Tag Archives: Disparities

CARED Perspectives: Impact of COVID-19 and Vaccines on Underserved Communities and Graduate Students

This post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity (CARED). This series discusses current events and how these events relate to graduate students in psychology. If you are interested in contributing to the CARED Perspectives series, please contact Terrill Taylor, Chair of APAGS-CARED.

By Asia Perkins, Georgina Rosenbrock, and Sonia Rehman

We are swiftly approaching the anniversary marking two years of sheltering at home. At the outset of the coronavirus pandemic, it appeared that we were all in this together, that the virus was an equal opportunity offender, and that in a relatively short period of time, things would go back to normal. However, one thing that has been made clear since then is that our communities of color and other marginalized populations are disproportionately affected by this public health crisis. Specifically, members in our Black and African American, Latine, Indigenous Peoples, and Criminal and Juvenile Justice communities have been placed at higher risk for exposure to coronavirus due to lower rates of educational attainment, income, healthcare coverage, and the ability to consistently maintain social distance. For our students from underserved communities, we also witnessed a disproportionate impact on the quality of their virtual education compared to students from more privileged backgrounds (e.g., White, higher socioeconomic status, heterosexual, cisgender). Overall, pre-existing disparities across multiple domains have been, at best, highlighted, and, at worst, exacerbated by this pandemic. 

It is no secret that there is a long history of medical mistreatment, abuse, and torture against marginalized communities, especially against Black, Indigenous, and Latine populations (e.g., Tuskegee Syphilis Study, forced sterilization, lack of anesthesia during surgeries and experimentation). As a result of this pattern of cruelty, infrahumanization, and dehumanization, many individuals who identify as racially or ethnically minoritized have been understandably hesitant to receive the COVID-19 vaccine. However, since the death rate for COVID-19 is highest among communities of color due to numerous systemic factors, this vaccine hesitancy has been particularly concerning. Individuals who did choose to seek out the vaccine faced their own series of challenges. Across the country, the COVID-19 vaccine has been disproportionately distributed to White communities. Additionally, we have observed a disturbing trend of wealthy, White individuals using their money and power to secure vaccine doses that were originally meant for poor communities and communities of color. These trends placed additional pressure and stress on graduate students of color as we watched our communities fight for health equity and struggle to place trust in a system that has consistently mistreated us.

The issues surrounding students are further intensified when it comes to international students in the U.S. For example, the impact of the U.S. government’s executive orders restricting travel from several countries in 2017 was widespread. A recent study showed that international students had to change their travel plans for conferences and visiting families. It also perpetuated fears about their ability to secure jobs after graduation to legally remain in the U.S. (Todoran et al., 2020). International students were experiencing similar fears during COVID-19 pandemic, including worries about maintaining visa status during virtual learning, graduating on time, and finding opportunities to secure optional practical training (OPT) after graduation. In addition, increased loneliness has also impacted these students. Research shows that loneliness affects individuals’ feelings of happiness, cognitive functioning, and physical health (Yeh, 2017). From early 2020, international students experienced isolation from family and friends with decreased opportunities to work on campus and increased expenses due to longer stays in the U.S. While many campuses have reopened for the fall semester of 2021, it is imperative to continue providing guidelines to individuals about the ways to enhance social connections to prevent loneliness.

Much like the communities we serve and reside in, graduate students from marginalized backgrounds have also been disproportionately impacted during the pandemic. The unexpected nature of this pandemic has brought additional costs for technology, housing, and training. Combined with increasingly limited opportunities for university funding and lost wages from off-campus employment sources, our low-income students have perhaps suffered the most when acclimating to this “new normal.” Many of us also lost access to systems of support that promoted our overall well-being, resulting in heightened depression, anxiety, stress, grief, and trauma. Taken altogether, these experiences have called for institutions to better support marginalized students’ emotional, health, and financial needs so they can continue to meet the challenges of pursuing graduate degrees while maintaining their health and well-being.

