Original ArticlesStructural Racism and Psychiatric Practice A Call for Sustained ChangeTalley, Rachel M. MD∗,†; Edwards, Matthew L. MD∗,‡; Berlant, Jeffrey MD, PhD∗,§,∥; Wagner, Elizabeth S. MD, MPH∗,¶; Adler, David A. MD∗,#; Erlich, Matthew D. MD∗,∗∗; Goldman, Beth MD, MPH∗; Dixon, Lisa B. MD, MPH∗,∗∗; First, Michael B. MD∗,∗∗; Oslin, David W. MD∗,†,††; Siris, Samuel G. MD∗,‡‡Author Information ∗Group for Advancement of Psychiatry, New York, New York †Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania ‡Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California §Optum Idaho, Boise, Idaho ∥Canyon Manor Mental Health Rehabilitation, Novato, California ¶Department of Psychiatry, Brown University Alpert Medical School, Providence, Rhode Island #Department of Psychiatry, Tufts Medical Center and Tufts University School of Medicine, Boston, Massachusetts ∗∗Department of Psychiatry, New York State Psychiatric Institute/Columbia University Vagelos College of Physicians and Surgeons and New York Presbyterian, New York, New York ††Corporal Michael J. Crescenz Veterans Administration Medical Center, Philadelphia, Pennsylvania ‡‡Department of Psychiatry, Donna and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, New York. Send reprint requests to Rachel M. Talley, MD, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104. E-mail: [email protected]. The Journal of Nervous and Mental Disease: January 2022 - Volume 210 - Issue 1 - p 2-5 doi: 10.1097/NMD.0000000000001442 Buy Metrics Abstract Structural racism has received renewed focus over the past year, fueled by the convergence of major political and social events. Psychiatry as a field has been forced to confront a legacy of systemic inequities. Here, we use examples from our clinical and supervisory work to highlight the urgent need to integrate techniques addressing racial identity and racism into psychiatric practice and teaching. This urgency is underlined by extensive evidence of psychiatry's long-standing systemic inequities. We argue that our field suffers not from a lack of available techniques, but rather a lack of sustained commitment to understand and integrate those techniques into our work; indeed, there are multiple published examples of strategies to address racism and racial identity in psychiatric clinical practice. We conclude with recommendations geared toward more firmly institutionalizing a focus on racism and racial identity in psychiatry, and suggest applications of existing techniques to our initial clinical examples. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.