Structural Racism, Workforce Diversity, and Mental Health Disparities: A Critical Review.
Structural Racism, Workforce Diversity, and Mental Health Disparities: A Critical Review.
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DOI：
10.1007/s40615-022-01380-w
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发表时间：
2023-08
影响因子：
3.9
通讯作者：
Fukui, Sadaaki
中科院分区：
文献类型：
--
作者：
Kyere, Eric;Fukui, Sadaaki
种族劳动力多样性被认为是解决持续存在的种族心理健康差异的关键途径。然而，结构性种族主义已经注意到削弱了这种劳动力多样性的努力。这一批判性审查的目的是确定结构性种族主义在包括精神卫生组织在内的组织中运作的机制，从而破坏劳动力多样性的努力并加剧不平等。运用种族化组织的理论，本综述批判性地借鉴了强调组织作为中层种族化结构的种族特征的文献，这些结构可能系统地激活和维护心理健康工作场所的白人特权。研究结果表明，在制度化的白人主导背景下，精神卫生机构内的有色人种工作者可能会经历基于种族的文化排斥、身份威胁和种族化的工作场所情绪表达，并承担种族化的任务。由于有色人种的多样性特征，他们也可能成为组织吸引有色人种社区的手段，但由于潜在的种族化组织力量，包括组织领导的白人和色盲，工人在解决心理健康差异方面的作用被最小化。结构性种族主义可能会对精神卫生组织内种族多样化劳动力的努力和影响产生抵制。这篇综述呼吁建立一个具有种族意识的框架，将传统的组织结构彻底转变为倒置的层次结构（即以客户为中心的管理），以最大限度地提高精神卫生组织工作人员的多样性，以解决精神卫生方面的种族差异。
Racial workforce diversity has been suggested as a critical pathway to address persistent racial mental health disparities. However, structural racism has been noted to diminish such workforce diversity efforts. The purpose of this critical review is to identify the mechanisms through which structural racism operates in organizations, including mental health organizations, to undermine workforce diversity efforts and reinforce inequities. Using the theories of racialized organizations, the current review critically draws on literature underscoring the racial character of organizations as mezzo-level racialized structures that may systematically activate and uphold white privilege in the mental health workplace. Findings suggest that in the context of institutionalized white dominance, workers of color within mental health organizations may experience race-based cultural exclusion, identity threat, and racialized workplace emotional expression, and be burdened by racialized tasks. The workers of color may also become the means for organizations to attract communities of color due to their diverse characteristics, yet workers’ effects to address disparities in mental health are minimized due to potential racialized organizational forces, including the whiteness of organizational leadership and color-blindness. Structural racism may create resistance to the efforts and effects of a racially diverse workforce within mental health organizations. This review calls for a race-conscious framework that drastically shifts the traditional organizational structure to an inverted hierarchy (i.e., client-centered management) to maximize diversity efforts in the mental health organizational workforce to address racial disparities in mental health.