Let me choose: Primary caregiver cultural humility, racial identity, and mental health for multiracial people.

2019 ◽  
Vol 66 (3) ◽  
pp. 269-279 ◽  
Author(s):  
Marisa Franco ◽  
Stacey McElroy-Heltzel
Keyword(s):  
Mental Health ◽  
Racial Identity ◽  
Primary Caregiver ◽  
Cultural Humility

Racial-ethnic Identity Pairings and Mental Health of Second-generation Asian Adolescents

2016 ◽  
Vol 60 (4) ◽  
pp. 834-852 ◽  
Author(s):  
Preeti Vaghela ◽  
Koji Ueno
Keyword(s):  
Mental Health ◽  
Ethnic Identity ◽  
Racial Identity ◽  
Problem Behaviors ◽  
Second Generation ◽  
The United States ◽  
Identity Conflict ◽  
Asian Adolescents ◽  
Low Levels ◽  
Racial Ethnic

Second-generation adolescents experience identity conflict when trying to adapt to the United States. This identity conflict may be compounded for Asians, who experience racialization of their ethnicity. This intensity of identity conflict and racialization of ethnicity is reflected in different pairings of racial and ethnic identities (e.g., Hyphenated-Nationality, Hyphenated-Asian). We examine how these identity pairings are associated with mental health. Analysis used a sample of 1,308 second-generation Asian adolescents (aged 15–19) from the Children of Immigrants Longitudinal Study Wave 2 (1995–1996). Although not all associations were significant, low levels of identity conflict tended to be associated with lower levels of depression and more problem behaviors. Perhaps these identity pairings help reduce depression by lowering identity conflict while increasing peer conflicts. The analysis also showed that among adolescents with the same type of ethnic identity, mental health varied across racial identity, highlighting the importance of examining identity pairings.

A Case-Based Approach to Public Psychiatry

2017 ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Workers ◽  
Systems Of Care ◽  
Rapid Development ◽  
Age Groups ◽  
Cultural Humility ◽  
Health Care Environment ◽  
Optimal Care ◽  
Public Psychiatry

Expert public psychiatrists use case studies to share best practice strategies in this clinically oriented introduction to community mental health. Today, the majority of psychiatrists work with people who suffer not only from mental illness but also from poverty, trauma, social isolation, and discrimination. Psychiatrists cannot do this work alone but, instead, are part of teams of behavioral health workers navigating larger health care and social service systems. In an increasingly complex health care environment, mental health clinicians need to master systems-based practice in order to provide optimal care to their patients. The rapid development of public psychiatry training programs is a response to the learning needs of psychiatrists in an evolving system. This book begins with seven foundational principles of public psychiatry—recovery, trauma-informed care, integrated care, cultural humility, harm reduction, systems of care, and financing care—using cases to bring these concepts to life. Then, using a population health framework, cases are used to explore the typical needs of different age groups or vulnerable populations and to illustrate evidence-based/best practices that have been employed to meet these needs. Common to all of the chapters is a focus on the potential of each person, regardless of illness, to achieve personal goals, supported by a clinician who is also an advocate, activist, and leader.

scholarly journals Cultural Mistrust and Counseling: A Review of Factors Impacting African Americans Males

2020 ◽  
pp. 128-134
Author(s):  
Nathalie Mizelle ◽  
James L. Maiden ◽  
Jody C. Grady ◽  
Delarious O. Stewart ◽  
Brian Sutton
Keyword(s):  
Mental Health ◽  
African American ◽  
Racial Identity ◽  
Racial Discrimination ◽  
African American Males ◽  
African American Men ◽  
Cultural Mistrust ◽  
Community Ties ◽  
History Of ◽  
Significant Factors

African American males are less likely to engage in mental health services. Racial discrimination, cultural mistrust, mental health disparities, and racial identity roles are significant factors impeding African American men from pursuing or continuing counseling. Unfortunately, counselors subliminally acknowledge the stereotypical labels ascribed to African American males lead to a poor or non-existing rapport, and tend to create solutions for the clients, disregarding their intrinsic motivation and autonomy. This conceptual article discussed racial discrimination, microaggression, and community ties as the barriers to counseling engagement among African American males. The article also highlighted the history of counseling African American males and the present urgency for a culturally sensitive model using the concepts of Motivational Interviewing for encouraging counseling engagement and autonomous resolution of ambivalence.

scholarly journals Socially stratified DNA-methylation profiles are associated with disparities in child and adolescent mental health

2021 ◽  
Author(s):  
Laurel Raffington ◽  
Peter Tanksley ◽  
Liza Vinnik ◽  
Aditi Sabhlok ◽  
Megan Patterson ◽  
...  
Keyword(s):  
Mental Health ◽  
Dna Methylation ◽  
Racial Identity ◽  
Internalizing Symptoms ◽  
Racial Inequality ◽  
Total Effect ◽  
Biological Aging ◽  
White Racial Identity ◽  
Social Disparities ◽  
Oppositional Defiant

Importance: Economic and racial inequality is linked to disparities in children's mental health. Biomarkers that reflect these social disparities are lacking. Objective: We examined the hypothesis that salivary DNA-methylation patterns of higher inflammation and faster pace of biological aging are economically, racially and ethnically stratified and are associated with child mental health. Design: The Texas Twin Project is an on-going, observational, longitudinal study that began in May 2012. Analyses were preregistered on May 7, 2021, and completed on August 23, 2021. Setting: The population-based study identified and recruited participants from public school rosters in the greater Austin area. Participants: Participants in the analytic data set included all participants that agreed to contribute DNA samples and whose samples were assayed by January 2021. Exposures: Family- and neighborhood-level socioeconomic inequality, racial and ethnic identities (White, Latinx, Black, Asian). Main Measure(s): Environmental exposures were analyzed in relation to salivary DNA-methylation profiles of higher inflammation (DNAm-CRP) and faster pace of biological aging (DunedinPoAm). Child internalizing problems, attention problems, aggression, rule-breaking, ADHD, oppositional defiant disorder, and conduct disorder were measured using parent-reports and self-reports on abbreviated versions of the Achenbach Child Behavior Checklist and Conners 3. The hypotheses being tested were formulated after data collection of the present data freeze and were pre-registered prior to analyses being conducted. Results: In a sample of N=1,183 8-to-19-year-olds (609 female, age M=13.38y), children's salivary DNA-methylation profiles and psychiatric symptoms differed by socioeconomic conditions, race and ethnicity. Children with more parent-reported internalizing symptoms had higher DNAm-CRP (r=0.15, 95% CI=0.05 to 0.25, P=0.004) and DunedinPoAm (r=0.15, CI=0.05 to 0.25, P=0.002), and children with more parent-reported aggression problems had higher DNAm-CRP (r=0.17, CI=0.04 to 0.31, P=0.013). DNAm-CRP partially mediated advantage of higher family socioeconomic status (16% of total effect) and White racial identity (12% of total effect) on reduced internalizing symptoms. DunedinPoAm also partially mediated advantage of White racial identity on internalizing (19% of total effect). Conclusions and Relevance: Socioeconomic and racial inequality are visible in children's epigenetic profiles of inflammation and the rate of biological aging in a manner that is tied to social disparities in mental health.

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