Health Equity,
Implicit Bias, Stigma & Antiracism

Background

The Michigan Mother Infant Health & Equity Improvement Plan (2020-2023) set a strategic vision to achieve zero preventable deaths and zero health disparities through collective action, community driven partnerships and collaboration. 

The following list of available trainings and resources is not exhaustive. For in-depth, comprehensive trainings, an in-person training is the first recommended choice. The intention of this list is to provide Maternal & Infant Health programs and partners across Michigan a starting place to address and incorporate health equity into their work.

Contents and Overview

  1. Online Trainings, Webinars and CoursesHealth Equity Definition from RWJF‚Äč
  2. Films, TV Series & Documentaries
  3. Online Resources and Toolkits
  4. Articles to Read
  5. Books to Read
  6. Podcasts to Subscribe to
  7. In Person Trainings

Please submit trainings, resources, comments and suggestions to BoydH1@Michigan.gov for consideration. Thank you for the work that you do each and every day to protect and promote the health of Michigan moms, babies and families.

Photos of diverse happy families

Recommended First Steps

Visit Project Implicit and take the Implicit Bias Test for your own self review.

Start with a short video:

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Online Trainings, Webinars and Courses

  •  Introduction to Health Equity (~1 hour)
    • Michigan Department of Health and Human Services (MDHHS) course will cover the concept of health equity and the important role it plays in public health practice. The goal of this training is to provide terms and definitions, and the information to connect health equity to the work done by health and human services professionals.Health Equity Bike Graphic
  • Systemic Racism (~1 hour)
    • Michigan Department of Health and Human Services (MDHHS) course main goals are: to establish a common language around systemic racism and to present MDHHS statistics that are relevant systemic inequities in Michigan.
  • Racism: The Ultimate Underlying Condition
    • American Public Health Associations 1st of the Advancing Racial Equity series examined racism and its historic and present-day impact on health and well-being.
  • What Is Systemic Racism?
    • An 8-part video series that shows how racism shows up in our lives across institutions and society: Wealth Gap, Employment, Housing Discrimination, Government Surveillance, Incarceration, Drug Arrests, Immigration Arrests, Infant Mortality, and more. 
  • In Health Matters, Place Matters (~1 hour)
    • Virginia Dept. of Health-Office of Health Equity, The Health Opportunity Index: This webinar was brought to you by the National Partnership for Action (NPA) Federal Interagency Health Equity Team’s webinar series, Promoting Health Equity through Programs and Policies.
  • Virtual Town Hall: The Public Health Crisis of Racism
    • American Academy of Family Physicians (AAFP) community discussion on the association between racism and health outcomes, implementing practice skills that identify and address racial trauma in the clinical setting, and ways to engage with community partners to advance strategies that advance racial equity in the community. (Recorded Webinar available on Facebook Live)
    • Approved for 1 AAFP Prescribed credit
  • The National CLAS Standards, Health Literacy & Effective Communication (~30 min.)              
    • Think Cultural Health – Society of Research Administrators – International: What is CLAS and what are the intersections of heath literacy and communication
  • Health Equity Series (1 hour)
    • Mobilizing Action Toward Community Health (MATCH), University of Wisconsin-Madison & Wisconsin Center for Public Health Education and Training
    • The modules cover: introduction to health equity, the relationship between health and power, and ideas for operationalizing health equity in practice, and specifically looks at opportunities to expand the definition of health, strategically use data, assess and influence the policy context, and strengthen community capacity to act on health inequities.
  • Unconscious Bias in Medicine (1 hour)
    • Stanford Medicine: education on unconscious bias in the academic medicine workplace. Existing research on unconscious bias will provide a science-based view of this topic. Case studies with examples of unconscious bias, self-assessment opportunities, and exploring bias busting strategies will enable learners to understand how to bring the content into their own unique environments.
    • AMA PRA 1 Credit, Non-Physician Participation Credit
