The Department of Psychiatry and Behavioral Sciences has had a long history of commitment to supporting and furthering diversity and health equity in our own department and the larger community. In fact, the department formed its Committee on Ethnic, Cultural and Gender Diversity in 1991 (which renamed the UCSF Department of Psychiatry Diversity Committee in 1994). Since then, the committee has continued to work both within the department and across UCSF to foster diversity, equity, and inclusion. Below are some of our most recent accomplishments.
(JUMP TO A SPECIFIC YEAR: 2021-2022 • 2020-2021 • 2019-2020 • 2018-2019)
2021–2022
Recruitment and Retention
- Updates for the prestigious UCSF SOM John A. Watson Faculty Scholar Award
- Streamlined selection guidelines and nominations process
- Created a rubric for a more inclusive review/selection process (Will Hua, Erin Accurso, Danielle Roubinov, Kristen Rudd, Lauren Schumacher)
- Provided mentorship (Danielle Roubinov, Nicole Bush) on application package for two selected nominees for the 2022 award cycle
- 2021 DPBS Awardee: Margareth Del Cid, PhD; and Future 2022 Awardee: Chase Anderson, MD
- Sponsorship of a UCSF Medical Student interested in psychiatry (Kweku Djan) for the SNMA conference
- Increased recognition and awareness of awards
- Disseminated information about various honors that staff can apply to, including awards related to DEIB
- DEI Hiring Toolkit widely disseminated through VA
- The toolkit was a cross collaboration between UCSF and VA staff/providers (David Pennington, Will Hua, Shilpa Reddy, Maithri Ameresekere) and was initially suggested for use for hiring within the SFVA Mental Health Service
- In 2021, the toolkit was adopted for use across all departments and programs for new hires throughout the entire SFVA Health Care System; it was also billed as a national DEI best practice and disseminated to VA organizations throughout the country
- Family Leave Processes
- Raised awareness of equity concerns related to the reporting of family leave in the advancement and promotion process
Education
- Excellent 2021 Evelyn Lee Lecture speaker (Altha J. Stewart, MD)
- Co-Sponsored Reshma Jagsi, MD, DPhil keynote for International Women’s Day in March 2022
- Representation on the UCSF Faces of Ability panel in October
(Stephen Hinshaw, PhD, and Christina Mangurian, MD, MAS) - Supported RTP’s Cultural Area of Distinction (AOD) seminar
- Encouraged more DPBS faculty to complete DEI Champion Training
- 63% of DPBS faculty completed training
- 88% of DPBS leadership completed training
Research
- 2022 URM Research Mentorship Award honoree: Carmen Masson, PhD
- Provided resources to support applications for NIH diversity supplements
- Successful renewal for Doris Duke Clinical Foundation Fund to Retain Clinical Scientists (MPI: Christina Mangurian, MD, MAS and Kristine Yaffe, MD)
- UCSF Mid-Career Development Program’s 2nd cohort announced (PI: Christina Mangurian, MD, MAS)
- More than 40 DEI-related peer-reviewed publications, including:
- Addressing Adolescent Substance Use in an Urban Pediatric Federally Qualified Health Center (Journal of Substance Abuse Treatment)
- App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (JMIR Research Protocols)
- The Association Between Race and Place of Death Among Persons with Dementia (Journal of Pain and Symptom Management)
- Association of Race and Ethnicity with Incidence of Dementia Among Older Adults (JAMA)
- Building a Diverse Psychiatric Workforce for the Future and Helping Them Thrive: Recommendations for Psychiatry Training Directors (Psychiatry Clinics of North America)
- Centering Equity in Mental Health Crisis Services (World Psychiatry)
- Cognitive Behavioral Therapy and the Implementation of Antiracism (JAMA Psychiatry)
- Consideration of Racism Experiences in the Implementation of Trauma-Focused Therapy in Primary Care (Health Services Research)
- COVID-19 News and Its Association with the Mental Health of Sexual and Gender Minority Adults: Cross-Sectional Study (JMIR Public Health and Surveillance)
- The Crypto-Apartheid of Race, Class, and Safety Arbitration on the Inpatient Psychiatric Unit (Psychiatric Services)
- Cultivating Solutions for Disparities in Mental Health Services and Outcomes Among Minoritized Youth (Child and Adolescent Psychiatric Clinics of North America)
- Cultural Adaptations of Dialectical Behavior Therapy: A Systematic Review (Journal of Consulting and Clinical Psychology)
- Discrimination Experiences During COVID-19 Among a National, Multi-Lingual, and Community-Based Sample of Asian Americans and Pacific Islanders: COMPASS Findings (International Journal of Environment Research and Public Health)
