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Published Online: 1 March 2018

Implicit Bias and Mental Health Professionals: Priorities and Directions for Research

Abstract

This Open Forum explores the role of implicit bias along the mental health care continuum, which may contribute to mental health disparities among vulnerable populations. Emerging research shows that implicit bias is prevalent among service providers. These negative or stigmatizing attitudes toward population groups are held at a subconscious level and are automatically activated during practitioner-client encounters. The authors provide examples of how implicit bias may impede access to care, clinical screening and diagnosis, treatment processes, and crisis response. They also discuss how implicit attitudes may manifest at the intersection between mental health and criminal justice institutions. Finally, they discuss the need for more research on the impact of implicit bias on health practices throughout the mental health system, including the development of interventions to address implicit bias among mental health professionals.

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Go to Psychiatric Services
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Cover: Sea Grasses and Blue Sea, by Milton Avery, 1958. Oil on canvas. Gift of friends of the artist, Museum of Modern Art, New York. Digital image © The Museum of Modern Art/Licensed by SCALA/Art Resource, New York. © The Milton Avery Trust/Artists Rights Society, New York.

Psychiatric Services
Pages: 723 - 725
PubMed: 29493411

History

Received: 4 July 2017
Revision received: 19 October 2017
Revision received: 15 November 2017
Accepted: 1 December 2017
Published online: 1 March 2018
Published in print: June 01, 2018

Keywords

  1. Cross-cultural issues
  2. Ethics
  3. Public health
  4. implicit bias
  5. health disparities

Authors

Details

Yesenia Merino, M.P.H. [email protected]
Ms. Merino and Ms. Adams are with the Department of Health Behavior, University of North Carolina at Chapel Hill. Dr. Hall is with the School of Social Work, University of North Carolina at Chapel Hill.
Leslie Adams, M.P.H.
Ms. Merino and Ms. Adams are with the Department of Health Behavior, University of North Carolina at Chapel Hill. Dr. Hall is with the School of Social Work, University of North Carolina at Chapel Hill.
William J. Hall, Ph.D., M.S.W.
Ms. Merino and Ms. Adams are with the Department of Health Behavior, University of North Carolina at Chapel Hill. Dr. Hall is with the School of Social Work, University of North Carolina at Chapel Hill.

Notes

Send correspondence to Ms. Merino (e-mail: [email protected]).
A preliminary conceptual model related to this paper was previously presented at the American Public Health Association Meeting and Expo, October 29, 2016–November 2, 2016, in Denver.

Funding Information

The authors report no financial relationships with commercial interests.

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