how some providers pushed against this climate. These findings, and emergent novel concepts, add to the severely limited research on institutional bias and racism within psychological science.
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