- Diseases of Affluence? A Systematic Review of the Literature on Socioeconomic Diversity in Eating Disorders (Eating Behaviors)
- Disparities in Access to Child Psychiatric Services: Can We Shift the Landscape? (Journal of the American Academy of Child & Adolescent Psychiatry)
- An Ecodevelopmental Framework for Engaging Diverse Youth in Foster Care and Their Families Into Technology-Based Family Intervention Research Trials (Frontiers in Digital Health)
- The Effect of Sex and Wealth on Population Attributable Risk Factors for Dementia in South Africa (Frontiers in Psychiatry)
- Effects of Early Life Adversity on Pubertal Timing and Tempo in Black and White Girls: The National Growth and Health Study (Psychosomatic Medicine)
- Evaluation of Sexual Harassment Policies at Medical Institutions to Understand Attention to Harassment of Physicians by Patients (JAMA Network Open)
- Evaluation of the Cost-Effectiveness of Drug Treatment for Alzheimer Disease in a Simulation Model That Includes Caregiver and Societal Factors (JAMA Network Open)
- Focusing on Racial, Historical and Intergenerational Trauma, and Resilience: A Paradigm to Better Serving Children and Families (Child and Adolescent Psychiatric Clinics of North America)
- From “Shark Week” to “Mangina”: An Analysis of Words Used by People of Marginalized Sexual Orientations and/or Gender Identities to Replace Common Sexual and Reproductive Health Terms (Health Equity)
- Health Within Reach – A Patient-Centered Intervention to Increase Hepatitis B Screening Among Asian Americans: A Randomized Clinical Trial (Journal of General Internal Medicine)
- Integrating LGBTQ+ Health Into Medical Education (The Clinical Teacher)
- An Investigation of Quantitative Methods for Assessing Intersectionality in Health Research: A Systematic Review (SSM - Population Health)
- Knowledge Gaps, Challenges, and Opportunities in Health and Prevention Research for Asian Americans, Native Hawaiians, and Pacific Islanders: A Report from the 2021 National Institutes of Health Workshop (Annals of Internal Medicine)
- Mentoring Underrepresented Minority Physician-Scientists to Success (Academic Medicine)
- Motives for and Barriers to Research Participation Among Racially and Ethnically Diverse Veterans (Military Medicine)
- Peer, Substance Use, and Race-Related Factors Association with Recidivism Among First-Time Justice-Involved Youth (Law and Human Behavior)
- Posttraumatic Stress Disorder Symptom Expression in Racially and Ethnically Diverse Women Veterans (Psychiatry Research)
- Prospective Relationships Between Skin Color Satisfaction, Body Satisfaction, and Binge Eating in Black Girls (Body Image)
- Racial Disparities in the Education System: Opportunities for Justice in Schools (Child and Adolescent Psychiatric Clinics of North America)
- Racial Residential Segregation in Young Adulthood and Brain Integrity in Middle Age: Can We Learn From Small Samples? (American Journal of Epidemiology)
- Researchers’ Perspectives on Digital Mental Health Intervention Co-Design with Marginalized Community Stakeholder Youth and Families (Frontiers in Psychiatry)
- Rising to the Challenge: Strategies to Support Latinas and Other Women of Color in Science and Medicine (Academic Medicine)
- Risk Factors Associated with Alzheimer Disease and Related Dementias by Sex and Race and Ethnicity in the U.S. (JAMA Neurology)
- Superwoman Schema, Racial Identity, and Cellular Aging Among African American Women (Gerontologist)
- Unpacking the Layers: Dismantling Inequities in Substance Use Services and Outcomes for Racially Minoritized Adolescents (Child and Adolescent Psychiatric Clinics of North America)
- Using Incident Reporting to Understand and Characterize Sexual Harassment of Physicians by Patients (Journal of Internal Medicine)
- “We Could See Our Real Selves:” The COVID-19 Syndemic and the Transition to Telehealth for a School-Based Prevention Program for Newcomer Latinx Immigrant Youth (Journal of Community Psychology)
- Youth Insured by Medicaid with Restrictive Eating Disorders — Underrecognized and Underresourced (JAMA Pediatrics)
Communication
- Published quarterly newsletter for the entire DPBS community
- Increased outreach for submissions from the Diversity Committee to entire DPBS community to create a more inclusive newsletter
- 7th Annual DPBS Diversity Celebration - successfully planned a second virtual celebration with 110+ attendees and included community building and engagement activities.
