Social Justice and Health Equity Curriculum Overview

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Nathan Ha, Nichole Roxas, Marco Ramos

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Department of Psychiatry

RACISM

Marginalization

PROJECTION

INJUSTICE

BIAS

HOUSING

EMPLOYMENT

STIGMA

CULTURE

XENOPHOBIA

OPPRESSION

FOOD

HOW DO WE AS PSYCHIATRISTS ELIMINATE HEALTH DISPARITIES AND ACHIEVE HEALTH EQUITY?

SJHE Curriculum History and Design Principles

10 years

Iterative and Participatory, Ongoing Revision

Being a Yale Resident/Biopsychosocial Model

Structural Competency

Sociopolitical movements - Black Lives Matter

Experiential and Transformative Learning Principles

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3

History of Psychiatry Track Outline

PGY2

• History of the Biopsychosocial Model

PGY3

• Power and Peril of Diagnosis
• Big Pharma and Optimizing the Brain

PGY4

• Promises and Pitfalls of Community Mental Health
• Addiction and the War on Drugs

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History of Harm and Imagining Alternative Futures

• Have you had an experience where a patient responded negatively to a diagnosis or lack of one?
• Knowing this history, how does it affect your response to the previous question?

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Structural Competency

Philosophy:

-Get to know New Haven.

-Towards mutual liberation

-Intentional relationship building

with community partners

-Dynamic co-creation

-Organizing as a vital part of our

professional responsibility.

SJHEC in the PGY2 Year

PGY-2 Orientation

Social Justice and Health Equity Curriculum – Learning frameworks

Human Experience (HE) Track – Acknowledging Cognitive Bias – with CIU Case

Structural (SC) Competency Track – Redlining and Racism

Advocacy Track

History of Psychiatry Track – Biopsychosocial model

Structural Competency/FALL

Drawing Your Neighborhood

Case Study: New Haven

Drawing #2: Patient’s Neighborhood

Cultural Competency Component

Yale Center for British Art: Seeing Through Others’ Eyes

“The Hill” Screening and Discussion

Processing Session with standardized patient and Focus Group

Advocacy/SPRING

Legislative Advocacy: Part I and Part II

Community Advocacy: Part I and Part II

Human Experience/SPRING

Power Diagnoses and Treatment

Mental health and Human Rights: Part I and II

Contextualizing Power as Knowledge

History of Psychiatry/SPRING

Community Health and the Recovery Movement

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https://guides.library.yale.edu/SocialJusticeHealthEquity

Advocacy Op-Ed

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Challenges and Future Directions

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• Gap between faculty and trainees
• Ongoing experiences of racism and discrimination by both patients and residents
• Faculty development?
• Demand from other departments/disciplines
• Expansion of SJHE to School of Medicine? Other sites

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Acknowledgements

• SJHE Leadership
• Previous Director: Ayana Jordan*
• Previous Co-Directors: Flavia DeSouza, Danielle Jackson
• Deputy Chair of Education, Dept. of Psychiatry: Robert Rohrbaugh
• Structural Competency: William Bromage*, Walter Stan Mathis, Nichole Roxas*, Yvonne Uyanwune, Eden Almasude
• Human Experience: Carmen Black, Jessica Isom*, Murad Khan, Ayala Danzig, Olivetta Uradu
• Advocacy: Katherine Kennedy, Esperanza Diaz, Chidinma Okani, Falisha Gilman
• History: Helena Hansen, Nathan Ha, Marco Ramos, Nientara Anderson
• Administrative Support: David Nestico

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• *Special thanks to the starred individuals for sharing materials used in this slide deck.

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