Johanna E. Nilsson, Sally Stratmann, Aurora Molitoris, Marcella A. Beaumont, J. Horine
{"title":"Delivering Psychological Services to Refugees Resettled in the United States","authors":"Johanna E. Nilsson, Sally Stratmann, Aurora Molitoris, Marcella A. Beaumont, J. Horine","doi":"10.1093/med-psych/9780190912727.003.0008","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0008","url":null,"abstract":"Approximately 25 million refugees have fled their homelands internationally, and about 3 million have been resettled in the United States. The mental health needs of a population that has fled oppression, violence, and instability are diverse. This chapter seeks to provide a holistic overview of these needs. The introduction covers what defines the status of a refugee, current resettlement policies, and pre- and post-migration experiences and concerns among refugees, including barriers to basic services. Effective mental health treatment options and areas of competence for mental health professionals working with these individuals are discussed, along with future considerations for best meeting the mental health needs of refugees.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114962533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delivering Psychological Services to Military Members","authors":"K. Kalmbach, Bret A Moore","doi":"10.1093/med-psych/9780190912727.003.0002","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0002","url":null,"abstract":"Military members are immersed in an all-encompassing culture and required to make countless personal sacrifices, often experiencing trauma or other stressors that most civilians will never face. Over the past two decades, a grateful nation has provided unprecedented levels of support for the many brave servicemen and women who choose this career path. It may therefore come as a surprise to some that, despite this support, many military members remain underserved in the area of mental health. Challenges include system and access barriers; health providers’ lack of familiarity with military injuries, needs, and culture; and military members’ own stigma-related reluctance to seek treatment. This chapter provides mental health clinicians with suggestions for practice. We outline the challenges and detail the qualities necessary to work effectively with psychotherapy clients who are military members.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122978343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics Issues and Challenges When Bringing Psychotherapy to the Underserved","authors":"J. E. Barnett","doi":"10.1093/med-psych/9780190912727.003.0015","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0015","url":null,"abstract":"Providing effective clinical services to underserved communities brings with it a number of ethics challenges that, if not given sufficient attention, can result in potentially well-intentioned mental health clinicians causing harm and placing themselves at risk of professional sanctions. The need to possess sufficient clinical and multicultural competence relevant to the individual in question to be able to provide clinically effective treatments, addressing language differences, and appropriately utilizing interpreters are each discussed. Knowledge of local laws and regulations when providing clinical services in underserved communities is addressed. Additionally, the practice of tele-mental health and appropriately addressing fee issues for all types of professional services provided are discussed. The need to proactively address the potential for the development of vicarious traumatization and effectively practicing self-care on an ongoing basis are emphasized for all mental health clinicians who provide treatment services to the underserved.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128476152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bringing Psychotherapy to People Living in Poverty","authors":"L. Campbell, Emily M. Selby-Nelson","doi":"10.1093/med-psych/9780190912727.003.0005","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0005","url":null,"abstract":"The “problem of the poor” is typically discussed as a client/patient problem. However, interviews of poor people, and those with whom they work, consistently reveal the role of the environment in maintaining the intractability of this status, as well as the role of the mental health professional who unknowingly contributes to the cycle. The barriers to mental health services for the poor are complex and interdependent; a domino effect ensues that results in ongoing stressors. Classism and the failure of our standards of care to include class competency in cultural competency training, research, and practice are profound. These omissions and the models available for evidence-based practice through continuing education and graduate training are described. Empirically supported treatments and qualitative research are reviewed, demonstrating more effective outcome expectations than were possible with traditional approaches. Settings and systems that hold promise for a path toward the future are identified.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114265558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delivering Mental Health Services to Children and Adolescents","authors":"R. Steele","doi":"10.1093/med-psych/9780190912727.003.0012","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0012","url":null,"abstract":"Although one out of every five to seven children and adolescents has elevated psychological symptoms or a diagnosable condition warranting treatment, most will not access mental health services. Children from ethnic, linguistic, or cultural minority communities are at greatest risk for being underserved. Many communities lack professionals who are trained to work with this population. Yet effective and efficacious treatment options are available for children and adolescents who present with a range of conditions. Clinicians must consider developmental level, socioecological context, and culture when selecting and delivering evidence-based treatment approaches. Future steps include the use of remote technologies and creative co-location of services to improve access, the use of coordinated services to improve quality of life, and robust specialty training to provide the professional competencies necessary to reach this underserved population.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131966357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Exploratory to Experimental","authors":"E. N. Williams","doi":"10.1093/med-psych/9780190912727.003.0016","DOIUrl":"https://doi.org/10.1093/med-psych/9780190912727.003.0016","url":null,"abstract":"The research findings to date are clear: Health disparities exist and are persistent. This chapter explores current research strategies and considers additional, less often employed methodologies in the area of mental health disparities. In particular, previous correlational and survey studies examining barriers to treatment are reviewed. In addition to understanding barriers to treatment, however, we need to focus on what works for underserved populations. Additional experimental studies of treatment modalities (e.g., telehealth), the impact of integrated care and geographic access, and the use of culture- and language-sensitive programs seem timely. Additional qualitative studies of individual experiences within various underserved populations will also help us devise innovative treatment approaches. By matching method to need, we will be able to find new ways to help underserved populations decide to seek help, access the care they need, and receive the best psychotherapeutic treatments available.","PeriodicalId":178966,"journal":{"name":"Bringing Psychotherapy to the Underserved","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122380318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}