  • Addressing Health Outcomes and Disparities at Native Hawaiian and Pacific Islander (NHPI)-Serving Health Centers (1 hour)
    • Association of Asian Pacific Community of Health Organizations webinar examines the impact of chronic disease outcomes of Native Hawaiians and Pacific Islanders (NHPIs) at health centers and highlights the similarities and differences between NHPI-, NH-, and PI-serving health centers to health centers in the continental United States, Hawaii, and the Pacific region.
  • The Impact of Racism on the Health & Well-Being of the Nation (1 hour each)
    • American Public Health Association (APHA) has several webinars available including:
      • Naming and Addressing Racism- A Primer (1 hour)
      • No Safety, No Health: A Conversation About Race, Place and Preventing Violence (1 hour)
      • Unequal Treatment: Disparities in Access, Quality and Care (1 hour)
  • The Roots of Health Inequity (Time Varies)
    • National Association of County & City Health Officials (NACCHO): A part of the Roots of Health Inequity Learning Collaborative. Participants will be able to explore social processes that produce health inequities in the distribution of disease and illness and strategize more effective ways to act on the root causes of health inequity.
  • Building Health Equity in an Unequal World (1 hour)
    • This talk is the keynote of Building Health Equity in an Unequal World, a collaborative lecture series presented by the Brown University School of Public Health and the Center for the Study of Race and Ethnicity in America.
  • 2019 State of Health Equity (SHE) at CDC (Four, 1 hour presentations)
    • This internal forum brings together health equity experts and senior leaders from across the agency to discuss efforts to achieve health equity. The goal of the 2019 State of Health Equity at CDC Forum is to apply a health equity lens to public health emergency preparedness, response, and recovery activities through deliberate communications and interdisciplinary partnerships.
    • Continuing education available through March 4, 2021.‚Äč
  • Health Equity Series from the National Institute for Children's Health Quality (NICHQ) – (1 hour each)
    • Pursuing Health Equity: Start Where You Are
      • This webinar provides an overview of health equity and implicit bias, and their impact on children's health, explores how to recognize and address individual implicit bias and offers resources.
    • Moving the Needle on Health Equity: Two Experts Share Successful Programs and Lessons Learned
      • This webinar shares experiences from two health equity champions: Arthur R. James, MD, an obstetrician, gynecologist and pediatrician who has sought to improve care for underserved populations for the entirety of his medical career; and Denise Evans, MM, MA, a certified facilitator on cultural intelligence and unconscious bias.
    • From Awareness to Action: Strategies for Combating Racism in Health Systems
      • This webinar focuses on providing strategies and guidance that individuals can use to identify and address racism and racial bias.
  • TRAIN Learning Network (Self-Paced)
    • Courses available on Cultural Competence, Minority Health/Disparities, Maternal Child Health and more. Many of the courses are free, examples of courses are shown below:
      • #NYCHealthEquity - Advancing Racial and Social Justice
      • A Commitment to Advancing Health Equity
      • Achieving Health Equity for Lesbian, Gay, Bisexual, and Transgender People
      • Addressing Anti-Indigenous Racism in Health Care: Strategies for Implementing System-level
      • Advancing Health Equity in HIV
      • From Evidence to Practice: Using a Systematic Approach to Address Disparities in Birth Outcomes
      • Public Health Live - The Impact of Social and Cultural Values on Breastfeeding Practice and Strategies to Address Disparities
      • Sexual Orientation and Gender Diversity - CDC - Centers for Disease Control and Prevention
    • Note: You will have to fill out a profile before accessing courses
    • Courses may offer CEU/CME
  • Integrating Cultural and Linguistic Competence: Leading from Where You Are
    • This presentation provides a conceptual framework for cultural competence in health. All health service systems are undergoing fundamental changes in order to embrace the diversity of populations in the U.S. today. Many health systems continue to grapple with the numerous challenges of implementing systemic change to respond effectively to the multiple needs of diverse cultural and linguistic groups. To do this work, organizations first need to come to a common understanding of culture and cultural competence and adopt a systemic framework for its integration into services and supports.

