Background Statistics state that mental illness is estimated to be higher in blacks than in whites. One of the contributing factors to why blacks aren’t being cared for when they have a mental illness is because of the stigma that mental illness doesn’t exist within the community. According to Plowden (2006), “ African American men often differ in their presentation of depression and are often misdiagnosed. African American men are at greater risk for depression, but they are less likely to participate in mental health care.” This is due to the
Multicultural counseling: Trends, expectations, and evolving standards The relationship of a counselor to his or her client can be troubled when the two come from different cultural backgrounds. "As counselors incorporate a greater awareness of their clients' culture into their theory and practice, they must realize that, historically, cultural differences have been viewed as deficits (Romero, 1985). Adherence to white cultural values has brought about a naive imposition of narrowly defined criteria for normality on culturally diverse people" (Bolton-Brownlee 1987). The challenge for counselors today is to balance multiculturalism and sensitivity for the client with the need to move the client forward and enable him or her to reach productive life goals. Cultural acceptance cannot be synonymous with complacency.
Health care for mental illness is an issue in the African American community for Men, Women and Adolescents due to the underserving and lack of mental healthcare providers, the cultural stigma of having mental illness and
Counseling Asian Americans Counseling individuals from different cultures can be challenging, however with the counselor’s proper sense of awareness, knowledge, and skills they are able to become culturally competent. Cultural competency is a fundamental part of counseling and should be demonstrated by all counselors. It is essential to become aware
Historically, Black Americans have been reluctant to pursue mental health treatment. Bean (2007) details how cultural tensions, Black religiosity, gender role dynamics, and African American history with mental health has lead to current negative perceptions of counseling and psychological services in African American communities. Bean (2007) conducted this study by sampling 194 African American students of Tennessee State University and an additional 94 Black residents of a neighboring community of Nashville, TN. The author’s participants completed tests measuring Cultural Mistrust Inventory (CMI), Religious Orientation Scale (ROS), Gender Role Conflict Scale (GCRS) and Attitudes toward Seeking Professional Psychological Help Scale (ATSPPH). Ultimately, gender roles did significantly correlate to informing
Introduction The Diagnostic Statistical Manual is used to diagnosis persons that are getting assessed with mental health disorders. The manual contains criteria the clinician can use to diagnosis a client. If the client meets a certain number of markers then they are given a diagnosis of a particular disorder. But, what if it’s not that easy? For African Americans, there has been a history of getting misdiagnosis by clinicians which has led to some mistrust. The cultural differences between African Americans and their white clinicians can possibly lead to the misdiagnosis of the clients. An article on clinician race states, “African Americans are less likely to be diagnosed with mood disorders and more likely to be be diagnosed with schizophrenia” (Adebimpe, 1981; Neighbors, 1997). Within this review, we will explore research conducted by scholars that examine the relationships between the diagnoses of African Americans by White Clinicians.
Overcoming Racism and Barriers to Counseling African Americans Racism against African Americans and other ethnicities is still prevalent in our society. Salis (2015) mentions a recent poll of Caucasian and African Americans and found that sixty percent of those surveyed felt racial relationships ha vent improved and forty percent felt they were worse. In this paper, I will identify how a counselor can reduce the effects of racism and discrimination that has affected African Americans. Additionally, I will address what role a counselor plays in reducing the stigma of mental illness within the African American community. Furthermore, I will highlight the legal and ethical issues identified in the video
“I’m Not Crazy”: African Americans Perceptions of Mental Health and the Implications for Health Service Delivery Hillary Marts Vanderbilt University African Americans Perceptions of Mental Health and the Implications for Health Service Delivery As discussed in class, little advancement has been made in the field of mental health care over the past two decades. Rates of mental illness continue to be high especially among certain subgroups, but progress has been stunted by stigma and social environmental issues. Mental health disparities, like many other health disparities, are embedded within a trend of socioeconomic differences (Miranda, McGuire, Williams, & Wang, 2008). Racial and class disparities exist among those afflicted
Cultural Assessment and Analysis: The African American Culture Abstract In order to provide culturally appropriate care, an examination of one's personal views, beliefs, and prejudices must be examined. The first portion of this paper will examine my personal values, beliefs, biases, and prejudices. The remaining paper will analyze the African American culture relating to the Ginger and Davidhizar's Transcultural Assessment Model cited in Hood (2010). This model uses six key cultural elements that include communication, space, social organization, time, environment, and biological variations. This model provides a systematic approach for assessing culturally diverse clients. I will also discuss an aspect of care that I would
Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities
1 RUNNNING HEAD: HOMEWORK 2: SYSTEMIC FACTORS 7 Systemic Factors Homework 2: Systemic Factors Sophia Henry American Public University Abstract From the beginning people have treated those who are of color differently. Because of the racism and injustice of minorities prejudice started to happen. Minorities
Openness, honesty and directness are essential components in open dialogue with multicultural clients in order to maintain a relationship of value. Miller (2015) describes open dialogue as an atmosphere in which dialogue is engaged in an open fashion in a therapy session. It includes the creation of an intimate environment
Multicultural Career Counseling It is important to be aware of one’s limitations, weaknesses and strengths in the delivery of counseling services. Taking into account the cultural values of the client, the support systems and the client’s view of the key parts of his or her makeup (the history of the client) are culture specific (because someone is of the same race does not mean that values will be the same) and does not discount the individual. Sue et al reminds us that multicultural counseling competency looks beyond racial and ethnic minorities and also includes disabilities, sexual orientation, age, and other special populations (Sue, et al, 1992).
Two main points cannot be overlooked. First, it is a fact that the people living in the neighborhood are poor. Secondly, it is the black community that will be affected by the closure of the emergency department in the hospital. In my opinion, this may be racial discrimination.
Each client is influenced by race, ethnicity, national origin, life stage, educational level, social class, and sex roles (Ibrahim, 1985). The counsellor must view the identity and development of culturally diverse people in terms of multiple interactive factors rather than a strictly cultural framework (Romero, 1985).