Generalized trust – faith in people you do not know who are likely to be different from you – is a value that leads to many positive outcomes for a society. Yet some scholars now argue that trust is lower when we are surrounded by people who are different from us. Eric M. Uslaner challenges this view and argues that residential segregation, rather than diversity, leads to lower levels of trust. Integrated and diverse neighborhoods will lead to higher levels of trust, but only if people also have diverse social networks. Professor Uslaner examines the theoretical and measurement differences between segregation and diversity and summarizes results on how integrated neighborhoods with diverse social networks increase trust in the United States, Canada, the United Kingdom, Sweden and Australia. He also shows how different immigration and integration policies toward minorities shape both social ties and trust.

By examining social networks in North America, Europe and Australia, this book argues segregation, not diversity reduces trust between people.

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

NEW YORK TIMES BESTSELLER • LONGLISTED FOR THE NATIONAL BOOK AWARD • One of today’s most insightful and influential thinkers offers a powerful exploration of inequality and the lesson that generations of Americans have failed to learn: Racism has a cost for everyone—not just for people of color. WINNER OF THE PORCHLIGHT BUSINESS BOOK AWARD • ONE OF THE BEST BOOKS OF THE YEAR: Time, The Washington Post, St. Louis Post-Dispatch, Ms. magazine, BookRiot, Library Journal “This is the book I’ve been waiting for.”—Ibram X. Kendi, #1 New York Times bestselling author of How to Be an Antiracist Look for the author’s new podcast, The Sum of Us, based on this book! Heather McGhee’s specialty is the American economy—and the mystery of why it so often fails the American public. From the financial crisis of 2008 to rising student debt to collapsing public infrastructure, she found a root problem: racism in our politics and policymaking. But not just in the most obvious indignities for people of color. Racism has costs for white people, too. It is the common denominator of our most vexing public problems, the core dysfunction of our democracy and constitutive of the spiritual and moral crises that grip us all. But how did this happen? And is there a way out? McGhee embarks on a deeply personal journey across the country from Maine to Mississippi to California, tallying what we lose when we buy into the zero-sum paradigm—the idea that progress for some of us must come at the expense of others. Along the way, she meets white people who confide in her about losing their homes, their dreams, and their shot at better jobs to the toxic mix of American racism and greed. This is the story of how public goods in this country—from parks and pools to functioning schools—have become private luxuries; of how unions collapsed, wages stagnated, and inequality increased; and of how this country, unique among the world’s advanced economies, has thwarted universal healthcare. But in unlikely places of worship and work, McGhee finds proof of what she calls the Solidarity Dividend: the benefits we gain when people come together across race to accomplish what we simply can’t do on our own. The Sum of Us is not only a brilliant analysis of how we arrived here but also a heartfelt message, delivered with startling empathy, from a black woman to a multiracial America. It leaves us with a new vision for a future in which we finally realize that life can be more than a zero-sum game. LONGLISTED FOR THE ANDREW CARNEGIE MEDAL

This book addresses the unique sociocultural and historical systems of oppression that have alienated African-American and other racial minority patients within the mental healthcare system. This text aims to build a novel didactic curriculum addressing racism, justice, and community mental health as these issues intersect clinical practice. Unlike any other resource, this guide moves beyond an exploration of the problem of racism and its detrimental effects, to a practical, solution-oriented discussion of how to understand and approach the mental health consequences with a lens and sensitivity for contemporary justice issues. After establishing the historical context of racism within organized medicine and psychiatry, the text boldly examines contemporary issues, including clinical biases in diagnosis and treatment, addiction and incarceration, and perspectives on providing psychotherapy to racial minorities. The text concludes with chapters covering training and medical education within this sphere, approaches to supporting patients coping with racism and discrimination, and strategies for changing institutional practices in mental healthcare. Written by thought leaders in the field, Racism and Psychiatry is the only current tool for psychiatrists, psychologists, administrators, educators, medical students, social workers, and all clinicians working to treat patients dealing with issues of racism at the point of mental healthcare.

"This book must be regarded as a greatly important contribution to race relations literature. It is invaluable for the manner in which authors combine the lessons of history with insightful analyses of empirical data to demonstrate patterns of change over the past fifty years in the status of African Americans... Provocative and stimulating reading." —James E. Blackwell, University of Massachusetts, Boston "Presents a wide-ranging reanalysis of the seminal work done by Gunnar Myrdal in 1944, examining virtually every issue that Myrdal noted as relevant to the American race question. In so doing, Clayton and his contributors have brought the matter up to date and shown how the American dilemma continues into the twenty-first century." —Stanford M. Lyman, Florida Atlantic University Fifty years after the publication of An American Dilemma, Gunnar Myrdal's epochal study of racism and black disadvantage, An American Dilemma Revisited again confronts the pivotal issue of race in American society and explores how the status of African Americans has changed over the past half century. African Americans have made critical strides since Myrdal's time. Yet despite significant advances, strong economic and social barriers persist, and in many ways the plight of African Americans remains as acute now as it was then. Using Myrdal as a benchmark, each essay analyzes historical developments, examines current conditions, and investigates strategies for positive change within the core arenas of modern society—political, economic, educational, and judicial. The central question posed by this volume is whether the presence of a disproportionately African American underclass has become a permanent American phenomenon. Several contributors tie the unevenness of black economic mobility to educational limitations, social isolation, and changing workplace demands. The evolution of a more suburban, service-dominated economy that places a premium on advanced academic training has severely constrained the employment prospects of many urban African Americans with limited education. An American Dilemma Revisited argues that there is hope to be found both in black educational institutions, which account for the largest proportion of advanced educational degrees among African Americans, and in the promotion of black community enterprises. An American Dilemma Revisited asks why the election of many African American leaders has failed to translate into genuine political power or effective policy support for black issues. The rise in membership in Pentecostal and Islamic denonimations suggests that many blacks, frustrated with the political detachment of more traditional churches, continue to pursue more socially concerned activism at a local level. Three essays trace social disaffection among blacks to a legacy of police and judicial discrimination. Mistrust of the police persists, particularly in cities, and black offenders continue to experience harsher treatment at all stages of the trial process. As Myrdal's book did fifty years ago, An American Dilemma Revisited offers an insightful look at the continuing effects of racial inequality and discrimination in American society and examines different means for removing the specter of racism in the United States.