Think Cultural Health from the Department of Health and Human Services contains several valuable resources, recorded presentations, and trainings. Some of which are listed below. https://thinkculturalhealth.hhs.gov/

  • A Physician’s Practical Guide to Culturally Competent Care
    • As healthcare disparities among cultural minority groups persist in our country, culturally and linguistically appropriate services (CLAS) are increasingly recognized as an important strategy for improving quality of care to diverse populations. This program will equip you with the knowledge, skills, and awareness to best serve all patients, regardless of cultural or linguistic background.
    • Free online course for Physicians, Physician Assistants, Nurse Practitioners, or any direct service provider. 9 Physician Credits, 9 Nurse Practitioner Credits
  • Culturally Competent Nursing Care: A Cornerstone of Caring
    • As healthcare disparities among cultural minority groups persist in our country, culturally and linguistically appropriate services (CLAS) are increasingly recognized as an important strategy for improving quality of care to diverse populations. This program will equip you with the knowledge, skills, and awareness to provide the best care for all patients, regardless of cultural or linguistic background.
    • Free online educational program accredited for nurses. Courses 1-3; 9 credits
  • Improving Cultural Competency for Behavioral Health Professionals
    • Cultural and linguistic competency is recognized as an important strategy for improving the quality of care provided to clients from diverse backgrounds. The goal of this e-learning program is to help behavioral health professionals increase their cultural and linguistic competency.
    • Free online course: 4 Courses total of 4 – 5.5 hours
  • The Guide to Providing Effective Communication and Language Assistance Services
    • The Guide will help your organization communicate in a way that considers the cultural, health literacy, and language needs of your patients.
    • A free, online educational program designed for health care administrators and providers.
  • Culturally and Linguistically Appropriate Services (CLAS)
    • Fundamentals of culturally and linguistically appropriate services in health care includes several recorded webinars to provide tools and information on:
      • Why Culturally and Linguistically Appropriate Services?
      • Exploring Culture in CLAS: Sexual Orientation and Gender Identity
      • Advancing Health Equity at the Community and Systems Level
      • A Tool for Tribal Communities
  • Health Equity Timeline (Self-Paced)
    • This timeline highlights numerous milestones and activities related to health equity over the last thirty years.
  • Stopping Discrimination Before it Starts: The Impact of Civil Rights Laws on Health Disparities (Self-Paced)
    • A Medical School Curriculum about the impact of civil rights laws on health care disparities. It is comprised of a facilitator's guide designed for a physician and an attorney to deliver a workshop at a medical school.

The Michigan Public Health Training Center/Region V Training Center site contains several valuable resources and trainings some of which are listed below. https://www.mitrainingcenter.org/

  • Implicit Bias in Public Health Practice (1 hour)
    • The field of public health increasingly focuses on health equity and population health outcomes. While systemic factors are major drivers of inequities, what is the role of the individual? This recorded webinar will introduce the idea of implicit bias and how it is relevant to all public health professionals, regardless of discipline or role in an agency. Participants will learn key definitions, examine data showing the implications of implicit bias in public health, and discuss some strategies to prevent it.
    • Free Course, 1.0 CHES Category I CECH available for $3
  • Changing Internal Practices to Advance Health Equity (Self-Paced)
    • Changing organizational practices to advance health equity is a difficult task. But through using the Human Impact Partners' definition of health equity and theory of change, we can begin to minimize the barriers of change management. This webinar looks at methods that health departments can use to address power imbalances and other factors in order to advance health equity.
  • Population Health and Health Equity (3 hours)
    • Appreciating the impact of social and environmental conditions on health can create physician advocates and elevate the care provided in clinical settings. In four modules featuring academic and practice-based experts, this course introduces key concepts, strategies, and resources for learners to consider and apply in their own practice to improve the health of their communities.
    • Free Course, 4 Modules / 3.0 credits / 3.0 CME’s. Audience: Physicians and residents across specialties, as well as allied health professionals.
  • Building Healthy Communities: The Role of Behavioral Health in Advancing Health Equity and Optimal Health for All (Self-Paced)
    • Race, ethnicity, gender, sexual orientation, age, disability, socioeconomic status and geographic location can all impact a person’s ability to enjoy optimal health. Too often, they also lead to high rates of tobacco use and poor behavioral health outcomes. What can we, as public health and behavioral health professionals, do to advance health equity and build healthier communities?
    • Free Course, 1 CEU for $3

