We acknowledge the systemic obstacles, including discriminatory and exclusionary barriers, confronting CIF, exacerbated by the current hostile political environment toward immigrants, the ongoing threat of immigration enforcement, limited access to social safety nets, and the disproportionately adverse effects of the COVID-19 pandemic on their health, finances, and education. Psychologists are crucial in (a) fostering prevention strategies that target stressors like poverty and trauma; (b) reforming systems to minimize CIF risk factors; (c) broadening workforce development across multiple disciplines to better support individuals; (d) identifying mechanisms like racial profiling that contribute to health disparities and acknowledging them as public health threats; and (e) championing advocacy for resources at local, state, and federal levels, including linking discriminatory policies or practices to health inequities. For psychology's contributions to resonate more effectively, educational and professional institutions must actively cultivate closer ties with policymakers, ensuring the clear presentation of research findings in the spaces where policy and practice decisions are formulated. Psychologists possess the skills necessary to enact systemic change across multiple societal levels and disciplines, thus improving CIF well-being and paving the way for a brighter future. Copyright 2023, APA holds exclusive rights to this PsycINFO Database Record.

This article undertakes a thorough examination of the intersection between social and economic determinants of health and social structures, which maintain systemic inequities and structural violence. The analysis will be centered on the impact on immigrant, refugee, and the invisible populations, especially from Black, Indigenous and communities of color living within the United States. Psychological interventions, historically, have often neglected the systemic nature of trauma, which is perpetuated by structural violence, inequitable resource distribution, and limited access to services within families and individual lives. Modern biotechnology Within the field, a complete framework for interdisciplinary collaboration, or the learning of best practices from global partnerships, is absent. Psychology has been remiss in recognizing the consequences of structural violence, a pervasive issue in impoverished communities. Through detention, incarceration, and the processes surrounding asylum citizenship, immigrants and refugees experience a criminalization that constitutes structural harm. The recent overlapping of catastrophic occurrences, including COVID-19, escalating political division, social disturbances, police misconduct, and the rapid worsening of climate change, has constructed a vastly complex crisis for the disadvantaged and vulnerable population. selleck inhibitor To assist psychologists in their work, we offer a framework for informing, guiding, and integrating their practice. This framework is underpinned by a carefully curated selection of United Nations Sustainable Development Goals designed to combat health inequities. The PsycINFO database record, created in 2023, is subject to the copyright of the American Psychological Association.

The insidious nature of racism, spanning a continuum from denying service to subtle forms of discrimination, exacts a heavy price on victims. The cascading impact of interconnected systems of oppression manifests as chronic stress, causing psychological harm often understood as racism-based traumatic stress (RBTS). Posttraumatic stress disorder (PTSD) and RBTS exhibit overlapping symptoms, exacerbated by the continuous presence of threatening situations. Chronic pain, a serious public health concern, is made worse by the overlap of racism and health inequities. Even so, the impact of RBTS on pain has not been studied. In order to showcase the interplay of these elements, we propose Racism ExpoSure and Trauma AccumulatiOn PeRpetuate PAin InequiTIes-AdVocating for ChangE (RESTORATIVE), a novel conceptual model. It combines models of racism and pain, highlighting how trauma symptoms (e.g., RBTS and PTSD) fuel and perpetuate chronic pain among racialized communities in the United States. Acknowledging racism and suffering as intertwined aspects, like two sides of a single coin, where the combined impact of multiple incidents might temper the intensity of RBTS and pain, we highlight the significance of within-group differentiation and the interplay of intersecting identities. Patient experience with RBTS in clinical pain care teams necessitates psychologists' leadership in applying the restorative model, acting as facilitators and advocates. To reach this goal, we propose training modules for providers and researchers on anti-racism, a rigorous evaluation of RBTS in individuals with pain, and a comprehensive explanation of how cultural humility underpins the implementation of the RESTORATIVE strategy. This PsycINFO database record, copyright 2023 APA, is hereby returned.

