Browsing by Subject "justice"

Now showing 1 - 8 of 8
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    Academic Accomplices: Practical Strategies for Research Justice
    (ACM, 2019-06) Asad, Mariam; Dombrowski, Lynn; Costanza-Chock, Sasha; Erete, Sheena; Harrington, Christina; Human-Centered Computing, School of Informatics and Computing
    This workshop brings together folks currently or interested in becoming academic accomplices, or scholars committed to leveraging resources and power to support the justice work of their community collaborators. Academic accomplices are necessary for research justice-research that materially challenges inequity-and owe it to community partners to challenge underlying oppressive structure and practices as perpetuated through academic research. The goal of this workshop is to discuss concrete strategies for challenging oppression through research methodologies, physical or institutional resources, and/or pedagogy. This workshop will generate practical strategies for research justice for DIS and HCI scholars.
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    Bridging the Humanities and Health Care With Theatre: Theory and Outcomes of a Theatre-Based Model for Enhancing Psychiatric Care via Stigma Reduction
    (APA, 2022-12-22) Wasmuth, Sally; Pritchard, Kevin T.; Belkiewitz , Johnna; Occupational Therapy, School of Health and Human Sciences
    Objective: This article describes the rational, methods, implementation, and effectiveness of Identity Development Evolution and Sharing (IDEAS), an evidence-supported, narrative theater-based training that reduces stigma among health care providers to increase health care equity in psychiatric rehabilitation. Method: The IDEAS model has been used to reduce provider bias toward patients. From May 2017 to January 2020, we interviewed people from three patient groups who have been harmed by stigma, including Black women, transgender, and gender-diverse people, and people with substance use disorders. These interviews informed the creation of three theatrical scripts that were performed by professional actors for audiences of health care providers from January 2020 to May 2022. The performances aimed to raise conscious awareness of implicit provider biases and to provide a reflective opportunity to ameliorate these biases. The purpose of IDEAS is to improve experiences in health care settings such as psychiatric rehabilitation of patients from groups who have been harmed by stigma. We used paired-samples t tests to compare pre/postprovider stigma, measured via the Acceptance and Action Questionnaire-Stigma (AAQ-S). Results: Sociodemographic factors for providers who viewed IDEAS were similar across all three performances. IDEAS significantly decreased AAQ-S scores (t = 11.32, df = 50, M = 13.65, 95% confidence limit: [11.32, 15.97], p < .0001). Conclusions and implications for practice: IDEAS reduces provider stigma to support positive clinical encounters with diverse patient populations. These findings are relevant for psychiatric rehabilitation settings, which seek to establish positive rapport between providers and patients.
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    Contemplative Reading: Community-Engagement & Social Justice
    (2019) Price, Jeremy F.
    Structures can provide a framework for thinking about what is being read and discussed in a mindful and contemplative manner, recognizing and granting value to the variety of voices. This handout provides an adapted structure based on the Pardes process, a part of the Jewish text studies tradition. It involves reading a text four times for four different purposes.
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    Deconstructing Professionalism​
    (2023-04-28) Schantz, Eli; Mansoori, Afsheen; Hicks, Clayton; Harris, Jonathan
    The notion of professionalism informs policy-making at all levels of medical practice, from national organizations and licensing boards to hospital disciplinary committees. The creation of policies to promote professionalism, however, is made all the more complex in the context of undergraduate medical education, where the notion of professionalism not only acts to govern behavior, but also to shape the professional identity of physicians-in-training. Given the importance of such policies, our goal here is to characterize, both descriptively and prescriptively, how the notion of professionalism manifests in the policies governing undergraduate medical education. First, we present a review of the professionalism policies currently in effect at Indiana University School of Medicine (IUSM). Following this review, we turn to argue that these policies suffer from two significant shortcomings: (i) the frequent use of circular definitions, giving rise to considerable ambiguity, and (ii) pronounced conflict between policies which seek justice and policies which maintain institutional power structures. We conclude that these conceptual inadequacies represent significant barriers which can both hinder the professional growth of medical students and hamper their ability to navigate their professional obligations, and we offer a number of recommendations for refining and reforming these policies.