 

Maternal & Infant Health Trainings, Webinars & Courses

 

Breastfeeding and Maternal Infant Health

  • Black Breastfeeding: Trauma and Resilience
    • Great Lakes Breastfeeding Webinar: In the United States, Black breastfeeding rates are lowest among all racial and ethnic groups. Even while breastfeeding rates have risen, a huge disparity between Black and white women consistently remains. Additionally, the infant mortality rate among Black babies is two to three times that of white babies. While the benefits of breastfeeding could significantly lower that rate and guard against diseases, barriers continue to persist that prevent Black women from reaching their nursing goals. This presentation will bring to focus multiple roadblocks, from historical trauma through present day factors, that impact breastfeeding, highlight the rise of Black lactation advocates, and outline ways to provide culturally responsive support for Black women and their infants.
    • Approved for 1 nurse’s contact hour, 1 L-CERP, 1 dietitian CPEU, and 1 social work CE hour
  • Supporting Survivors of Sexual Violence through Postpartum Care
    • Great Lakes Breastfeeding Webinar: Particularly for survivors of sexual violence, the before, during, and after experiences of birth can be burdened with re-traumatization and increased vulnerability to new experiences of violence. This presentation provides an exploration of the intersections of sexual violence and postpartum care. Participants will gain a deeper understanding of the experiences around and the impact of sexual violence; ways in which trauma can manifest in birthing folk throughout the birth & postpartum period; and what we can do to best be of support. The webinar helps expand understanding of sexual violence through an Intersectional & Anti-Oppression based approach and the clinical impacts of how sexual trauma manifests in the birthing and postpartum spaces.
    • Approved for 1 nurse’s contact hour, 1 L-CERP, 1 dietitian CPEU, and 1 social work CE hour
  • Indigenous Breastfeeding: Trauma and Resilience
    • The Michigan Breastfeeding Network Webinar: American Indians have faced unique circumstances throughout history that are directly reflected in their breastfeeding and mothering experiences. In this presentation, you will be introduced to the concepts of historical trauma and resilience, and how these facets of American Indian life are connected to ongoing racial disparities in maternal and child health.
    • Approved for 1 L-CERP and 1 nurse’s contact hour and 1 Social Work CE hour until August 20, 2020.
  • Transforming the System: Lactation Support through Collaborative Power
    • Great Lakes Breastfeeding Webinar: Participants can expect to learn about disparities in lactation support and its effect on racial disparities in lactation initiation and duration. Participants will also walk away with an understanding about the critical importance in diversifying lactation professional representation and how parents and professionals can use their personal power and collaborative power to improve lactation support for families within existing systems.
    • Approved for 1 nurse’s contact hour, 1 L-CERP and 1 social work CE hour until December 20, 2020.
  • Breastfeeding and Racial Equity
    • Great Lakes Breastfeeding Webinar: Given the continued disparities in breastfeeding rates for Black and Indigenous families, this presentation will provide a historical overview of breastfeeding as a racial equity issue. Black and Indigenous families face the largest social barriers and experience the greatest health disparities when it comes to breastfeeding. Inequities result in policies, practices, and social norms that influence a person’s individual choices about breastfeeding and affect long-term health outcomes. These structural barriers exist during pregnancy, at the hospital, and in the first weeks and months at home after the baby is born—including access to Baby-Friendly hospitals and certified lactation consultants, which are often lacking in neighborhoods of color. This presentation outlines the unique challenges Black and Indigenous families face and how breastfeeding supporters can take action to ensure that all families have the choice to breastfeed.
    • Approved for 1 nurse’s contact hour, 1 L-CERP 1 social work CE hour and 1 dietitian CPEU until January 21, 2021.
  • Breastfeeding and the Fourth Trimester
    • Great Lakes Breastfeeding Webinar: Michigan is home to a significant Native American/Indigenous population known as the Anishinaabe. For centuries, the Anishinaabe people have utilized traditional postpartum recovery practices to support the physical, mental, emotional, and spiritual health of new parents in the first 4-6 weeks after birth. In this webinar, Anishinaabe doula and community educator Raeanne Madison will introduce you to some of these cultural practices and make connections between postpartum care and successful lactation. Participants will be tasked with creating a vision of supportive postpartum care for families in their local areas.
    • Approved for 1 nurse’s contact hour, 1 L-CERP 1 social work CE hour and 1 dietitian CPEU until February 18, 2021.

