Racial differences play a huge role in the access of health care services for Americans. It is perceived that whites are more likely to access quality services than ethnic minority groups in the country. The racial groups that are perceived to have limited access to healthcare services include the black community and Hispanics across the United States (White & Chanoff, 2011). Geographical factors also determine the level of access to health services since some regions have fewer medical resources than
With the ongoing changes on policies in healthcare, it is imperative to consider the legal and ethical issues in health disparities and access to care based on the socioeconomic status. Research have shown over the past 25 years that disparities in the quality of care are highly influenced by individual characteristics such as race, gender, ethnicity, education, income, and age. The Veterans Health Administration (VHA) recognized that providing care is not simply a “one size fits all” approach especially with the diverse population in today’s society. As healthcare professionals, we need to be alert and know how to properly intervene with such disparities so that the care provided is tailored to the individual.
In recent years it has gotten worse as states move to adopt stricter immigration laws and policies (Sue & Sue,2013). For example, in states such as Arizona they have adopted a law that make it illegal for immigrants to be in the state without proper paperwork (2013). Law’s such as these combined with the discrimination and language barriers cause a great deal of stress to the hispanic population. Many in the Latino population are fearful of reaching out for government or medical assistance for fear of being deported, even if they are legal citizens (2013). This means that the there are members of the Latino population who may be suffering from mental illness such as depression, anxiety, and PTSD and which are all common side effects after being subjected to discrimination and racism ,(Chávez, & French, 2007 ) are not getting the services they need
Although, studies of attitudes and beliefs specific to African American women are scarce, a recent qualitative study of African American women 's beliefs about depression found the women believed they were not susceptible to depression (Waite & Killian, 2008). They believed that an individual develops depression due to having a “weak mind, poor health, a troubled spirit, and lack of self-love” (Ward, Heidrich p. 189). The amount of resources to get help is low. African American women 's use of mental health services also may be influenced by barriers, including access (inaccessible location, transportation problems, lack of health insurance, and poverty), availability of services (few opportunities for group counseling and in-home services), social issues (lack of childcare), poor quality of care (limited access to culturally competent clinicians and case management), and cultural matching (few opportunities to work with racial and ethnic minority clinicians; Cristancho, Garces, Peters, & Mueller, 2008; Miranda et al., 2003; Tidwell,
Introduction Prior to the mid-1960 virtually all mental health treatment was provided on an inpatient basis in hospitals and institutions. The Community Mental Health Act of 1963 was established with its primary focus on deinstitutionalizing mentally ill patients, and shutting down asylums in favor of community mental health centers. It was a major policy shift in mental health treatment that allowed patients to go home and live independently while receiving treatment, (Pollack & Feldman, 2003). As a result of the Act, there was a shift of mentally ill persons in custodial care in state institutions to an increase of the mentally ill receiving prosecutions in criminal courts.
These factors increase the minority groups of being uninsured, lack of health care accessibility, receive poorer quality care and experiencing worse health outcomes, including low income individuals and black people (Ubri & Artiga, 2016). In United States, the healthcare disparities are very obvious and it can be clearly seen between urban and rural
Brief statement of the problem Hispanic and Latino populations are not being provided with adequate mental health care and are an underserved population (Peters, Sawyer, & Guzman, 2014). There are several barriers, cultural and other, that prevent and dissuade Hispanic and Latino individuals from seeking mental health care (The Pew Charitable Trusts, 2015). Lack of bi-lingual providers is one of the many obstacles this population is faced with. Details of the problem A large minority population: • According to the U.S. 2010 Census, 16% of the total population was of Hispanic or Latino decent.
Often times today, people of other racial classes and ethnic groups are experiencing oppression as a marginalized group in society today. Racial biases and culture have become an important issue in mental health due to social constructs, racial stereotypes and racial ideology. As a result, they tend to have an impact human development, racial and cultural identity. Therefore, it has become necessary for counselors to indentify and become fully aware and competent in this area due to the changes our society has undergone in multiculturalism and globalization. Due to cultural diversity, identification of minority groups has led to major breakthrough in the field of multicultural counseling/ therapy (Sue &Sue,2014).
The diversity in the United States continues to grow, increasing the demand of creating more cultural competent programs. Health outcomes are addressed by race/ethnicity, and socioeconomic status. In research. race and ethnicity are potential predictors for a particular outcome. There is need for more research studies in order to provide an understanding of the different needs among ethnic minority groups.
Integrated healthcare is key to eliminating mental and physical health disparities by addressing the needs of people based on their differences in their race, socio-economic status, and culture. An integrated healthcare organization is competent of responding to a community with challenges of long standing health disparities. Healthcare professionals in an integrated system are cross-trained in both physical and behavioral health to handle the challenges of mental and physical health disparities. It improves the quality of care of the population by lowering costs, enhancing patient access, and improving the life of both individuals and families. The con of addressing the long standing health disparity is managing the care of patients and
Sarah Wilkes: Prompt 1 There are many negative stigmas in regards to seeking treatment for mental illness. Is it possible that people around the world choose to not seek treatment due to these stigmas? Or does one’s cultural beliefs keep them from seeking treatment as well? Negative attitudes and beliefs toward people who have a mental health condition is common in America and countries around the globe.
While the topic of mental health awareness has recently been introduced, the roots of mental illnesses run deep into history. Mental illnesses, also called mental disorders, are a wide range of conditions that affect mood, thinking, and behavior. Many people with mental illnesses are now fighting to increase awareness of disorders like depression and anxiety, and some argue that the best way to educate about mental illnesses is to teach about it in school. By educating about mental illnesses in schools, activists are hoping to increase understanding about the topic and prevent teenagers who have mental illnesses from feeling alone.
While many argue that minorities and ethnicities face health care disparities due to racial backgrounds, other argue that these disparities instead occur because of a large range of dimensions. Individuals that face the greatest health care disparities are often referred to as being part of the “vulnerable population,” ultimately living as a group that is not well integrated into the health care system regarding key characteristics such as race, ethnicity, socioeconomic status, age, geographic location, language, gender, disability status, citizenship status, and sexual identity and orientation. Disparities even occur within subgroups of populations, as some Hispanics receive poorer health care quality based on their primary language, immigration
African Americans are also less likely to trust medical treatments. Furthermore, the individuals who cannot afford insurance are more valuable to illnesses, including sexual health issues. LGBTQ African Americans also experience mental health
Mental health issues are on the rise, especially among the youth, 6 out of 10 young people do not receive mental health treatment for major depression. Currently over 40 million Americans are currently dealing with a mental health issue and 56 percent are not receiving proper treatment. (Mental Health America). The health care reform has reduced insurance premiums for adults who have a mental health condition, however premiums and copayments are still not affordable for everyone. With the rise of mental health issues, the funding for mental illness should also increase to meet the need.