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The United States is experiencing a dramatic shift in demographics, with minorities comprising a rapidly growing proportion of the population. It is anticipated that this will likely lead to substantial changes in previously established values, needs, and priorities of the population, including health and mental health for individuals, families, and society at large. This volume focuses on determinants of minority mental health and wellness. This emphasis necessarily raises the question of just who is a minority and how is minority to be defined. The term has been defined in any number of ways. Wirth (1945, p. 347) offered one of the earliest definitions of minority: We may define a minority as a group of people who, because of their physical or cultural characteristics, are singled out from the others in the society in which they live for differential and unequal treatment, and who therefore regard themselves as objects of collective discrimination. The existence of a minority in a society implies the existence of a corresponding dominant group enjoying higher social status and greater privileges.
This book enumerates the unique challenges, barriers, needs, and trauma of being an African American in the United States, and at the same time highlights what needs to be done to improve and foster the mental health healing of this population. This includes practical applications and strategic solutions that work, such as the family togetherness and ardent spiritual beliefs that form the basis for resilient and vibrant mental health among African Americans. This contributed volume features the authorship of counseling professionals, most of whom are African American themselves. Because of their own personal experiences, they are able to emphasize cogent helping strategies for this population, to show how to move forward with encouragement. The book also highlights ways to promote life that is mentally healthy and holistic for African Americans. Topics covered within the chapters include: Mental Health Challenges Unique to African American Children and Adolescents Diagnosis Issues with African Americans Culture of Family Togetherness, Emotional Resilience, and Spiritual Lifestyles Inherent in African Americans from the Time of Slavery Until Now The Trauma of Being an African American in the 21st Century Training, Recruiting, and Retaining African American Mental Health Professionals African Americans and Mental Health: Practical and Strategic Solutions to Barriers, Needs, and Challenges is an essential resource for helping professionals who work with this population, including psychiatrists, counselors, psychologists, social workers, and other mental health professionals. The book also should be of interest to researchers, instructors, and students in Counseling, Social Work, and Psychology.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
In Mental Health among African Americans: Innovations in Research and Practice, Erlanger A. Turner presents a new theoretical framework that emphasizes culturally sensitive clinical practices and Afrocentric values in order to address the lower rates of African Americans seeking medical treatment in the United States.
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Having the knowledge and capacity to deliver therapy to a diverse population is recognized as benefiting client-therapist relationships and producing positive clinical outcomes. In fact, the APA requires that psychologists be aware of and respect the cultural characteristics of their clients which includes psychologists being aware of any biases and prejudice they may hold. Being aware of cultural characteristics, which include age, gender, ethnicity, race, religion and other cultural factors, is important. In the United States, minority ethnic groups are growing substantially, with 28% of the U.S. population identifying as races other than white (U.S. Census, 2016). Additionally, approximately 65 million people in America speak a foreign language that is not English, with over 25 million people having limited English language proficiency. With a diverse pool of clients, helping professionals should be better prepared to work with diverse clients. This handbook offers clinicians a comprehensive resource with which to work with diverse populations. The myriad discussions among the chapters include: Ethical guidelines for working with culturally diverse clients Cultural considerations in psychological assessment and evaluation Behavioral health service delivery with culturally diverse clients Cross-cultural factors in the treatment of trauma related disorders Cultural considerations in the assessment and behavioral treatment of substance use disorders Handbook of Cultural Factors in Behavioral Health expertly offers clinicians a comprehensive set of resources and tools that will assist them working with diverse clients. Clinicians working with culturally diverse clients, as well as researchers and students learning about how cultural factors are relevant to the helping profession will all find this volume an integral addition to their library.
After a traumatic experience, survivors often experience a cascade of physical, emotional, cognitive, behavioral, and spiritual responses that leave them feeling unbalanced and threatened. Building Resilience to Trauma explains these common responses from a biological perspective, reframing the human experience from one of shame and pathology to one of hope and biology. It also presents alternative approaches, the Trauma Resiliency Model (TRM) and the Community Resiliency Model (CRM), which offer concrete and practical skills that resonate with what we know about the biology of trauma. In programs co-sponsored by the World Health Organization, the Unitarian Universalist Service Committee, ADRA International and the department of behavioral health of San Bernardino County, the TRM and the CRM have been used to reduce and in some cases eliminate the symptoms of trauma by helping survivors regain a sense of balance. Clinicians will find that they can use the models with almost anyone who has experienced or witnessed any event that was perceived as life threatening or posed a serious injury to themselves or to others. The models can also be used to treat symptoms of vicarious traumatization and compassion fatigue.