TY - VIDEO
KW - *Constraints
KW - *Consumers
KW - *Cooperation
KW - *Health
KW - *Health Care Services
KW - *Low Income Groups
KW - *Mental Health Services
KW - *Therapists
KW - *Vulnerability
KW - 0347 Health Sciences, Mental Health 0451 Psychology, Social 0573 Health Sciences, Public Health
KW - 7777: Sociology
KW - dissertation
AU - Ginny-Lea Tonore
A1 - 
AB - Research indicates that living in poverty exacerbates the risk for poor mental health, yet low-income people are less likely to seek mental health treatment than are people in higher income brackets. The research literature reports that this reluctance to seek behavioral health care is often due to a variety of barriers, such as stigma, costs, victimization, discrimination, and labeling. Federally Qualified Health Centers (FQHCs) are collaborative healthcare clinics that are uniquely positioned to eliminate many recognized barriers to care that hinder access to mental health services for some vulnerable and underserved populations. Most of the collaborative health care literature is reported from the perspectives of healthcare professionals and administrators, while consumers' viewpoints are vastly underrepresented and unexplored. This study helped to address this research gap. The purpose of this qualitative study was to understand perceptions and experiences of clients utilizing behavioral health services within a collaborative healthcare FQHC. Using a phenomenological methodology, this study explored the real-lived experiences of 11 low-income clients who voluntarily participated in individual interviews. Using data analysis procedures recommended by Moustakas (1994), the participants' interviews were examined and went through multiple levels of abstraction to explore the deeper meanings of their experiences. Data analysis suggested that the participants' positive and caring relationships established with their therapists had a profound impact on their behavioral health experiences. Through the trusting relationships established with their therapists, participants felt safe to engage in the therapeutic process and work towards change. Participants described their behavioral health experiences as being a safe-haven that helped them achieve personal growth and better self-understanding. Relationships with the health center's staff and the environment of care at the FQHC were additionally acknowledged as having a meaningful impact on the participants' experiences of care received. The collaborative health care relationship also surfaced as an indispensible resource in breaking barriers to mental health treatment, and thus, increased the likelihood for consumers to utilize behavioral health services. The results of the study support much of the literature pertaining to the effectiveness of the collaborative health care approach and have clinical implications for Marriage and Family Therapists and other healthcare professionals. Copies of dissertations may be obtained by addressing your request to ProQuest, 789 E. Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106-1346. Telephone 1-800-521-3042; e-mail: disspub@umi.com
BT - Dissertation Abstracts International, B: Sciences and Engineering
C4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
C5 - Healthcare Disparities; Grey Literature
JF - Dissertation Abstracts International, B: Sciences and Engineering
N2 - Research indicates that living in poverty exacerbates the risk for poor mental health, yet low-income people are less likely to seek mental health treatment than are people in higher income brackets. The research literature reports that this reluctance to seek behavioral health care is often due to a variety of barriers, such as stigma, costs, victimization, discrimination, and labeling. Federally Qualified Health Centers (FQHCs) are collaborative healthcare clinics that are uniquely positioned to eliminate many recognized barriers to care that hinder access to mental health services for some vulnerable and underserved populations. Most of the collaborative health care literature is reported from the perspectives of healthcare professionals and administrators, while consumers' viewpoints are vastly underrepresented and unexplored. This study helped to address this research gap. The purpose of this qualitative study was to understand perceptions and experiences of clients utilizing behavioral health services within a collaborative healthcare FQHC. Using a phenomenological methodology, this study explored the real-lived experiences of 11 low-income clients who voluntarily participated in individual interviews. Using data analysis procedures recommended by Moustakas (1994), the participants' interviews were examined and went through multiple levels of abstraction to explore the deeper meanings of their experiences. Data analysis suggested that the participants' positive and caring relationships established with their therapists had a profound impact on their behavioral health experiences. Through the trusting relationships established with their therapists, participants felt safe to engage in the therapeutic process and work towards change. Participants described their behavioral health experiences as being a safe-haven that helped them achieve personal growth and better self-understanding. Relationships with the health center's staff and the environment of care at the FQHC were additionally acknowledged as having a meaningful impact on the participants' experiences of care received. The collaborative health care relationship also surfaced as an indispensible resource in breaking barriers to mental health treatment, and thus, increased the likelihood for consumers to utilize behavioral health services. The results of the study support much of the literature pertaining to the effectiveness of the collaborative health care approach and have clinical implications for Marriage and Family Therapists and other healthcare professionals. Copies of dissertations may be obtained by addressing your request to ProQuest, 789 E. Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106-1346. Telephone 1-800-521-3042; e-mail: disspub@umi.com
PY - 2011
RN - http://surface.syr.edu/mft_etd/43/
SN - 9781124637884
SP - 3949
T1 - Co-creating collaborative health care in a federally qualified health center: Exploring clients' experiences of behavioral health services [Thesis]
T2 - Dissertation Abstracts International, B: Sciences and Engineering
TI - Co-creating collaborative health care in a federally qualified health center: Exploring clients' experiences of behavioral health services [Thesis]
U1 - Healthcare Disparities; Grey Literature
U4 - This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
U5 - http://surface.syr.edu/mft_etd/43/
UR - http://surface.syr.edu/mft_etd/43/
VL - AAI3454428
VO - 9781124637884
Y1 - 2011
ER -