- Keynote Speaker: 2021-22 UCSF Presidential Chair and American Public Health Association Past President Camara Phyllis Jones, MD, MPH, PhD
- Link to recording : https://youtu.be/Vj1-VgGeJIY
Health Equity
- Created the Language Matters flyer highlighting the results of our interpreter services survey and how to access an interpreter at each DPBS site
- Awarded Dr. Glowinski’s inaugural SEEDS grant to improve access and quality of mental health care for patients with limited English proficiency by training providers on best practices for using an interpreter (Jennifer Ly, PhD)
- Used landscape assessment findings to highlight the importance of establishing a community advisory board (CAB) that prioritizes DEI principles across all aspects (how to recruit diverse members, compensate participants, provide childcare/food, and structure the CAB) as we transition to the Pritzker building and expand our patient population.
Black Study Group (Michelle Porche, EdD, Christopher Bartley, MD, PhD, and Jacquelyn Word)
- Following last year's publication of the Black Study Group report about the experiences of Black faculty, staff, and trainees in our department, three work groups were formed to develop action plans in response to the report’s findings and recommendations. The work groups submitted their recommendations to the DPBS Executive Committee to inform our ongoing efforts to reshape our institutional structures and practices to create a more equitable and welcoming environment for every member of our community.
- Established the position of DPBS Undoing Anti-Black Racism Advisor and identified its inaugural holder, Khary Dvorak-Ewell, MBA
- Hosted the department's first Juneteenth Celebration
- Hosted town halls in June 2022 and July 2022
Other accomplishments
- Diversification of our people. For the 2021-2022 academic year, we have reached the following milestones.
- Women:
- Faculty: We are above AAMC benchmark (54%) for female faculty in 2019 (58%). This is an improvement from 2016 (50%)
- Residents: We are above ACGME benchmark (49%) for female residents in 2019 (51%) and have been since 2017 (51% to 55% through that time)
- Post-docs: We continue to have excellent representation of women post-docs since 2017 (71%+)
- Staff: We continue to have excellent representation of women staff since 2016 (68%+)
- URM
- Faculty: We are above AAMC benchmark (10%) for UIM faculty in 2019 (12%). This is an improvement from 2016 (10%).
- Residents: We are above ACGME benchmark (12%) for UIM residents in 2019 (16%) and have been since 2017 (14%-16%).
- Post-docs: We have increased the proportion of UIM post-docs from 2017 (7%) to 2019 (17%).
- Staff: We continue to have increased the proportion of UIM staff since 2016 (33% to 37%).
- Women:
2020–2021
Recruitment and Retention
- Nominated faculty for John A. Watson Faculty Scholar Award
- 2021 DPBS Awardee: Margareth Del Cid, PhD
- Worked toward new application review processes for candidates
- Completed listening tour for women faculty
- Successful Gender Equity WIP series (led by Danielle Roubinbov, PhD)
Education
- Excellent 2020 Evelyn Lee Lecture speaker (Carola Suárez-Orozco, PhD) with co-sponsorship from the Department of Neurology, UCSF Health and Human Rights Initiative, UCSF LatinX Center of Excellence, and ZSFG Latinx Task Force
- Sponsored Reshma Jagsi keynote for International Women’s Day in March
- Representation on the UCSF Faces of Ability panel in October (Stephen Hinshaw, PhD, and Christina Mangurian, MD, MAS)
- Supported RTP’s Cultural Area of Distinction seminar
- Encouraged more DPBS faculty to complete DEI Champion Training
- 63% of DPBS faculty completed training
- 88% of DPBS leadership completed training
Research
- 2020 Mentorship Award for Wendy Berry Mendes, PhD
- Provided resources to support applications for NIH diversity supplements
- Successful renewal for Doris Duke Clinical Foundation Fund to Retain Clinical Scientists (MPI: Kristine Yaffe, MD/Christina Mangurian, MD, MAS)
- UCSF Mid-Career Development Program launched (PI: Christina Mangurian, MD, MAS)
- Several DEI-related peer-reviewed publications, including:
- Anxiety Levels Among Physician Mothers During the COVID-19 Pandemic (American Journal of Psychology)
- From Stigma to Validation: Retention of Physician-Scientists with Caregiving Responsibilities (Journal of Women’s Health)
- Gender Differences in Endowed Chairs in Medicine at Top Schools (JAMA Internal Medicine)
- Intersecting Minority Statuses and Tryptophan Degradation Among Stimulant-Using, Sexual Minority Men Living with HIV (Journal of Consulting and Clinical Psychology)
- Mental Health Equity in the Twenty-First Century (Psychiatric Clinics of North America)
