Assessing social determinants of mental health: Client experiences and counselor practices

IF 2.3 3区心理学 Q2 PSYCHOLOGY, APPLIED

Journal of Counseling and Development Pub Date : 2024-04-01 DOI:10.1002/jcad.12519

Alexandra Gantt-Howrey, Mickey Lin, Afroze Shaikh, Kaprea F. Johnson, Judith W. Preston, Liz Wilson

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引用次数: 0

Abstract

Increasing socioeconomic challenges and their impacts on mental health support the importance of assessing clients’ social determinants of mental health (SDMH) challenges. We examined counseling clients’ (N = 390) experiences with SDMH assessment in counseling using the Client Perceptions of SDMH Assessment Scale (CP-SDMH). Confirmatory factor analysis confirmed a three-factor structure for the CP-SDMH. Results suggest potential biases in SDMH assessment practices. Clients reported that SDMH assessment most often occurred verbally and in relation to health and economic issues. Disparities emerged, indicating higher assessment frequency for Black/African American clients compared to White clients, and lower SDMH assessment rates for clients in specific settings, such as private practices. Furthermore, results indicate a significant positive correlation between assessment of SDMH challenges and client satisfaction. Implications for counseling and future research are discussed.

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评估心理健康的社会决定因素：客户体验与辅导员实践

日益严峻的社会经济挑战及其对心理健康的影响证明了评估客户心理健康社会决定因素（SDMH）挑战的重要性。我们使用 "客户对社会决定因素心理健康评估的看法量表"（CP-SDMH）研究了心理咨询客户（人数 = 390）在心理咨询中对社会决定因素心理健康评估的经验。确认因素分析证实了 CP-SDMH 的三因素结构。结果表明，在 SDMH 评估实践中可能存在偏差。客户报告称，SDMH 评估最常以口头方式进行，并与健康和经济问题相关。结果显示，黑人/非裔美国人客户的评估频率高于白人客户，而在私人诊所等特定环境中，客户的 SDMH 评估率较低。此外，结果表明，对 SDMH 挑战的评估与客户满意度之间存在明显的正相关。本文讨论了对心理咨询和未来研究的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Counseling and Development PSYCHOLOGY, APPLIED-

CiteScore

5.40

自引率

13.00%

发文量

期刊介绍： Journal of Counseling & Development publishes practice, theory, and research articles across 18 different specialty areas and work settings. Sections include research, assessment and diagnosis, theory and practice, and trends.