Decolonizing the Healthcare & Social Service Field - Presenters: Teresa Springer, Director of Programs, Wellness Services Inc.
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SYNChronicity Conference 2020 Decolonizing the Healthcare & Social Service Field Presenters: Teresa Springer, Director of Programs, Wellness Services Inc. SYNC2020.org
CONFLICT OF INTEREST DISCLOSURE , Slide Text What you put on this slide will depend on whether you have conflicts of interest to disclose. If you have no conflicts of interest, please list the following: Teresa Springer has nothing to disclose. SYNC2020.org SYNC2020.org
DECOLONIZE T R A N S FO R M I N G P L AC ES F RO M S I T ES O F I S O L AT I O N A N D T R AU M A FO R P O C I N TO S PAC ES W H E R E H EA L I N G A N D L I B E R AT I O N O C C U RS . •D EC E N T E R W H I T E N ES S A N D H O N O R D I F F E R E N C ES . SYNC2020.org SYNC2020.org
The Problem Bias An algorithm of the mind on how we see situations and make decisions. Conscious Bias Knowing that you hold beliefs about a group. Unconscious Bias Ingrained thoughts that lead to errors in how we perceive, reason and make decisions. SYNC2020.org SYNC2020.org
The Problem Bias An algorithm of the mind on how we see situations and make decisions. Conscious Bias Knowing that you hold beliefs about a group. Unconscious Bias Ingrained thoughts that lead to errors in how we perceive, reason and make decisions. SYNC2020.org SYNC2020.org
How Does It Play Out Interpersonal Interactions The interactions between provider and patient is guided by the provider bias. This impacts diagnosis, warmth, and overall treatment of the client. Internal Dynamics Biases impact the team dynamics. Who gets hired, who is promoted. Bias prevents human beings from unleashing their full potential. SYNC2020.org SYNC2020.org
The Impact of Bias Serena Williams Crystle Galloway Skylar Jones SYNC2020.org SYNC2020.org
We Can Fix It What Can Providers Do? • Know Your Implicit Bias – Take an free online test (Project Implicit). It will reveal gender, race, age and sexuality biases. (remember that ableism is also a bias) • Take a Social Inventory – Look around and notice who your intimate friends are. • Prospective Taking – (think empathy) – This can reduce bias and inhibit unconscious racism. This can have a positive impact on building rapport and trust with clients. • Emotional Regulation – Take your own temperature before you enter a client focused space. BE RESPONSIBLE for the energy you bring in and be reflective on how you treated the client. • Partnership Building – Create a partnership with your client. You are a team working on a common goal and they should be actively involved and supported. SYNC2020.org SYNC2020.org
We Can Fix It What Can Organizations Do? • FIRE your overt racist staff! • Evaluate the racial climate – Who are your leaders? Who do you hire? Promote? • Investigate complaints of overt and subtle unfair treatment and discrimination • Keep a close eye on overall client outcomes • Give focused feedback to staff • Support solution focused activities • Promote racial diversity • Hold decenters accountable • BELIEVE your clients • TRAIN TRAIN TRAIN • Evaluate and continuously take temperatures • Ensure you hire to match your values and the communities you serve SYNC2020.org SYNC2020.org
Resources • Institute of Medicine, Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press. 2001. • [Implicit bias in health care]. (April, 2013). Retrieved June, 2020 from https://www.jointcommission.org/- /media/deprecated-unorganized/imported-assets/tjc/system-folders/joint-commission- online/quick_safety_issue_23_apr_2016pdf.pdf?db=web&hash=A5852411BCA02D1A918284EBAA775988. • Gabler, E. (2019, December 05). Troubled Children's Hospital Is Sued Over Toddler Who Died After Surgery. Retrieved July 30, 2020, from https://www.nytimes.com/2019/12/05/us/heart-surgery-death-lawsuit.html?auth=link- dismiss-google1tap • Dailymail.com, S. (2018, July 26). Mom says paramedics assumed her dying daughter couldn't afford an ambulance. Retrieved July 30, 2020, from https://www.dailymail.co.uk/news/article-5995579/Mom-says- paramedics-assumed-dying-daughter-afford-ambulance.html • Lockhart, P. (2018, January 11). What Serena Williams's scary childbirth story says about medical treatment of black women. Retrieved July 30, 2020, from https://www.vox.com/identities/2018/1/11/16879984/serena-williams- childbirth-scare-black-women SYNC2020.org SYNC2020.org
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