- Not Just Surviving, but Thriving: Overcoming Barriers to Advancement for Women Junior Faculty Clinician-Researchers (Academic Psychiatry)
- Problematic Social Media Use in Sexual and Gender Minority Young Adults (JMIR Mental Health)
- Psychiatry Diversity Leadership in Academic Medicine: Guidelines for Success (American Journal of Psychiatry)
- Structural Inequities and the Impact of COVID-19 on Latinx Children: Implications for Child and Adolescent Mental Health Practice (Journal of the American Academy of Child & Adolescent Psychiatry)
Communication
- Published quarterly newsletter for the entire DPBS community
- Increased outreach for submissions from DC to entire DPBS community to create a more inclusive newsletter
- 6th Annual DPBS Diversity Celebration
- Successfully planned first virtual celebration
- Collected data on what attendees would like to see different to make our community more socially just and inclusive
Health Equity
- Solidified goals for translation services, a landscape assessment of screening for police brutality, and a landscape assessment of patient advisory boards
- Created, distributed, and analyzed results of a survey across assessing clinician’s access and comfort level with using interpreter services across all DPBS sites. Results will be used to inform a best practice training for providers.
Other accomplishments
- Finalized SOPs for Watson Fellowship, Evelyn Lee Lecture, Diversity Celebration, newsletter, and URM award
- Congressional Hispanic Caucus presentations in January and May (Christina Mangurian, MD, MAS)
- DPBS representation on the UCSF Committee on the Status of Women (Christina Mangurian, MD, MAS; Danielle Roubinov, PhD; and Lauren Weiss, PhD)
- DPBS representation on the UCSF Academic Senate’s Committee on Equal Opportunity (Andreea Seritan, MD)
- Collaboration on UCSF’s Faces of Ability initiative
- Our people
- Women:
- Faculty: We are above AAMC benchmark (54%) for female faculty in 2019 (58%). This is an improvement from 2016 (50%) (view data)
- Residents: We are above ACGME benchmark (49%) for female residents in 2019 (51%) and have been since 2017 (51% to 55% through that time)
- Post-docs: We continue to have excellent representation of women post-docs since 2017 (71%+)
- Staff: We continue to have excellent representation of women staff since 2016 (68%+)
- URM
- Faculty: We are above AAMC benchmark (10%) for UIM faculty in 2019 (12%). This is an improvement from 2016 (10%).
- Residents: We are above ACGME benchmark (12%) for UIM residents in 2019 (16%) and have been since 2017 (14%-16%).
- Post-docs: We have increased the proportion of UIM post-docs from 2017 (7%) to 2019 (17%).
- Staff: We continue to have increased the proportion of UIM staff since 2016 (33% to 37%).
- Women:
Black Study Group (Michelle Porche, EdD, Christopher Bartley, MD, PhD, and Jacquelyn Word)
- Last year, in response to concerns about structural racism and as part of our continued work to advance racial justice in our community, the department established the Black Study Group, which put together an important report about the experiences of Black faculty, staff, and trainees in our department. Following the publication of the report the department formed four work groups to develop action plans in response to the report’s findings and recommendations. The work groups will be submitting their recommendations to the DPBS Executive Committee soon and we are eager to receive their input and use it to inform our ongoing efforts to reshape our institutional structures and practices to create a more equitable and welcoming environment for every member of our community.
Caregiver Task Force (Co-leads Michaela Pain, MPH, and Susan Meffert, PhD; additional members: Emily Dauria, PhD; Clara Farr-Rice, PhD; Margo Pumar, PhD; Tara Rooney, BCBA; Ann Parsons, PhD; Carmen Masson; PhD, Enjey Lin, PhD; Hildur Joves)
- In response to the impact of COVID-19 upon caregivers, the department appointed a voluntary caregiver task force to develop recommendations to reflect the needs of faculty, trainees, and staff caregivers throughout our department. These members worked to create an excellent Caregiver Report. Leadership has taken this report and created an action plan. They have been working on the high priority action items in partnership with this group. We are also planning on hiring a consultant in August 2021 to review this report and other previously collected data (e.g., Gathering Wisdom from Women series; diversity survey) to generate further recommendations to promote gender equity in our department.
2019-2020
Recruitment and Retention
- Half of the vice chairs on our Executive Committee are women; half of those women are URM.