A 1-year, Health Resources and Services Administration (HRSA)-funded fellowship, run by Medical Practice Superstars, cultivates primary care transformational leaders from among early-career physicians and physician assistants/associates. In an effort to transform health care, fellows execute practice-based projects focusing on one of the three key HRSA priorities: childhood obesity, mental health, or opioid use disorder. These projects, designed to bolster integrated health services in primary care settings, are necessary due to the shortage of mental health professionals. In their assessment, the individuals discovered locations where they could integrate mental healthcare to boost diagnostic skills, improve comprehensive healthcare, encourage beneficial behavioral results, and strengthen the physical wellness of patients. Key project modalities encompassed the initiation or escalation of behavioral health screenings, the coupling of these screenings with patient results, and the unification of behavioral health care with physical health care. Six mental health-related healthcare practice transformation projects, implemented across rural healthcare settings, including Federally Qualified Health Centers and academic medical centers, are detailed in this article. A survey of topics encompassed (a) maternal depression during pregnancy and postpartum; (b) the detection of adverse childhood experiences; (c) the correlation between depression and chronic illnesses, particularly diabetes; (d) the integration of automated enhancements in electronic medical records for managing clinical depression; (e) augmenting health outcomes and medication adherence for patients with opioid use disorder; and (f) the suitability of the Patient Health Questionnaire-2 (PHQ-2) for diagnosing depression in diabetic patients. Among the clinical specialties were family medicine, pediatrics, and women's health. This PsycInfo Database Record, a 2023 APA copyright, is being returned, respecting all rights.

During the COVID-19 pandemic, the demand for mental health services has soared to unprecedented levels, creating lengthy wait lists and causing therapist exhaustion. A significant finding of Nemoyer et al. (2019) is that minority groups experience a higher prevalence of mental illness, which is compounded by poor treatment quality and reduced accessibility. COVID-19 has significantly amplified the already-existing need for mental health support, leading to an overwhelming burden on care systems, causing therapist fatigue, and lengthening waitlists considerably. Mental health providers' incentives for individual therapy are argued in this article to be the root cause of inefficient service provision. Group therapy, being a triple-E treatment—efficient, effective, and producing results equal to those of individual therapy—provides a solution, according to Burlingame and Strauss (2021). Group interventions tackle systemic racism, attending to the needs of marginalized minorities and their struggles with minority stress. This article will demonstrate, through a labor and financial impact analysis, the effects of a national 10% boost in group therapy, primarily within private practice and integrated primary care, on treatment access for over 35 million people, the reduction in necessary new therapists (34,473), and a consequent savings of over $56 billion. Coronaviruses infection The potential of incentivizing groups, while holding therapists responsible for training, competency in working with individuals from diverse backgrounds, and positive results, to enhance efficiency will be the focus of this discussion. Therapists will have greater freedom to choose the best treatments for underserved and minority individuals in a collaborative manner, creating simpler access to quality treatments. This PsycInfo database record, subject to the full copyright of the American Psychological Association in 2023, enjoys no public domain status.

With an ethical imperative to advance health equity, psychologists can significantly contribute to improving healthcare experiences for Black families facing sickle cell disease (SCD), a genetic blood disorder prevalent in communities of color. Parents raising children with sickle cell disease (SCD) often encounter instances of stigma and discrimination rooted in racism within the healthcare system. The current commentary articulates the application of antiracist and participatory approaches in the design, implementation, and dissemination of a behavioral medicine clinical trial (Engage-HU; NCT03442114) investigating shared decision-making (SDM) for pediatric patients with sickle cell disease. This approach includes the development of a research query focused on racial justice; the integration of shared decision making and a multidisciplinary team led by a Black psychologist to address inequities; the involvement of diverse stakeholders to promote community participation throughout the research process; and a commitment to contextualizing structural inequalities stemming from the COVID-19 pandemic and racism. Given the prevalence of Black women as primary caregivers of children with sickle cell disease, an intersectional perspective was utilized. For psychologists seeking to advance health equity in medical settings, pertinent implications and considerations are presented. All rights pertaining to the PsycINFO Database Record of 2023 are reserved for the American Psychological Association.