Introduction
The C2DREAM framework, as outlined in the research article "The C2DREAM framework: Investigating the structural mechanisms undergirding racial health inequities," provides a comprehensive approach to understanding and addressing the persistent racial health inequities that exist in the United States. This framework is particularly relevant for practitioners in the field of speech language pathology, as it encourages a deeper understanding of the social determinants of health (SDoH) and their impact on health outcomes. By implementing the outcomes of this research, practitioners can enhance their skills and contribute to more equitable health outcomes for all children.
Understanding the C2DREAM Framework
The C2DREAM framework is designed to guide researchers and practitioners in critically examining the role of racism across various levels of influence. It emphasizes the interconnectedness between forms of racism, SDoH, and the lifecourse to provide a greater context to individual health outcomes. The framework highlights the need to move beyond race as a genetic determinant and focus on the social construction of identity and group association categories.
Key Components of the Framework
- Structural Racism: This refers to the ways in which societies foster racial discrimination through mutually reinforcing systems such as housing, education, employment, and healthcare. Understanding structural racism is crucial for practitioners as it shapes the distribution of SDoH.
- Institutional Racism: This involves the policies and practices within organizations that disadvantage non-White groups. Practitioners need to be aware of how institutional racism can impact their work and the outcomes for their clients.
- Interpersonal Racism: This is the direct discriminatory interactions between individuals. Practitioners must recognize and address interpersonal racism to ensure equitable treatment for all clients.
Implementing the Framework in Practice
Practitioners can implement the C2DREAM framework by incorporating its principles into their daily practice. This involves critically examining their own biases and the systems within which they work. By doing so, they can develop interventions that address the root causes of health inequities rather than just the symptoms.
Additionally, practitioners should engage in continuous education and training on the impacts of racism and how it intersects with SDoH. This knowledge will enable them to provide more culturally competent care and advocate for systemic changes that promote health equity.
Encouraging Further Research
The C2DREAM framework also serves as a call to action for further research into the mechanisms linking racism and health. Practitioners are encouraged to contribute to this body of knowledge by conducting research that explores the impact of racism on health outcomes in their specific field. This research can inform the development of more effective interventions and policies that address health inequities.
Conclusion
By implementing the C2DREAM framework, practitioners in the field of speech language pathology can enhance their skills and contribute to more equitable health outcomes for all children. This framework provides a valuable tool for understanding and addressing the complex factors that contribute to racial health inequities. To read the original research paper, please follow this link: The C2DREAM framework: Investigating the structural mechanisms undergirding racial health inequities.
