Rupinder K Legha's research while affiliated with University of California, Los Angeles and other places
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Publications (12)
This paper introduces a historically informed antiracist approach to psychological practice aimed at disrupting American psychology’s legacy of racism by first saying “No More” to the whiteness engulfing it. Its end goal is to detour psychological practices away from enduring legacies of oppression, reimagine psychological practice as an antiracist...
Few codified strategies exist for antiracist supervision practices that prepare mental health providers to challenge racism during clinical care. In this paper, the author articulates an antiracist clinical supervision approach comprised of six action steps for identifying the racism and Whiteness shaping clinical care and supervision and dismantli...
The physician burnout discourse emphasises organisational challenges and personal well-being as primary points of intervention. However, these foci have minimally impacted this worsening public health crisis by failing to address the primary sources of harm: oppression. Organised medicine's whiteness, developed and sustained since the nineteenth ce...
This article illuminates the color of child protection by exposing the risks of racist and white supremacist harm intrinsic to the child welfare, public education, and juvenile injustice systems, specifically when they intersect with the child mental health system. Relying on bold and radical frameworks, such as abolition, critical race theory, and...
This paper illuminates the color of child protection by exposing the risks of racist and white supremacist harm intrinsic to the child welfare, public education, and juvenile injustice systems, specifically when they intersect with the child mental health system. Relying on bold and radical frameworks, like abolition, critical race theory, and deco...
This paper unpacks the legacy of racism and white supremacy in American child psychiatry, connecting them to current racist inequities, to reimagine an antiracist future for the profession, and to serve all children's mental health body and soul. History reveals how child psychiatry has neglected and even perpetuated the intergenerational trauma su...
Medical education is limited to the biomedical model, omitting critical discourse about racism, the harm it causes minoritized patients, and medicine's foundation and complicity in perpetuating racism. Against a backdrop of historical resistance from medical education leadership, medical students' advocacy for antiracism in medicine continues. This...
Institutional racism is a set of practices and policies that disadvantage individuals not part of societies' dominant groups. In academic health centers (AHCs), institutional racism mediates structural racism; it is embedded in institutional policies, clinical practice, health professional training, and biomedical research. Measuring institutional...
Racism is an important determinant of health and health disparities, but few strategies have been successful in eliminating racial discrimination from medical practice. This article proposes a novel antiracist approach to clinical care that acknowledges the racism shaping the clinical encounter and historical arc of racial oppression embedded in he...
Citations
... We do believe that an anti-racist approach to clinical supervision is necessary and agree that this approach is a productive step in the right direction. Legha's (2023) model identifies a gap in clinical training and supervision literature for specific anti-racist practices. While recognizing Legha's contribution to clinical training and clinical supervision, we would be remiss to not acknowledge the existing literature from the counselor education and supervision profession that offers multiple recommendations for anti-racist practice. ...
... The US healthcare system favors the advancement and dominance of White people (Nguemeni Tiako, Ray, and South, 2022). Clinical encounters reinforce norms of paternalism, individualism, defensiveness, and obedience to hierarchy, along racial axes of power (Legha and Martinek, 2022). When White (and White-adjacent) providers treat Latinx patients, this racial and cultural power hierarchy sets the stage for harm. ...
... The common assumption about people of color throughout the nation's history has been grounded within a white racial worldview. This worldview does not attend to the impact of structural racism through the history of racialized slavery and contemporary racialization processes (e.g., mass incarceration, occupational and residential segregation, police brutalities and terrorisms, discrimination in housing and education) [16,71,72,78]. Most interventions addressing racial/ethnic health disparities tend to focus on individual-level training and education of mental health workers, such as cultural competency training, education sessions, and in-service training to increase knowledge of different racial-ethnic groups with limited focus on structural racism. ...
... In 2020, we created the Antiracism in Medicine Curriculum Series (AMCS) to address the dearth of antiracist medical educational content that would prepare learners to avoid and prevent egregious acts of racism like these. 4 Through AMCS, we sought to reimagine medical education into one that exposes the harms medicine has perpetrated against communities of color, potentiating its power as a tool for health equity. We moved beyond sanitized concepts that erase and evade discussion of the medical profession's role in perpetuating racist health inequities. ...
... Structural racism is produced by systems of oppression that discriminate against racialized populations with the goal of maintaining white supremacy (Bailey et al., 2017;Gee & Hicken, 2021). Institutions, like academic research institutions, reproduce structural racism via discriminatory policies and procedures toward marginalized individuals and communities (Adkins-Jackson et al., 2021). Although CBPR, in its purest form, engages community and academic partners in shared decision making, resource allocation, and power distribution (Minkler & Wallerstein, 2008;Van de Sande & Schwartz, 2017), the application of this approach often falls short in addressing the inequitable distribution of power and resources among community-academic partnerships. ...
... 143 Residency curricula need to ensure that trainees deepen their understanding of the intersectional nature of racialized identity, racism, power, privilege and oppression, 144 while being grounded in the social and historical contexts of diverse marginalized and oppressed groups. 145 Racism needs to be understood on personal, relational and eco-social levels, 9,49,146 and across its various forms and contexts, including internalized racism, micro-aggression, interpersonal racism, institutional racism, structural/ systemic racism, colonial histories of racism, and ultimately, how these issues interweave to produce disparities in mental health. 147 Training programs need to provide safe spaces and role models to enable faculty and trainees to reflect on their own biases 106,[148][149][150] and focus on developing the necessary knowledge, skills and attitudes to deliver culturally safe care. ...
... Regardless of the causes, these persistent disparities warrant increased research attention in the Health Care Access and Quality domain to mental health services and outcomes, with specific attention to depression. In addition, racial and ethnic biases in health care serve to further deter help-seeking and perpetuate stigma and can lead to misdiagnosis and inappropriate or inadequate treatment [85,89,90]. This corrosion of mental health care quality presents a dangerous inequity for minoritized individuals and is of critical importance regarding the alarming rise in African American and Black youth suicide rates [91,92]. ...