Effective Psychotherapy for Low-Income and Minority Patients


Book Description

Psychotherapy involves a deep ethical commitment to self-knowl edge, personal change, and mutual respect by both the therapist and the patient. Unfortunately, therapists have not always lived up to that commitment in understanding and treating low income and minority patients. Too often they lack the skills to understand and adjust to the patient's community and cultural experiences. The result has been ineffective and misguided treatment. Effective Psychotherapy for Low-Income and Minority Patients is a handbook for psychotherapists interested and committed to correct ing this situation and pursuing effective treatment strategies. This book is based on the author's ongoing innovative research project at the University of Southern California School of Medicine's Adult Psy chiatric Outpatient Clinic. Located in East Los Angeles, the clinic serves this nation's largest Hispanic American community and has service commitments to residents of the central Los Angeles region. Over the years the authors have noted not only a marked need to improve mental health services, but also a need to make them more accessible to minority and low income patients. Generally these pa tients have very negative ideas about treatment of emotional prob lems. They typically react to treatment with skepticism: no one has really listened to them or understood them before-why should this therapist do so now? In describing this pessimism the authors discuss the need to listen to and respect each other.




Communities in Action


Book Description

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.




Multicultural Counseling and Psychotherapy


Book Description

Multicultural Counseling and Psychotherapy, 6th ed, offers counseling students and professionals a distinctive lifespan approach that emphasizes the importance of social justice and diversity in mental health practice. Chapters include case studies, reflection questions, and examinations of current issues in the field. Each chapter also discusses the ways in which a broad range of factors—including sexuality, race, gender identity, and socioeconomic conditions—affect clients’ mental health, and gives students the information they need to best serve clients from diverse backgrounds.




The Handbook of Chicana/o Psychology and Mental Health


Book Description

Mexican-Americans now constitute two thirds of what has become the largest and fastest-growing minority group in the United States, Hispanics. They have distinct cultural patterns and values that those who seek to serve them competently as clinicians and educators, and those who attempt to study them, need to understand. This is the first comprehensive overview of the psychology of the Chicana/o experience since 1984. Solidly grounded in the latest theory and research, much of which is relevant to other Latina/o groups as well, The Handbook of Chicana/o Psychology and Mental Health is an indispensable source of up-to-date information and guidance for mental health and education professionals, their trainees and students; and for social and behavioral scientists interested in the impact of cultural differences in multicultural settings.




Engaging Men in Couples Therapy


Book Description

This book will help practitioners overcome one of the leading challenges in couples therapy: working effectively with the male partner. Men have unique needs and psychological issues that many clinicians may not recognize or know how to address. This volume presents chapters by the leading practitioners associated with current therapeutic models, including Emotionally Focused Couple Therapy, Imago Relationship Therapy, Integrated Behavioral Couple Therapy, and more. Using in-depth case examples, they demonstrate how their approaches can be adapted to be "male-sensitive" and respond to the ambivalence so many men experience about couples work. Special topics are also addressed, including infidelity, cultural diversity, working with veterans, and fathering issues. This book will enrich therapists’ work with couples, making treatment a welcoming experience for both partners and the treatment process more gratifying for the therapist.




Community Mental Health


Book Description

An interdisciplinary resource for students preparing to become mental health professionals, those functioning as practitioners in community mental health settings, and policy planners engaged in the evaluation and development of programs in the human services.




Counseling in an Eritrean Context


Book Description




Multicultural Perspectives In Social Work Practice with Families


Book Description

Multicultural Perspectives in Social Work Practice with Families is in its thirdedition and continues to expand the depth and breadth with which culturemay be understood and the impact of culture in working with families.Congress, Gonzalez, and their contributors have updated this text to includea focus on evidence-based practice, 10 additional chapters, revision of avaluable assessment tool, and a culturagram. This book clearly is an essentialresource for social workers committed to culturally sensitive practice."--Journal of Teaching in Social Work Encompassing the most current issues faced by multicultural families across the lifespan and the social workers who serve them, this popular textbook contains ten new chapters and provides content that has been significantly expanded throughout. These new and reconceived chapters offer professors and social work graduate students a broader and more comprehensive take on the key issues that arise when treating families from diverse cultural backgrounds and current, evidence-based models for assessment and treatment. New chapters include: Evidence-based models of care for ethnically-diverse families Practice with Asian-American families Practice with Native American and indigenous families Practice with Hispanic families Practice with Arab families Practice with adolescents Practice with families when there is risk of suicide Practice with families dealing with substance use and abuse Practice with families around health issues Legal issues with immigrants Contributors to the text are leaders in the field of multicultural issues that encompass a wide range of racial and ethnic populations. Updated case studies, vignettes, and statistical data illustrate the book's content.




Culturally Affirmative Psychotherapy With Deaf Persons


Book Description

The impetus for this volume is the growing awareness within the mental health and larger community of a culturally affirmative model for understanding and assisting deaf people. In contrast to the "medical-pathological" model which treats deafness as a disability, the "cultural" model guides us to view deaf persons in relation to the deaf community--a group of people with a common language, culture, and collective identity. A primary tenant of culturally affirmative psychotherapy is to understand and respect such differences, not to eradicate them. The contributors to this volume present a practical and realistic model of providing culturally affirmative counseling and psychotherapy for deaf people. The three dimensions of this model have been delineated by the multicultural counseling literature. These dimensions assert that culturally affirmative psychotherapy with deaf persons requires therapist self-awareness, knowledge of the deaf community/culture, and understanding of culturally-syntonic therapeutic interventions. The first to exhaustively delineate the implications of the cultural model of deafness for counseling deaf people, this book is essential reading for anyone who works in an educational or counseling capacity with the deaf. This audience includes not only psychotherapists, but also vocational, guidance and residence counselors, teachers, independent living skills specialists, interpreters, and administrators of programs for the deaf.




Integrated Mental Health Services


Book Description

This book deals with the provision of psychiatric services to populations, a task which requires an integrated system of service components. Generally the target population comprises the residents of a specific geographic area, but it may be a special population, such as homeless people or people with AIDS. Community psychiatry does not deal only with the interaction between a patient and a doctor, but with the system of services and interactions that is needed to treat a variety of patients and to provide long-term care, support, and rehabilitation for patients with chronic disorders. Modern community psychiatry is pragmatic rather than doctrinaire; it measures its success in cost-effectiveness rather than by its faithfulness to any particular theoretical model. It stresses interdisciplinary teamwork and the involvement of consumers. These lessons, learned by community psychiatrists working in the public sector over several decades, are now being increasingly applied in the private sector as better organized, managed systems of care are evolving. This book describes the history of public mental health services and the underpinnings of modern community psychiatry in epidemiology, mental health services research, and administration. It then describes the methods and strategies used to provide the range of services that constitute a comprehensive mental health program. The authors discuss the public health principles that underlie community approaches and present the methods used within the several components of a comprehensive service system to address the needs of specific populations, stressing interdisciplinary teamwork and coordination within an integrated service network.