000010050 001__ 10050 000010050 005__ 20240513130958.0 000010050 0247_ $$2DOI$$a10.6083/00000071z 000010050 037__ $$aETD 000010050 245__ $$aImproving organizational antiracism in a community mental health setting: assessing structural racism using components of the SMART Tool 000010050 260__ $$bOregon Health and Science University 000010050 269__ $$a2023 000010050 336__ $$aFinal project 000010050 502__ $$bD.N.P. 000010050 520__ $$aIn this quality improvement project, an assessment of staff perception of structural racism in an urban substance use disorder treatment organization was performed to determine areas for evidence-based practice recommendations. The framework of the Self-Assessment for Modification of Antiracism Tool (SMART) developed by the American Association of Community Psychiatry (AACP) was used to assess elements of clinical care, client outcomes, and workplace culture. Survey findings were consistent with current literature on racial disparities in mental health and indicated a potential for structural racism impacting treatment and diagnosis. Evidence-based recommendations were made regarding enhanced racial demographic data tracking, improved racial trauma assessment, and implicit bias training. Thorough organizational assessment with periodic re-assessment may reveal additional areas for quality improvement in the delivery of care that counteracts the effects of structural racism. 000010050 542__ $$fIn copyright - single owner 000010050 650__ $$aRacism$$040240 000010050 650__ $$aAntiracism$$014087 000010050 650__ $$aQuality Improvement$$039456 000010050 650__ $$aHealthcare Disparities$$037945 000010050 650__ $$aBias, Implicit$$013557 000010050 650__ $$aSystemic Racism$$013832 000010050 691__ $$aSchool of Nursing$$041370 000010050 7001_ $$aJimenez, David$$uOregon Health and Science University$$041354 000010050 8564_ $$91647fd11-f4a4-406a-a1d7-00a716d5da1e$$s1278675$$uhttps://digitalcollections.ohsu.edu/record/10050/files/Jimenez.David.2023.pdf 000010050 905__ $$a/rest/prod/00/00/00/71/00000071z 000010050 909CO $$ooai:digitalcollections.ohsu.edu:10050$$pstudent-work 000010050 980__ $$aTheses and Dissertations