Advancing Antiracism in Community-Based Research Practices in Early Childhood and Family Mental Health

Ambrose Lane, Early Childhood Innovation Network, Washington, DC; Health Alliance Network, Washington, DC.
Arrealia Gavins, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC.
Ar'Reon Watson, Early Childhood Innovation Network, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Celene E. Domitrovich, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
Chioma M. Oruh, Early Childhood Innovation Network, Washington, DC.
Christina Morris, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
Claire Boogaard, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC.
Claudine Sherwood, Early Childhood Innovation Network, Washington, DC; Far Southeast Family Strengthening Collaborative, Washington, DC.
Destiny N. Sharp, Early Childhood Innovation Network, Washington, DC; SPACES in Action, Washington, DC.
Dominique Charlot-Swilley, Early Childhood Innovation Network, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC; Children's National Hospital, Washington, DC.
Erica E. Coates, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Erin Mathis, Early Childhood Innovation Network, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Gail Avent, Early Childhood Innovation Network, Washington, DC; Total Family Care Coalition, Washington, DC.
Hillary Robertson, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
Huynh-Nhu Le, Early Childhood Innovation Network, Washington, DC; George Washington University, Washington, DC.
J Corey Williams, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Janaíre Hawkins, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC.
Jenise Patterson, Early Childhood Innovation Network, Washington, DC; Parent Watch DC, Washington, DC.
Jessica X. Ouyang, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Karyn A. Hartz, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Lee S. Beers, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC; George Washington University, Washington, DC.
Linwood Cole, Early Childhood Innovation Network, Washington, DC; Educare DC, Washington, DC.
Matthew G. Biel, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University School of Medicine, Washington, DC. Electronic address: mgb101@gunet.georgetown.edu.
Nia Imani Bodrick, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC; George Washington University, Washington, DC.
Noel Bravo, Early Childhood Innovation Network, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
Randall S. Baylor, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC.
Ruthie Arbit, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC.
Sabrina F. Zuskov, Early Childhood Innovation Network, Washington, DC; MedStar Georgetown University Hospital, Washington, DC; Georgetown University Center for Child and Human Development, Washington, DC.
Sarah B. Hoffman, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC.
Satyani K. McPherson, Early Childhood Innovation Network, Washington, DC.
Sharon Singh, Early Childhood Innovation Network, Washington, DC; Children's National Hospital, Washington, DC.
Sharra E. Greer, Early Childhood Innovation Network, Washington, DC; Children's Law Center, Washington, DC.

Document Type

Journal Article

Publication Date

1-1-2022

Journal

Journal of the American Academy of Child and Adolescent Psychiatry

Volume

61

Issue

1

DOI

10.1016/j.jaac.2021.06.018

Abstract

Structural racism-the ways that institutional policies, practices, and other norms operate to create and sustain race-based inequities-has historically been foundational to the operations of academic medical centers and research institutions. Since its inception, academic medicine has depended on the exploitation of vulnerable communities to achieve medical, educational, and research goals. Research practices have long ignored or taken advantage of the individuals purportedly benefiting from the research, a dynamic most manifestly true for Black, Indigenous, and People of Color (BIPOC) communities in the United States. Reflecting current practices in racial justice work, we intentionally use the term "BIPOC" to highlight shared experiences within racially and ethnically minoritized communities, given the history of White supremacy in the United States. We acknowledge limitations of this term, which collapses myriad unique communities and histories into one construct. Specifically, child and adolescent psychiatry has historically been driven by Eurocentric approaches, paradigms, and methodology. These nonparticipatory dominant research practices have contributed to a lack of culturally responsive interventions for BIPOC communities, a paucity of evidence-based practices with demonstrated effectiveness within BIPOC communities, and disparities in access and quality of care. Mental health research involving BIPOC communities has been replete with exploitation and inequality..

Department

Pediatrics

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