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Racism and Psychiatry pp 105–137Cite as

Clinician Bias in Diagnosis and Treatment

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Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

Clinicians’ attitudes and biases, both implicit and explicit, contribute to disparities in psychiatric care. Biases impact medication dosing and choices, use of restraints, the level of care, and involuntary commitment, especially in the treatment of black patients. Stigma, lower socioeconomic status, and limited access to care contribute to differences in management of patients’ mental health needs. However, the impact of stereotypical beliefs about black and other racial minorities on diagnosis and treatment cannot be ignored. The ideal clinical encounter is one in which both the provider and the patient are keenly aware of the impact of racism and bias on mental health, and they are both able to freely discuss the experience and consequences of racism. This chapter identifies evidence of bias in mental health care and discusses strategies for avoiding common pitfalls that negatively impact the care of racial minorities.

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Authors and Affiliations

  1. Division of Consultation—Liaison Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA

    Danielle R. Hairston

  2. Department of Psychiatry, Harlem Hospital Health + Hospitals Corporation, Columbia College of Physicians and Surgeons, New York, NY, USA

    Tresha A. Gibbs

  3. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Shane Shucheng Wong

  4. Connecticut Mental Health Center, Department of Psychiatry, Yale New Haven Hospital, Yale University School of Medicine, New Haven, CT, USA

    Ayana Jordan

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  1. Danielle R. Hairston
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  2. Tresha A. Gibbs
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  3. Shane Shucheng Wong
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  4. Ayana Jordan
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Correspondence to Danielle R. Hairston .

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Editors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Howard University Hospital, Washington, DC, USA

    Morgan M. Medlock

  2. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Derri Shtasel

  3. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Nhi-Ha T. Trinh

  4. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA

    David R. Williams

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Hairston, D.R., Gibbs, T.A., Wong, S.S., Jordan, A. (2019). Clinician Bias in Diagnosis and Treatment. In: Medlock, M., Shtasel, D., Trinh, NH., Williams, D. (eds) Racism and Psychiatry. Current Clinical Psychiatry. Humana Press, Cham. https://doi.org/10.1007/978-3-319-90197-8_7

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