Short report: Call to action for autism clinicians in response to anti-Black racism.
Short report: Call to action for autism clinicians in response to anti-Black racism.
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DOI：
10.1177/13623613211043643
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发表时间：
2022-05
期刊：
影响因子：
5.2
通讯作者：
Sridhar, Aksheya
中科院分区：
文献类型：
--
作者：
Straiton, Diondra;Sridhar, Aksheya
反黑人种族主义是自闭症领域中一个普遍存在的问题，它影响到自闭症服务途径，从识别关切到持续的服务导航。在这份简短的报告中，我们提供了一个自闭症服务途径的工作模型，并强调了反黑人种族主义影响该途径的所有组成部分的方式。我们总结了证明种族主义在自闭症评估、治疗和护理质量中的影响的文献。最后，我们提出了临床医生可以采纳的六项系统性改革建议：(1)在他们的组织内纳入和放大黑人自闭症的声音，(2)不断了解和承认他们的学科是如何使反黑人种族主义永久化的，(3)认识到文化谦逊是一个终生的过程，(4)注意家庭必须导航到接受自闭症服务的复杂路径，特别是在与黑人个人合作时，以及(5)在他们的组织内倡导系统层面的改变，并改进所做的改变。黑人自闭症患者在与服务系统和这些系统中的临床医生互动时，会体验到反黑人种族主义。在这篇文章中，我们描述了家庭为获得服务而采取的各种步骤，以及反黑人种族主义如何使这一过程变得更加困难。我们讨论了显示反黑人种族主义在自闭症评估、治疗和护理质量方面的负面影响的研究。然后，我们提供临床医生应遵循的五个建议，以减少自闭症领域的反黑人种族主义：(1)找到黑人自闭症患者并听取他们对您的组织的意见，(2)始终了解您的职业如何促进反黑人种族主义，(3)认识到临床医生学习谦逊文化的过程需要时间，永远不会“完成”，(4)关注家庭接受自闭症服务必须采取的所有步骤，以及这些步骤对黑人个人来说如何更难，以及(5)倡导您的组织在其政策和程序中做出系统层面的改变。
Anti-Black racism is a pervasive issue in the autism field that affects the autism service pathway, which ranges from identification of concerns to ongoing service navigation. In this short report, we provide a working model of the autism service pathway and highlight ways in which anti-Black racism affects all components of the pathway. We summarize the literature that demonstrates the effects of racism within autism assessment, treatment, and quality of care. We end with six recommendations for systemic change that clinicians can take: (1) including and amplifying Black autistic voices within their organization, (2) continuously learning about and acknowledging the ways in which their discipline perpetuates anti-Black racism, (3) recognizing that cultural humility is a lifelong process, (4) being mindful of the complex pathway that families must navigate to receive autism services, particularly when working with Black individuals, and (5) advocating for system-level changes within their organization and refining changes that are made. Black autistic people experience anti-Black racism when interacting with service systems and the clinicians in those systems. In this article, we describe the various steps families take to get services and how anti-Black racism makes that process even harder. We discuss research that shows the negative effects of anti-Black racism in autism assessment, treatment, and quality of care. We then provide five recommendations that clinicians should follow to reduce anti-Black racism in the autism field: (1) find Black autistic people and listen to their opinions about your organization, (2) always keep learning about how your profession promotes anti-Black racism, (3) recognize that the process of a clinician learning to be culturally humble takes time and is never “complete,” (4) pay attention to all of the steps that families must take to receive autism services and how these steps are even harder for Black individuals, and (5) advocate for your organization to make systems-level changes in their policies and procedures.
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DOI：
10.1097/dbp.0b013e31820b4260
发表时间：
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影响因子：
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作者：
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