African Americans and Mental Health

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William Lawson, MD, PhD is professor and chairman of the department of Psychiatry an dBehavioral Sciences at Howard University College of Medicine

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African Americans and Mental Health

  1. 1. <ul><li>Rehabilitation and Recovery of </li></ul><ul><li>African-Americans Experiencing </li></ul><ul><li>Severe Mental Illness </li></ul><ul><li>William B. Lawson MD & </li></ul><ul><li>Rob Whitley PhD </li></ul><ul><li>A Webcast Sponsored by the NCDDR </li></ul><ul><li>February 10, 2010 - 3:00 PM (EST) </li></ul><ul><li>National Center for the Dissemination of Disability Research </li></ul><ul><li>Funded by NIDRR, US Department of Education, PR# H133A060028 </li></ul><ul><li>© 2010 by SEDL </li></ul>
  2. 2. <ul><li>ACKNOWLEDGEMENTS </li></ul><ul><li>National Institute on Disability and Rehabilitation Research (NIDRR) </li></ul>
  3. 3. What is recovery? <ul><li>Severe Mental Illness (SMI) is a distressing and debilitating affliction </li></ul><ul><li>Recovery is a multi-faceted concept covering various domains of psychosocial functioning </li></ul><ul><li>It draws largely on concepts of recovery and rehabilitation in physical health </li></ul><ul><li>Commonly studied factors include housing, employment and community integration </li></ul>
  4. 4. Domains of Recovery <ul><li>1. Clinical: </li></ul><ul><li>symptoms, substance abuse, medication </li></ul><ul><li>2. Existential: </li></ul><ul><li>religion, empowerment, purpose, meaning </li></ul><ul><li>3. Functional: </li></ul><ul><li>employment, housing, education </li></ul><ul><li>4. Social: </li></ul><ul><li>family, friends, children, community </li></ul><ul><li>(Whitley & Drake, submitted.) </li></ul>
  5. 5. Mental Health and Recovery among African-Americans <ul><li>36 Million African-Americans (12%) </li></ul><ul><li>U.S. Surgeon General’s Report 2001 </li></ul><ul><li>Institute of Medicine Report 2002 </li></ul><ul><li>Ethno-racial disparities in recovery </li></ul><ul><li>Access and engagement issues </li></ul><ul><li>Medication issues </li></ul><ul><li>Satisfaction with care </li></ul>
  6. 6. The Dartmouth Howard Collaboration <ul><li>NIDRR Center Grant awarded: October 2008 </li></ul><ul><li>Five years of Funding: 2008-2013 </li></ul>
  7. 7. Good researchers know their limitations <ul><li>On being offered the Presidency of the State of Israel in 1952, Albert Einstein declined saying, </li></ul><ul><li>“ I know nothing of the affairs of man.” </li></ul>
  8. 8. Objectives <ul><li>Twin aims: </li></ul><ul><li>Create new knowledge regarding rehabilitation and recovery among African-Americans with SMI </li></ul><ul><li>Consolidate collaborative links between Dartmouth and Howard; build capacity at both institutions. </li></ul>
  9. 9. Producing new knowledge on… <ul><li>Cross-cultural communication </li></ul><ul><li>Discrimination </li></ul><ul><li>Explanatory Models </li></ul><ul><li>Stigma </li></ul><ul><li>Family Involvement </li></ul>
  10. 10. … examining three levels and interaction effects <ul><li>Patient-Level </li></ul><ul><li>Provider-Level </li></ul><ul><li>Societal-Level </li></ul>
  11. 11. Research Projects <ul><li>Creating Communities: the influence of housing and community-life on recovery </li></ul><ul><li>Rehabilitation from dual diagnosis: first-person perspectives </li></ul><ul><li>Supported employment: building a culturally competent system </li></ul>
  12. 12. Collaboration and Capacity Building <ul><li>Annual summer school at Howard </li></ul><ul><li>Enhancing ‘pipeline’ flow </li></ul><ul><li>Cultivation of key investigators </li></ul><ul><li>Mentoring of students </li></ul><ul><li>Regular training workshops </li></ul><ul><li>Co-authoring of papers and grants </li></ul><ul><li>Solidify links with other partners, e.g. </li></ul><ul><li>Community Connections and DC Gov. Research </li></ul>
  13. 13. Thank You <ul><li>Questions welcome by email: [email_address] </li></ul><ul><li>Voice: 800-266-1832 </li></ul><ul><li>TTY: 512-391-6578; </li></ul><ul><li>800-476-6861 x6578 </li></ul><ul><li>Please complete the brief evaluation form </li></ul>

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