- Christina Mangurian, MD, MAS, conducted the “Gathering Wisdom from Women Series” for women faculty across all sites (the session with SFVAHCS-based assistant professors has been postponed due to COVID-19, but will be rescheduled as soon as possible)
- Several faculty members obtained prestigious UCSF awards related to diversity:
- John A. Watson Faculty Scholars – David Pennington, PhD, and Christopher Bartley, MD, PhD
- Chancellor Award for the Advancement of Women – Nicki Bush, PhD
- Chancellor Award for LGBTQI Leadership – Lori Thoemmes, LMFT
- Distributed a department-wide climate survey
- New grant obtained to diversify the workforce in child psychiatry
- Joint effort with San Francisco VA (Psychology Diversity Committee and Mental Health Diversity Council) to create a DEI-informed hiring toolkit, which includes guidelines and recommendations for selection committees to use to mitigate bias and improve DEI best practices in selection of new staff
- Working with various department leaders to gather resources on how to include maternity/family leave on advancement/promotion packets
Education
- Hosted Esther Choo, MD, MPH, for 15th annual Evelyn Lee Lecture
- Conducted outreach to faculty and staff to take part in SOM Diversity and Inclusion Champion training, resulting in 29 faculty members completing training!
- Collected baseline statistics about gender and topic diversity for department and CAP grand rounds to inform future procedures for identifying speakers
- Task force leadership participated in micro-aggressions and allyship trainings with the goal to disseminate further
- Conducted several national, regional, and local presentations regarding diversity
- Raised $5,000 from various UCSF sponsors to host speaker, Edgardo Miranda-Rodriguez (creator of La Borinquena, a STEM woman superhero) to be planned post-COVID
Research
- Increased the proportion of women who are full professors to 37%, which is above the AAMC national average.
- Creating an award to recognize mentorship of women and URM trainees
- Created a Gender Equity in Academic Medicine (GEM) works-in-progress group
- Studies had influence upon university policy (travel with dependents)
- Received Genentech Health Equity Award obtained focusing on mid-career faculty who mentor URM trainees (PI Mangurian)
- Several publications
Communication
- Annual Diversity Celebration
- Quarterly newsletters
Health Equity
- Facilitated a special town hall on structural racism and inequities
- Conducted needs assessment of needs of limited English proficiency (LEP) patients at LPPH
- Collaborating with the newly formed Black Study Group to help address systemic racism and gather information about the experiences of Black faculty, staff, and trainees in our department
2018-2019
Recruitment and Retention
- Created and implemented a new policy to provide 12 weeks of 100% paid leave to childbearing faculty
- Developed an internal process to increase our success with Watson Scholar applications and had our second successful recipient, Tara Collins, MD, MPH
- Developed a plan to regularly provide listings of diversity-related awards in our quarterly newsletters
- Disseminated strategies to obtain recognition and credit for teaching for non-UCSF registered students
- Conducted exit interviews of some faculty who have departed, as we are always looking at ways to improve the experience of our faculty and staff
Education
- Hosted an excellent Evelyn Lee Speaker in 2017 (Beth Hillman, PhD, JD)
- Hosted another excellent Evelyn Lee Speaker in 2018 (Eliseo J. Pérez-Stable, MD)
- Invited a speaker on Muslim Mental Health in 2017 (Rania Awaad, MD)
- Encouraged faculty and staff to take part in SOM Diversity and Inclusion Champion training
- Generated a list of URM faculty available for visiting medical students interested in psychiatry
Research
- Hosted the NIH Chief Officer for Scientific Workforce Diversity (Hannah Valantine, MD, MRCP)
- Developed a faculty “flow chart” by series (rank/step, site, gender, research/clinical) for annual assessment, with initial data passes showing particular areas of gender imbalance for senior research faculty. This has helped us as we work to refine our recruitment and retention strategies and policies.
- Reviewed current distinguished professorships and developed a plan to target women and URM candidates in the future
- Faculty with research funding are being specifically reminded about NIH diversity supplements
- Multiple peer-reviewed papers on diversity-related topics were published by members of DOP community
Communication
- Identified faculty/staff links to various diversity efforts across campus (including Differences Matter; San Francisco VA Medical Center Psychology Diversity Committee; San Francisco Department of Public Health trauma-informed initiatives; Zuckerberg San Francisco General Department of Psychiatry multicultural workgroup; UCSF Cultural Psychiatry Area of Distinction; Benioff Children’s Hospital Oakland trauma-informed systems workgroup)
- Developed an electronic communication plan with quarterly newsletters