Aileen Aldalur, Melissa L Anderson, Kimberly A Van Orden, Kenneth R Conner
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Mental Health Treatment Engagement Among Deaf Individuals.
Objective: Members of the U.S. Deaf community experience higher rates of mental health problems than do hearing individuals, but empirical data on Deaf people's treatment engagement are lacking. This cross-sectional study analyzed novel mixed-methods data on Deaf adults' current mental health symptoms, treatment engagement, and past treatment experiences.
Methods: Seventy-one Deaf adults recruited from across the United States completed screening assessments on the videoconferencing platform Zoom.
Results: Although 63% (N=45) of participants screened positive for one or more current mental health problems, only 31% (N=14) of those individuals were engaged in treatment. Participants reported multiple barriers to treatment engagement, including communication incompatibilities, limited culturally appropriate options, confidentiality concerns, and perceived ineffectiveness of treatment.
Conclusions: Results suggest significant treatment disparities for Deaf adults. Strategies are needed to overcome the barriers they encounter, including increasing the number of Deaf providers, training providers to work with Deaf patients, and developing interventions to assist Deaf individuals in modifying their beliefs about treatment and problem-solving the barriers to treatment seeking.
期刊介绍：
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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