Overall, these past two years have been incredibly tough and stressful for many of us. While it is unlikely that 2022 will provide all of the solutions for our struggles, we hope that it will offer some moments of peace and healing through self-care, connecting with your community, and structural change.

References

Anderson, G. (2020, September 16). Low-income and students of color in greatest need of pandemic relief. Retrieved February 24, 2021, from https://www.insidehighered.com/news/2020/09/16/low-income-and-students-color-greatest-need-pandemic-relief

Baggaley, K. (2020, September 18). America has a long history of forced sterilization. Retrieved March 8, 2021, from https://www.popsci.com/story/health/forced-sterilization-american-history/

Bhavan, K. (2021, February 4). COVID-19 vaccine hesitancy: How to overcome the culture of mistrust. Retrieved March 8, 2021, from https://utswmed.org/medblog/covid-19-vaccine-hesitancy-mistrust/

Ellis, N., & McPhillips, T. (2021, January 26). White people are getting vaccinated at higher rates than Black and Latino Americans. Retrieved March 8, 2021, from https://www.cnn.com/2021/01/26/us/vaccination-disparities-rollout/index.html

Goodnough, A., & Hoffman, J. (2021, March 4). The wealthy are getting more vaccinations, even in poorer neighborhoods. Retrieved March 8, 2021, from https://www.nytimes.com/2021/02/02/health/white-people-covid-vaccines-minorities.html

Impact of covid-19 on minoritized and marginalized communities. (2020, October 7). Retrieved February 24, 2021, from https://www.ama-assn.org/delivering-care/health-equity/impact-covid-19-minoritized-and-marginalized-communities

Jane Addams College of social work. (2020, April 29). Retrieved February 24, 2021, from https://socialwork.uic.edu/news-stories/covid-19-disproportionate-impact-marginalized-populations/

Laidler, J. (2020, October 30). COVID carries triple risks for college students of color. Retrieved February 24, 2021, from https://news.harvard.edu/gazette/story/2020/10/covid-carries-triple-risks-for-college-students-of-color/

Nuriddin, A., Mooney, G., & White, A. I. (2020). Reckoning with histories of medical racism and violence in the USA. The Lancet, 396(10256), 949-951.

Todoran, C., & Peterson, C. (2020). Should They Stay or Should They Go? How the 2017 U.S. Travel Ban Affects International Doctoral Students. Journal of Studies in International Education, 24(4), 440–455. https://doi.org/10.1177/1028315319861344

Yeh, C. S. (2017, January 13). The power and prevalence of loneliness – harvard health blog – harvard health publishing. Harvard Health Blog. https://www.health.harvard.edu/blog/the-power-and-prevalence-of-loneliness-2017011310977

CARED Perspectives: COVID-19 Pandemic Unearthing Challenges and Exposing Disparities

This post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity (CARED). This series discusses current events and how these events relate to graduate students in psychology. If you are interested in contributing to the CARED Perspectives series, please contact Aleesha Young, Chair of APAGS-CARED.

By Sarah Gubara, MS

Globally, the COVID-19 pandemic has made our worlds a little smaller. With the majority of individuals confined to their homes, the chaos of the first couple of weeks has created white noise that has become increasingly overbearing. Most importantly, this pandemic has highlighted the significant disparities prevalent across our communities. While many are hunkering down in the safety of their homes with loved ones, there are  other vulnerable families in our communities that are contending with economic and health disparities, food and financial insecurity, and isolation from resources and social support. 

Interestingly, the economic disparities related to this pandemic are shared among some graduate students and their clients alike. During these uncertain times both practicum students and clients may be contending with lost wages, uncertainty about the future, and experiencing increased anxiety. This emotive weight on the therapeutic relationship compounds with existing challenges for marginalized clients and therapists. While many student trainees are receiving excellent supervision to process these changes, there are some that are navigating this process alone. It is at this point that a clinician’s ability, or lack thereof, in multicultural responsiveness is highlighted as the fallout of this pandemic requires higher levels of cultural insight and sensitivity, self-efficacy, and awareness of social injustices and disparities. In addition to the therapeutic adjustments we need to make, the call to mobilize services quickly to telehealth further exposes the depth of the economic divide. 

