Recommendations for programs and funders who serve people who use substances: disrupting structural racism’s impact on health and well-being

Recommendations for programs and funders who serve people who use substances: disrupting structural racism’s impact on health and well-being

Collection:
Health Policy and Services Research
Series Title(s):
Urban Institute research report
Author(s):
Clemans-Cope, Lisa, author
Taylor, Kimá Joy, author
Rao, Nikhil, (Of Urban Institute), author
Tula, Monique, author
Payton, Maya, author
Contributor(s):
Health Policy Center (Urban Institute), issuing body.
Publication:
Washington, DC : Urban Institute, February 2023
Language(s):
English
Format:
Text
Subject(s):
Ethnic and Racial Minorities
Health Equity -- economics
Health Inequities
Health Policy
Substance Abuse Treatment Centers -- organization & administration
United States
Genre(s):
Technical Report
Abstract:
Structural racism has long been a part of systems and structures in the United States, including substance use treatment and prevention services. Implicit and explicit discrimination in national and local policies, practices, programs, leadership, and access to resources including wealth, health, and education have had a profound and harmful effect on people who use drugs. This is particularly true for Black, Indigenous, Latinx, and other historically and structurally excluded people. In our research, we have found that substance use service models led for and by people of color were relatively small, underfunded, and often unrecognized by public and private health care payers. Yet these programs had important potential to dismantle structural racism related to people in communities of color who use substances. This study aims to highlight when and how communities of color counter historical structural racism and continued oppression by creating culturally effective community-based programming that promotes equitable outcomes for people who use drugs. In the introduction, we present examples of how white supremacy has affected programs and services for people of color who use drugs or have substance use disorders. In the environmental scan of published research for the current study, we found a dearth of research and tools that could be used to identify and characterize these types of asset-based substance use service models, particularly those that address structural racism and are led for and by people of color.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
Extent:
1 online resource (1 PDF file (vii, 37 pages))
NLM Unique ID:
9918627785406676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918627785406676