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    Efficiency for Lives, Equality for Everything Else: How Allocation Preference Shifts Across Domains
    (SAGE, 2019-07-01) Li, Meng; Colby, Helen A.; Fernbach, Philip
    The allocation of scarce public resources such as transplant organs and limited public funding involves a trade-off between equality—equal access and efficiency—maximizing total benefit. The current research explores how preferences shift when allocation decisions involve human lives versus when they do not. Fifteen experiments test this question using a variety of allocation scenarios including allocation of lifesaving medical aid, money, road construction, vaccines, and other resources. The results consistently show an increased preference for efficiency, when the allocation involves saving human lives, and equality, when the allocation involves outcomes with other consequences. We found no preference shift when stakes were manipulated in allocations where lives were not on the line, suggesting that the effect cannot be explained by lifesaving resources simply being higher stakes. These findings suggest a unique preference for efficiency for allocations involving life-and-death consequences that has implications for designing and conveying public resource allocation policies.
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    For Goodness' Sake: A Two-Part Proposal for Remedying the United States Charity/Justice Imbalance
    (2016) Quigley, Fran; Robert H. McKinley School of Law
    The approach to addressing economic and social needs in the United States strongly favors individual and corporate charity over the establishment and enforcement of economic and social rights. This charity/justice imbalance has a severely negative impact on the nation's poor, who struggle with inadequate access to healthcare, housing, and nutrition, despite high overall U.S. wealth. This article suggests a two-part approach for remedying the charity/justice imbalance in the United States. First, the U.S. should eliminate the charitable tax deduction, a policy that does not effectively address economic and social needs, forces an inequitable poverty relief and tax burden on the middle class, and lulls the nation into a false sense of complacency about its poverty crisis. Second, the U.S. should replace the deduction with ratification of the International Covenant on Economic, Social and Cultural Rights. This twopart process would reverse the U.S. legacy of avoiding enforceable commitments to economic and social rights. Charity would take a step back and justice a step forward.
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    Why Not Medicine? Perceived Barriers to Pursuing Medical Degrees in Junior College Students
    (2023-04-28) Blais, Austin; Yu, Corinna; Mitchell, Sally
    Many academic institutions like Indiana University School of Medicine have created specific programs to increase diversity in admissions of underrepresented minorities. This is often achieved with a master's program designed to increase applicant "competitiveness". The issue that arises is that many of these programs are directed toward students at 4-year colleges or post-baccalaureate programs which excludes students pursuing education at 2-year community colleges without these programs. This is a missed opportunity to increase diversity as 2-year colleges often have higher proportions of underrepresented minorities (22% African American representation at this level of institution compared to 11.3% at 4 year or higher universities).4 A large share also come from low-income families (36.7% of students whose families make less than $20k/year attend 2-year institutions compared with 17.7% of students whose families make more than $100K/year).5,6 Sequela of this lack of resources for these students manifests as lower rates of application to medical school (only 28% of applicants in 2013 had a history of 2-year college attendance).2,3,5 This highlights the need for quality research on this particular subset of health science students not only from a system and access-based approach but also from a motivational standpoint. Junior colleges have some of the most diverse cohorts of students with profound interest in health science yet who often chose pathways other than medical school. So, why not medicine? ​
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    Women Out Front: How Women of Color Lead the Environmental Justice Movement
    (2019-07) Fisher, Luke D.; McCormick, John; Friesen, Amanda; Blomquist, William
    Environmentalism has incorrectly, historically been canonized as a primarily white, primarily male, led movement. This thesis argues that the history of the environmental movement has been whitewashed. Women of color have been the main arbiters of change as leaders in their community who organize against the environmental degradation that disproportionately affects communities of color. Change is implemented by these women through representation, grassroots organizing, and coalition but these strategies have been unrecognized and undervalued for decades. As the rate of environmental degradation rapidly increases, specifically affecting communities of color, the voices of women of color need to be recognized, elevated, and heeded in order to make an environmental movement that prioritizes justice and the importance of intersectional voices