While telehealth and remote education are both blessings during this time, they are also a privilege. Within weeks, graduate practicum students and their clients were privy to the sharp economic inequalities that exist. For instance, in my work with survivors of torture I was blessed to work with a responsive team that provided thorough and consistent supervision, and strategies to accommodate our clients. However, in speaking with clients I began to understand the dearth of resources that exist for them and the obstacles that remain ahead. Session after session with clients led to similar concerns that included loss of work, reduced transportation, limited community support, and so on. While my agency ensured that we were prepared to deliver services, I  realized that my entire caseload may not have the resources to readily receive those services. Some of my clients share rooms with two to three other people and privacy is an issue. Other clients may not have smartphones or wi-fi to download Zoom or any other virtual meeting application. Yet others are parents who are now contending with sharing devices, teaching, and managing their child(ren) without the support of the school day structure.  

Furthermore, the existing protective factors that clients often turn to, such as churches, are now no longer an option. Many of my clients are refugees and asylum seekers, some of whom are new to the community. Without the access of community gatherings like churches or local centers, clients feel isolated and untethered, particularly when language acquisition is a challenge. Given the timing of this pandemic, many practicum students are now terminating with clients as it is the end of the semester for most of us. The loss of identity, resources, and support continues to be compounded at a high cost for our most vulnerable clients. 

Together, graduate practicum students and their clients are having to adjust to the challenging landscape and process its shared trauma, while simultaneously developing new coping strategies. While in some circumstances, there is no certainty at the present, let us not forget the glaring disparities that we now see and let’s do what we can to help while also taking care of ourselves.  For now, we must applaud, encourage, and support the resilience, perseverance, and creativity of our clients and fellow graduate students.

Sarah Gubara, MS is a graduate of Johns Hopkins University (BA’11, MS ’17) and a practicum student at TASSC International working with survivors of state-sponsored torture in Washington, DC. She is in the final year of her combined PhD in Counseling Psychology and School Psychology at Florida State University and will be starting her APA-accredited internship with the Treehouse Child Advocacy Center in July 2020.

Following up with Q&A from the APAGS Webinar on the EPPP

This blog post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity. This series will discuss current events and how these events relate to graduate students in psychology. If you are interested in contributing to the CARED Perspectives series, please contact Aleesha Young.

Student leaders in APAGS are interested in understanding and quashing the apparent score discrepancies on the national licensing exam for psychologists. In October 2019, APAGS hosted the webinar EPPP Outcomes and Test Taking Strategies for Graduates of Color. As a follow up to the webinar, we asked the co-hosts and panelists to voluntarily answer questions we received during and after the air date. One panelist, a co-host, and two APA staff members responded to our requests. What follows are are Q&As, edited only for clarity, and divided into sections about the test, studying for it, and pass rate data.  

Questions About the Test

Where do we find the ASPPB’s test/practice materials? 

Eddy Ameen (EA), APAGS staff liaison: We suggest starting out at www.asppb.org to read all about the test. Some test/practice materials are available from ASPPB, whereas there are also independent test preparation companies that advertise online. Please note that APA does not list, endorse, or evaluate any test prep company. Neither does ASPPB. ASPPB states you must be approved by your jurisdiction’s licensing board to take the test before getting access to its study materials. 

What are the costs of taking the EPPP?

Brian A. Sharpless (BAS), licensed psychologist, research, panelist:  This will partially depend on which jurisdiction you take it in, but it will be at least $600 for the EPPP Part 1, plus $87.50 in test center fees. 

EA: For the EPPP Part 2, a skills-based exam, which will be administered in some jurisdictions starting November 1, 2020, the fees are as follows: $100.00 for initial beta testers, $300 through Dec. 31, 2020, and beginning January 2022, it will be $450.00 per administration. 

Are there scholarships or grants to provide financial support towards obtaining study material?

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