Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Saimah Yasmin-Qureshi
{"title":"Beyond the barriers: South Asian women’s experience of accessing and receiving psychological therapy in primary care","authors":"Saimah Yasmin-Qureshi","doi":"10.1108/JPMH-06-2020-0058","DOIUrl":null,"url":null,"abstract":"\nPurpose\nA number of initiatives have been developed to ensure easy access to mental health services for Black and Asian Minority Ethnic (BAME) communities. Improving Access to Psychological Therapies (IAPT) is a service that delivers first line interventions for South Asian women; however, little is known about what makes IAPT accessible for this population. This paper aims to explore South Asian women’s experiences of accessing psychological therapy and whether therapy within IAPT helps individuals to re-frame their experiences within their own cultural context.\n\n\nDesign/methodology/approach\nA qualitative approach was used. Semi-structured interviews were carried out with South Asian women who accessed an IAPT service. Ten participants took part in the study and interviews were analysed using thematic analysis.\n\n\nFindings\nSix themes were identified; access, experience, cultural framework, therapist characteristics, expectations and “sticking with it”. Having a good therapeutic relationship with the therapist was key. While cognitive behavioural therapy (CBT) enabled clients to manage their symptoms, manualised CBT led to a sense of dissatisfaction for some. Clients spoke of having to make a forced choice to either deny their culture or leave their culture at the door to access therapy. Cultural and religious exclusion had a negative impact on therapy particularly for those whose difficulties were related to their cultural or religious context.\n\n\nPractical implications\nCulture and religion continues to be excluded from psychological therapy for South Asian Women. A cultural shift is required from within IAPT services to maintain engagement for this group. Further clinical implications are discussed.\n\n\nOriginality/value\nWhile the experiences of Black and Asian ethnic minority groups accessing secondary mental health services has been explored, this study explores and highlights the experiences of South Asian Women accessing therapy in primary care, and uniquely identifies the processes that enable women to engage in therapy.\n","PeriodicalId":45601,"journal":{"name":"Journal of Public Mental Health","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2020-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JPMH-06-2020-0058","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Mental Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1108/JPMH-06-2020-0058","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 1

Abstract

Purpose A number of initiatives have been developed to ensure easy access to mental health services for Black and Asian Minority Ethnic (BAME) communities. Improving Access to Psychological Therapies (IAPT) is a service that delivers first line interventions for South Asian women; however, little is known about what makes IAPT accessible for this population. This paper aims to explore South Asian women’s experiences of accessing psychological therapy and whether therapy within IAPT helps individuals to re-frame their experiences within their own cultural context. Design/methodology/approach A qualitative approach was used. Semi-structured interviews were carried out with South Asian women who accessed an IAPT service. Ten participants took part in the study and interviews were analysed using thematic analysis. Findings Six themes were identified; access, experience, cultural framework, therapist characteristics, expectations and “sticking with it”. Having a good therapeutic relationship with the therapist was key. While cognitive behavioural therapy (CBT) enabled clients to manage their symptoms, manualised CBT led to a sense of dissatisfaction for some. Clients spoke of having to make a forced choice to either deny their culture or leave their culture at the door to access therapy. Cultural and religious exclusion had a negative impact on therapy particularly for those whose difficulties were related to their cultural or religious context. Practical implications Culture and religion continues to be excluded from psychological therapy for South Asian Women. A cultural shift is required from within IAPT services to maintain engagement for this group. Further clinical implications are discussed. Originality/value While the experiences of Black and Asian ethnic minority groups accessing secondary mental health services has been explored, this study explores and highlights the experiences of South Asian Women accessing therapy in primary care, and uniquely identifies the processes that enable women to engage in therapy.
跨越障碍:南亚妇女在初级保健中获得和接受心理治疗的经历
目的制定了一系列举措,以确保黑人和亚洲少数族裔社区容易获得心理健康服务。改善获得心理治疗的机会(IAPT)是一项为南亚妇女提供一线干预措施的服务;然而,对于是什么让这一人群可以使用IAPT,人们知之甚少。本文旨在探讨南亚女性获得心理治疗的经历,以及IAPT中的治疗是否有助于个体在自己的文化背景下重新构建他们的经历。设计/方法/方法采用定性方法。对接受过IAPT服务的南亚妇女进行了半结构化访谈。10名参与者参与了研究,访谈采用主题分析进行分析。研究结果确定了六个主题;获取、经验、文化框架、治疗师特征、期望和“坚持下去”。与治疗师保持良好的治疗关系是关键。虽然认知行为疗法(CBT)使客户能够控制他们的症状,但人为的CBT导致一些人感到不满。客户们说,他们不得不做出一个被迫的选择,要么否认自己的文化,要么把自己的文化拒之门外,接受治疗。文化和宗教排斥对治疗有负面影响,特别是对那些困难与其文化或宗教背景有关的人。文化和宗教仍然被排除在南亚妇女的心理治疗之外。为了保持这一群体的参与,需要从IAPT服务内部进行文化转变。进一步的临床意义讨论。虽然已经探索了黑人和亚洲少数民族群体获得二级精神卫生服务的经验,但本研究探索并强调了南亚妇女在初级保健中获得治疗的经验,并独特地确定了使妇女能够参与治疗的过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Public Mental Health
Journal of Public Mental Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
7.10%
发文量
32
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信