National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Board on Population Health and Public Health Practice; Committee on Unequal Treatment Revisited: The Current State of Racial and Ethnic Disparities in Health Care; Georges C. Benjamin, Jennifer E. DeVoe, Francis K. Amankwah, and Sharyl J. Nass, Editors

Racial and ethnic inequities in health and health care impact individual well-being, contribute to millions of premature deaths, and cost the United States hundreds of billions of dollars annually. Addressing these inequities is vital to improving the health of the nation’s most disadvantaged communities—and will also help to achieve optimal health for all. In 2003, the Institute of Medicine examined these inequities in Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.

Because disparities persist, the National Academies convened an expert committee with support from the Agency for Healthcare Research and Quality and the National Institutes of Health. The committee’s report reviews the major drivers of health care disparities, provides insight into successful and unsuccessful interventions, identifies gaps in the evidence base, and makes recommendations to advance health equity.

National Academies. 2024. 375p..

By Patrick Williams

The key to overcoming institutionalised racism in work with black, Asian and minority ethnic people in contact with the criminal justice system

Why read this evidence review?

This evidence review provides an in-depth look at growing rates of racial disparity in our criminal justice system and highlights key principles for effective interventions with people from black, Asian and minority ethnic backgrounds in contact with the system.

Patrick Williams, Senior lecturer at Manchester Metropolitan University, reviews the current evidence-base - to which he is an important contributor - and covers a number of key issues:

• Racial disparity within the criminal justice system

• The multidimensionality of social inequalities experienced by minority groups

• The lack of a clear strategy and officially approved programs to tackle racial disparity in the criminal justice system

• The criminal justice system’s preoccupation with risk as opposed to need

• Principles to govern minority ethnic interventions

• The importance of acknowledging racialisation and racism(s)

• Community empowerment models

• The argument for paying participants to engage

• The importance of the voluntary sector.

An online evidence base for the voluntary sector working in the criminal justice system

This article forms part of a series from Clinks, created to develop a far-reaching and accessible evidence base covering the most common types of activity undertaken within the criminal justice system. There are two main aims of this online series:

1. To increase the extent to which the voluntary sector bases its services on the available evidence base

2. To encourage commissioners to award contracts to organisations delivering an evidence-based approach.

London: Clinks, 2023. 11p.

By Kiana Cox And Khadijah Edwards

Many say key U.S. institutions should be rebuilt to ensure fair treatment. More than a year after the murder of George Floyd and the national protests, debate and political promises that ensued, 65% of Black Americans say the increased national attention on racial inequality has not led to changes that improved their lives.1 And 44% say equality for Black people in the United States is not likely to be achieved, according to newly released findings from an October 2021 survey of Black Americans by Pew Research Center.

This is somewhat of a reversal in views from September 2020, when half of Black adults said the increased national focus on issues of race would lead to major policy changes to address racial inequality in the country and 56% expected changes that would make their lives better.

At the same time, many Black Americans are concerned about racial discrimination and its impact. Roughly eight-in-ten say they have personally experienced discrimination because of their race or ethnicity (79%), and most also say discrimination is the main reason many Black people cannot get ahead (68%).

Even so, Black Americans have a clear vision for how to achieve change when it comes to racial inequality. This includes support for significant reforms to or complete overhauls of several U.S. institutions to ensure fair treatment, particularly the criminal justice system; political engagement, primarily in the form of voting; support for Black businesses to advance Black communities; and reparations in the forms of educational, business and homeownership assistance. Yet alongside their assessments of inequality and ideas about progress exists pessimism about whether U.S. society and its institutions will change in ways that would reduce racism.

These findings emerge from an extensive Pew Research Center survey of 3,912 Black Americans conducted online Oct. 4-17, 2021. The survey explores how Black Americans assess their position in U.S. society and their ideas about social change. Overall, Black Americans are clear on what they think the problems are facing the country and how to remedy them. However, they are skeptical that meaningful changes will take place in their lifetime.

Black Americans see racism in our laws as a big problem and discrimination as a roadblock to progress

WASHINGTON DC: PEW RESEARCH CENTER,

Edited by Nissa Finney, James Nazroo, Laia Bécares, Dharmi Kapadia and Natalie Shlomo

This book provides the most comprehensive and up-to-date evidence on ethnic inequalities in Britain. This is highly pertinent to contemporary social and political race debates and policy agendas in the post-pandemic recovery context. The COVID-19 pandemic brought ethnic inequalities to the fore as it became evident that infection and mortality rates were higher among ethnic minorities than the population as a whole (ICNARC, 2020; Nazroo and Bécares, 2020; ONS, 2020; Platt and Warwick, 2020). In May 2020, as the devastating and unequal impacts of the pandemic were being realised, the murder of George Floyd in Minnesota in the US saw a resurgence of Black Lives Matter (BLM) movements globally (Alexander and Byrne, 2020). In response, the UK government published the Sewell Report in 2021 which relayed the conclusions of the Commission on Race and Ethnic Disparities (Commission on Race and Ethnic Disparities, 2021), and, subsequently, the Inclusive Britain report in 2022 which laid out policy recommendations (Department for Levelling Up, Housing and Communities, 2022).

Bristol, UK: Policy Press, 2023. 234p.

By National Academies of Sciences, Engineering, and Medicine

The history of the U.S. criminal justice system is marked by racial inequality and sustained by present day policy. Large racial and ethnic disparities exist across the several stages of criminal legal processing, including in arrests, pre-trial detention, and sentencing and incarceration, among others, with Black, Latino, and Native Americans experiencing worse outcomes. The historical legacy of racial exclusion and structural inequalities form the social context for racial inequalities in crime and criminal justice. Racial inequality can drive disparities in crime, victimization, and system involvement. Reducing Racial Inequality in Crime and Justice: Science, Practice, and Policy synthesizes the evidence on community-based solutions, noncriminal policy interventions, and criminal justice reforms, charting a path toward the reduction of racial inequalities by minimizing harm in ways that also improve community safety. Reversing the effects of structural racism and severing the close connections between racial inequality, criminal harms such as violence, and criminal justice involvement will involve fostering local innovation and evaluation, and coordinating local initiatives with state and federal leadership. This report also highlights the challenge of creating an accurate, national picture of racial inequality in crime and justice: there is a lack of consistent, reliable data, as well as data transparency and accountability. While the available data points toward trends that Black, Latino, and Native American individuals are overrepresented in the criminal justice system and given more severe punishments

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  compared to White individuals, opportunities for improving research should be explored to better inform decision-making.

Washington, DC: National Academies Press, 2022. 343p.

By Sara Dehkordi.

Segregation, Inequality, and Urban Development delves into the complex dynamics that have shaped the cities we live in today. Through a meticulous exploration of historical events and present-day realities, this book uncovers the deep-rooted issues of segregation and inequality that continue to influence urban development. From examining the repercussions of discriminatory practices to discussing the role of policy interventions, the authors offer a comprehensive analysis that sheds light on the persistent challenges faced by urban communities. A thought-provoking read for anyone interested in understanding the intersection of social divides and city landscapes.

Bielefeld: transcript Verlag, 2020. 203p.