 

LGBTQ+ Trainings, Webinars & Courses

  • Understanding Health Disparities in Transgender Populations (~ 30 Min.)
    • Indiana University School of Public Health: Health disparities are the inequalities that occur in the provision of healthcare and access to healthcare across different racial, ethnic, and socioeconomic groups. Transgender individuals face particularly problematic challenges in healthcare.
  • LGBTQ+ Cultural Humility Training for Health Center Staff
    • MFIERCE – Michigan Forward in Enhancing Research and Community Equity; U of Michigan School of Public Health     
    • This course will cover the following topics: introduction to LGBTQ+ populations; desire, behavior, identities; gender and gender expression; sex assigned at birth; cultural competence versus cultural humility; elements of cultural humility practice; and examples of culturally humble practices.
    • Self-Paced.  Free. Nursing CEU 1.0 Social Work CEU
  • LGBT Medicine American College of Physicians
    • Transgender persons are a diverse group whose gender identity differs from their sex recorded at birth. Some choose to undergo medical treatment to align their physical appearance with their gender identity. Barriers to accessing appropriate and culturally competent care contribute to health disparities in transgender persons, such as increased rates of certain types of cancer, substance abuse, mental health conditions, infections, and chronic diseases. Thus, it is important that clinicians understand the specific medical issues that are relevant to this population. Course offerings include:
      • Caring for Transgender Patients
      • Hormone Therapy & Preventative Screening
      • Grand Rounds - Discussions
      • 0.75- 5 CME Available
  • Minority Stress and the Health of LGBT Populations with Dr. Ilan Meyer
    • Dr. Meyer studies public health issues related to minority health. His areas of research include stress and illness in minority populations, in particular, the relationship of minority status, minority identity, prejudice and discrimination and mental health outcomes in sexual minorities and the intersection of minority stressors related to sexual orientation, race/ethnicity and gender.
  • Rural LGBTQ+ Populations: Creating Welcoming and Inclusive Health Care Experiences (On Demand)
    • LGBTQ+ populations have traditionally experienced health disparities as well as other inequities, discrimination, and violence.  Additional challenges exist for members of the LGBTQ+ community living in rural areas. This webinar will explore best practices for inclusive, affirming, and culturally competent care for rural LGBTQ+ populations.
    • Please note: In preparation for the recorded webinar, please watch the video Basic/Introductory LGBTQ+ Concepts and Terminology (30-min.) 
    • ‚Äč‚ÄčFree Course, CE Available for $3
  • LGBT Challenges in Medical Education and Society | Dean’s Lecture Series 2016‚Äč

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Mental Health Trainings, Webinars & Courses

  • From Cultural Competence to Structural Competence – Strategies for Achieving Mental Health Equity
    • Disparities in mental health and mental healthcare have been a persistent and unremitting issue despite concerted efforts on multiple fronts to address the problem. This webinar will reframe the issue via a journey from cultural competence to structural competence (through cultural humility), address new trends in research in the field, and offer innovative solutions that providers and policymakers can adopt to more effectively address mental health disparities and inequities going forward.
  • Responding to COVID-19 Mental Health Disparities
    • The COVID-19 pandemic has highlighted already existing inequities and disparities in health and behavioral health issues, and in access to and receipt of effective healthcare for some populations in the US. Mental health-related inequities and disparities are fueled by social determinants of health, such as race, ethnicity, gender identity, sexuality, citizenship status, socioeconomic status, education, and physical environment, as well as the negative effects of racism and discrimination.‚Äč
  • ‚ÄčThe Society for Maternal Fetal Medicine Webinar Series: Perinatal Depression and Medication Use
    • ‚ÄčThe main objectives of this presentation are to: 1. Describe perinatal depressive disorders 2. Discuss the prevalence and course of depressive illnesses in pregnancy 3. Review the risks and benefits of treatment
    • Note: You must register to access courses

