４．Racism and Social Determinants of Psychosis Risk

【Presenter】

Deidre Anglin
The City College of the City University of New York, USA

Deidre Anglin, PhD is an Associate Professor of Clinical Psychology in the Department of Psychology and in the Doctoral Clinical Program at The City College of New York (CCNY).

She received her postdoctoral research training in psychiatric epidemiology at Columbia University’s Mailman School of Public Health.

Generally, Dr. Anglin’s work has focused on reducing mental health racial disparities and studying the social epidemiology of psychosis.

She is the lead investigator of a study funded by Columbia University’s Center for Excellence and Cultural Competence, to study social and cultural determinants of psychosis risk.

She is also the principal investigator of an NIHfunded study that utilizes experimental methods to study the physiologic effects of racial exclusion among racial minority young adults presenting with attenuated psychotic symptoms.

She is one of the First 100 doctoral scholars in the Leadership Alliance and a member of NIH’s National Research Mentoring Network (NRMN).

Dr. Anglin has several first-author publications in well-recognized journals such as Schizophrenia Research and Psychiatric Services and has presented her work all over the country.

【Chair】

Shinichiro Kumagaya
The University of Tokyo

【Abstract】

Social determinants of mental health include the physical and social environmental conditions populations develop within across generations.

This talk will provide a critical overview of the role of structural racism in shaping social determinants of psychosis risk and outcomes and ethnoracial disparities in these outcomes.

There is increasing evidence that racial discrimination and related social determinants in neighborhoods may increase risk for psychotic experiences in ethnoracial minorized populations—experiences that may or may not lead to a clinical psychotic disorder, but are a transdiagnostic marker of mental morbidity.

Accumulating evidence from non-treatment seeking, nationally representative, clinical high risk, and first episode psychosis studies will be reviewed.

Qualitative examples from a Photovoice study with Black young people with first episode psychosis will be used to illustrate how social and cultural isolation in neighborhoods and racial discriminatory experiences can be triggering for vulnerable youth.

Community and family supports identified through this study and suggestions for enhancing coordinated specialty care services will also be highlighted.