TY - JOUR
AU - J . Y. Chung
AU - L. Frank
AU - A. Subramanian
AU - S. Galen
AU - S. Leonhard
AU - B. L. Green
A1 - 
AB - ABSTRACT: This study aimed to identify barriers and facilitators of mental health care for patients with trauma histories via qualitative methods with clinicians and administrators from primary care clinics for the underserved. Individual interviews were conducted, followed by a combined focus group with administrators from three jurisdictions; there were three focus groups with clinicians from each clinic system. Common themes were identified, and responses from groups were compared. Administrators and clinicians report extensive trauma histories among patients. Clinician barriers include lack of time, patient resistance, and inadequate referral options; administrators cite reimbursement issues, staff training, and lack of clarity about the term trauma. A key facilitator is doctor-patient relationship. There were differences in perceived barriers and facilitators at the institutional and clinical levels for mental health care for patients with trauma. Importantly, there is agreement about better access to and development of trauma-specific interventions. Findings will aid the development and implementation of trauma-focused interventions embedded in primary care.
BT - The Journal of nervous and mental disease
C5 - Healthcare Disparities
CP - 5
CY - United States
DO - 10.1097/NMD.0b013e31825322b3
IS - 5
JF - The Journal of nervous and mental disease
N2 - ABSTRACT: This study aimed to identify barriers and facilitators of mental health care for patients with trauma histories via qualitative methods with clinicians and administrators from primary care clinics for the underserved. Individual interviews were conducted, followed by a combined focus group with administrators from three jurisdictions; there were three focus groups with clinicians from each clinic system. Common themes were identified, and responses from groups were compared. Administrators and clinicians report extensive trauma histories among patients. Clinician barriers include lack of time, patient resistance, and inadequate referral options; administrators cite reimbursement issues, staff training, and lack of clarity about the term trauma. A key facilitator is doctor-patient relationship. There were differences in perceived barriers and facilitators at the institutional and clinical levels for mental health care for patients with trauma. Importantly, there is agreement about better access to and development of trauma-specific interventions. Findings will aid the development and implementation of trauma-focused interventions embedded in primary care.
PP - United States
PY - 2012
SN - 1539-736X; 0022-3018
SP - 438
EP - 443
EP - 
T1 - A qualitative evaluation of barriers to care for trauma-related mental health problems among low-income minorities in primary care
T2 - The Journal of nervous and mental disease
TI - A qualitative evaluation of barriers to care for trauma-related mental health problems among low-income minorities in primary care
U1 - Healthcare Disparities
U2 - 22551798
U3 - 10.1097/NMD.0b013e31825322b3
VL - 200
VO - 1539-736X; 0022-3018
Y1 - 2012
ER -