Among students receiving behavioral health and special education services, racial/ethnic minority students are consistently overrepresented in settings separate from general classrooms. Once separated, many young people struggle to improve academically and face significant difficulty upon trying to return to a general education setting. Given the complex, ongoing, and multifaceted nature of this challenge, racial/ethnic disproportionality can be identified as a "wicked problem," for which solutions are not easily identified. Here, we describe our community-engaged research efforts, eliciting perspectives from relevant partners in an ongoing dialogue, to better integrate diverse stakeholders' perspectives when attempting to address such disparities. We conducted focus groups and qualitative interviews with members of three stakeholder groups: community-serving organizations, individuals with lived experience of behavioral health conditions, and state-level policymakers, with a shared interest in addressing racial and ethnic disparities. Participant responses illustrated the "wickedness" of this problem and highlighted the need for additional supports for students, families, and school personnel, increased collaboration across relevant systems and agencies, and reduced barriers related to funding. Overall, this methodology bridged differing perspectives to develop, in concert with our partners, a shared language of the problem and a core set of issues to consider when seeking to effect change.
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http://dx.doi.org/10.1002/ajcp.12349 | DOI Listing |
Expert Opin Drug Saf
November 2024
Brain and Cognition Discovery Foundation, Toronto, Ontario, Canada.
Background: The use of online and/or compounding pharmacies to access glucagon-like peptide-1 receptor agonists (GLP-1 RAs) increases the risk for prescription error (e.g. accidental overdose) especially in racial, ethnic, and socioeconomic disadvantaged groups.
View Article and Find Full Text PDFChild Abuse Negl
July 2024
Brookdale University Hospital and Medical Center, United States of America.
Background: The impact of COVID-19 pandemic on racial/ethnic differences in the US foster care system is unknown.
Objective: To study the COVID-19 pandemic-related differences in racial/ethnic disparities in entry rates, exit rates, and adverse exits from foster care in US.
Methods: Dataset: Adoption and Foster Care Analysis Reporting System (AFCARS) data from Census Bureau.
Soc Psychiatry Psychiatr Epidemiol
April 2024
Arizona State University, 411 N. Central Ave Suite 863, Phoenix, AZ, 85004, USA.
Purpose: This study examined whether state-level racial disproportionality in homelessness is associated with racial disproportionality in overdose mortality.
Methods: Counts of individuals experiencing homelessness (2015-2017; by state and racial/ethnic group) were obtained from the US Department of Housing and Urban Development; population estimates and counts of drug overdose deaths (2018-2021; by state and racial/ethnic group) were obtained from the National Center for Health Statistics. Homelessness and overdose mortality disproportionality scores were calculated to indicate the extent to which each racial group was over- or under- represented among those experiencing homelessness, or among overdose deaths, respectively (relative to each racial group's proportional share in the general population).
J Sch Health
February 2024
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
J Autism Dev Disord
September 2024
Department of Pediatrics, University of Minnesota; Twin Cities, Minneapolis, MN, USA.
Though there is evidence autism identification has been inequitable for populations who are culturally and linguistically minoritized, there is limited research that explains the issue of disproportionality and factors contributing to its occurrence, especially within an educational setting. To explore contributors to racial/ethnic disparities in autism special education eligibility, the current investigation evaluated child and evaluation characteristics as they relate to the absence of autism eligibility. Data were obtained from the Autism and Developmental Disabilities Monitoring (ADDM) Network Study and included children with behavioral characteristics consistent with autism and educational evaluation records.
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