Reckoning With Racial Trauma in Rehabilitation Medicine

Telhan, Raj; McNeil, BA Kimberly M.; Lipscomb-Hudson, Angela; Guobadia, Efosa L.; Landry, Michel D.

doi:10.1016/j.apmr.2020.07.001

Cited by 3 publications

(7 citation statements)

References 17 publications

(21 reference statements)

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“…As evidenced from #BAMEOTUK, the Royal College of Occupational Therapists ‘Big Conversation’ and others, the experience of racism is common, with therapists and students frequently exposed to racial trauma. Similar experiences are reported by other healthcare professionals (see Mollica and Fernando, 2020; Randle 2021; Telhan et al, 2020). Just like the COVID-19 virus, racism may not be seen but can be felt; both are highly contagious – with people lacking awareness; both the virus and racism can be passed between people and without active intervention, both can be deadly.…”

Section: Contextsupporting

confidence: 85%

Making a difference: Belonging, diversity and inclusion in occupational therapy

Atwal

Sriram

McKay

et al. 2021

British Journal of Occupational Therapy

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Section: Contextsupporting

confidence: 85%

Making a difference: Belonging, diversity and inclusion in occupational therapy

Atwal

Sriram

McKay

et al. 2021

British Journal of Occupational Therapy

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“…The need to consider appropriate care pathways that consider the mechanism of injury and particularly, the needs of those experiencing TBI as a result of violence has been acknowledged (Hank et al, 2003). The importance of acknowledging the racial trauma of inequities (Telhan et al, 2020) and deprived opportunities to live a life worth living is significant in the road towards an equitable system of care and rehabilitation. A racial trauma-informed approach that considers the structural and institutional consequences of racism such as differential disparities, inequitable access, outcomes, and treatment (Telhan et al, 2020) is critical.…”

Section: Discussionmentioning

confidence: 99%

“…The importance of acknowledging the racial trauma of inequities (Telhan et al, 2020) and deprived opportunities to live a life worth living is significant in the road towards an equitable system of care and rehabilitation. A racial trauma-informed approach that considers the structural and institutional consequences of racism such as differential disparities, inequitable access, outcomes, and treatment (Telhan et al, 2020) is critical. Furthermore, ensuring that the voices of Black people are heard, especially in regard to research that impacts them, is not only important in devising interventions, programs, and models of care that meets their unique needs but also in preventing anti-Black narratives that reproduce material consequences in clinical care and life.…”

Section: Discussionmentioning

confidence: 99%

“…How does it explain why Black people lack access to care, rehabilitation, and experience differential treatment and outcomes on community integration and occupational attainment? Institutional racism produces trauma as a result of unequal life opportunities and inequitable access to health care, rehabilitation, education, and employment (Telhan et al, 2020) which disproportionately impacts Black people and those living with and caring for someone with a TBI. Table 2 provides a critical summary of the findings.…”

Section: Considerations For Naming and Addressing Anti-blacknessmentioning

confidence: 99%

“…The underfunding of health equity research and the rise of racial funding disparities disproportionately impacting Black faculty continue into the present day (Stevens et al, 2021). A paradigm shift away from positivist world views and towards onto-epistemological views that reflect Black people's realities is needed to make visible racial oppression and how intersectional issues of health inequities can be understood and addressed (Telhan et al, 2020). Critical qualitative research has the potential to challenge taken-for-granted assumptions and foreground how institutional racism has been normalized through the erasure of voice and first-hand Black experiences in these spaces.…”

Section: Dismantling Hidden Socio-political Assumptions In Languagementioning

confidence: 99%

See 2 more Smart Citations

Integrated Care Pathways for Black Persons With Traumatic Brain Injury: A Critical Transdisciplinary Scoping Review of the Clinical Care Journey

Omar

Nixon

Colantonio

2021

Trauma, Violence, & Abuse

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Objectives: This novel critical transdisciplinary scoping review examined the literature on integrated care pathways that consider Black people living with traumatic brain injury (TBI). The objectives were to (a) summarize the extent, nature, and range of literature on care pathways that consider Black populations, (b) summarize how Blackness, race, and racism are conceptualized in the literature, (c) determine how Black people come to access care pathways, and (d) identify how care pathways in research consider the mechanism of injury and implications for human occupation. Methods: Six databases were searched systematically identifying 178 articles after removing duplicates. In total, 43 articles on integrated care within the context of Black persons with TBI were included. Narrative synthesis was conducted to analyze the data and was presented as descriptive statistics and as a narrative to tell a story. Findings: All studies were based in the United States where 81% reported racial and ethnic disparities across the care continuum primarily using race as a biological construct. Sex, gender, and race are used as demographic variables where statistical data were stratified in only 9% of studies. Black patients are primarily denied access to care, experience lower rates of protocol treatments, poor quality of care, and lack access to rehabilitation. Racial health disparities are disconnected from racism and are displayed as symptoms of a problem that remains unnamed. Conclusion: The findings illustrate how racism becomes institutionalized in research on TBI care pathways, demonstrating the need to incorporate the voices of Black people, transcend disciplinary boundaries, and adopt an anti-racist lens to research.

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We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

Carter¹,

McGill²,

Aaron³

et al. 2023

Rehabilitation Psychology

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Purpose/Objective: Individuals with historically oppressed identities, such as disabled or racialized minorities, face inequities across all societal institutions, including education, criminal justice, and healthcare. Systems of oppression (e.g., ableism, racism) lead to inequities that have ultimately contributed to disproportionate rates of COVID-19 morbidity and mortality in the United States. In the midst of the COVID-19 pandemic, increased public attention regarding police brutality toward Black people and the reinvigoration of the national Black Lives Matter (BLM) movement further highlighted the detrimental effects of oppressive systems and the urgent need to promote equity in the United States. The disproportionate number of COVID-19-related deaths and police brutality are inextricably connected, as both are products of oppression toward minoritized communities. The co-occurrence of the pandemic and BLM movement protests also creates an opportunity for critical discourse on the intersection of ableism and anti-Black racism specifically within the field of rehabilitation psychology. Research Method/Design: The overarching goals of this review are to apply the Intersectional Ecological Model with the addition of the chronosystem to illustrate how systems of oppression lead to health disparity in COVID-19 survivorship and to provide recommendations to promote health equity. Conclusions/Implication: As the COVID-19 pandemic shifts to an endemic and efforts to eliminate oppressive systems continue, rehabilitation psychologists have an ongoing, evolving, and shared responsibility to employ socially-responsive solutions to promote optimal functioning for patients, families, and communities.

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Reckoning With Racial Trauma in Rehabilitation Medicine

Abstract: Fig 1 Racial distribution across UnitedStates census categories for selected rehabilitation-related health professional groups (2011)(2012)(2013)(2014)(2015). 19,20

Cited by 3 publications

References 17 publications

Making a difference: Belonging, diversity and inclusion in occupational therapy

Making a difference: Belonging, diversity and inclusion in occupational therapy

Integrated Care Pathways for Black Persons With Traumatic Brain Injury: A Critical Transdisciplinary Scoping Review of the Clinical Care Journey

We still cannot breathe: Applying intersectional ecological model to COVID-19 survivorship.

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