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Substance Use Trainings, Webinars & Courses

Racial Justice, Incarceration and Prisons

  • Equal Justice Initiative (EJI) Peace and Justice Summit 2018
    • EJI Reports include Slavery in America: The Montgomery Slave Trade, Lynching in America: Confronting the Legacy of Racial Terror, Segregation in America, and All Children Are Children.
    • Resources include: A History of Racial Injustice Timeline, Community Remembrance Project, Curriculum: Teaching the Legacy of Lynching in the United States, and Just Mercy Teacher's Guide

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Films, TV Series & Documentaries

*Possibly available to borrow from "Division of Maternal and Infant Health Lending Library" please email BoydH1@Michigan.gov for more information.

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Online Resources and Toolkits

 

Maternal & Infant Health Online Resources & Toolkits

 

Articles to Read

Maternal & Infant Health Specific Articles

‚ÄčMental Health, Stigma & Racial Disparities Articles

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Books to Read

Books on Antiracism, Racism, Racial Justice, History

Books on Race, Women, Feminism & Gender

Books on Race & Health Disparities

  • An American Health Dilemma: A medical History of African American and The Problem of Race: Beginnings to 1900 by W. Michael Byrd and Linda A. Clayton.
  • An American Health Dilemma: Race, Medicine, and Health Care in the United States: 1900-2000 by W. Michael Byrd and Linda A. Clayton
  • Black Man in a White Coat: A Doctor's Reflections on Race and Medicine by Damon Tweedy M.D.*
  • Health Disparities in the United States: Social Class, Race, Ethnicity, and Health by Donald A. Barr*

Books on Racial Justice, Incarceration & Prisons

Books on Reproductive Rights & Race

  • Delivered by Midwives: African American Midwifery in the Twentieth-Century South*
  • Killing the Black Body: Race, Reproduction, and the Meaning of Liberty by Dorothy Roberts*
  • Life’s Work: A Moral Argument for Choice by Dr. Willie Parker
  • Policing the National Body: Race, Gender and Criminalization in the United States edited by Anannya Bhattacharjee and Jael Silliman 
  • Reproductive Justice: An Introduction (Reproductive Justice: A New Vision for the 21st Century) by Loretta Ross*
  • Reproductive Justice: The Politics of Health Care for Native American Women by Barbara Gurr*
  • Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization by Khiara M. Bridges
  • Undivided Rights: Women of Color Organizing for Reproductive Justice by Jael Silliman*
  • Women of Color and the Reproductive Rights Movement  by Jennifer Nelson

Books on Detroit

  • Detroit: An American Autopsy by Charlie LeDuff*
  • Once in a Great City: A Detroit Story by David Maraniss*
  • The Origins of the Urban Crisis: Race and Inequality in Postwar Detroit - by Thomas J. Sugrue*

 

*Possibly available to borrow from "Division of Maternal and Infant Health Lending Library" please email BoydH1@Michigan.gov for more information.

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Podcasts to Subscribe to

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In Person Trainings & Trainers

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Please submit trainings, resources, comments and suggestions to BoydH1@Michigan.gov for consideration.
*Some Books and Videos may be available to borrow from "Division of Maternal and Infant Health Lending Library" please email for more information.

This website is intended to serve as an educational resource only, the information contained in the resources is not owned by the Michigan Department of Health and Human Services, or the Division of Maternal and Infant Health unless otherwise noted.The opinions expressed in the resources, videos, books, webinars, and articles are the author's own and do not necessarily reflect the view of the Michigan Department of Health and Human Services, or the Division of Maternal and Infant Health.