Suchergebnisse

Foreword : evidence-based practices and recommendations for clinicians and educators /Patricia Arredondo --Acknowledgments --Introduction /Monnica T. Williams, Daniel C. Rosen, Jonathan W. Kanter --Understanding mental health disparities /Amanda NeMoyer, Kiara Alvarez, Margarita Algería --Barriers to mental health treatment for African Americans : applying a model of treatment initiation to reduce disparities /Erlanger A. Turner, Celeste M. Malone, Courtland Douglas --The science of clinician biases and (mis)behavior /John F. Dovidio, Ava T. Casados --Strategies for promoting patient activation, self-efficacy, and engagement in treatment for ethnic and racial minority clients /Margarita Alegría, Naomi Ali, Larimar Fuentes --The impact of racism on the mental health of people of color /Shawn C. T. Jones, Enrique W. Neblett Jr. --Using contextual behavioral science to understand racism and bias /Jonathan W. Kanter, Daniel C. Rosen, Katherine E. Manbeck, Adam M. Kuczynski, Mariah D. Corey, Heather M. L. Branstetter --Cultural competence 101 : teaching about race and racism /Monnica T. Williams --Becoming an antiracist white clinician /Daniel C. Rosen, Jonathan W. Kanter, Matthieu Villatte, Matthew D. Skinta, Mary Plummer Loudon --Culturally responsive assessment and diagnosis for clients of color /Jessica R. Graham-LoPresti, Monnica T. Williams, Daniel C. Rosen --Supervising therapist trainees of color /Linda A. Oshin, Terence H. W. Ching, Lindsey M. West --White parents raising black kids /Anne Blakely Steketee --Strategies for increased racial diversity and inclusion in graduate psychology programs /Erin N. Arney, Sharon Y. Lee, Destiny M. B. Printz, Catherine E. Stewart, Sylvie P. Shuttleworth --Promoting diversity and inclusion on college campuses /Monnica T. Williams, Jonathan W. Kanter --Barriers to outpatient psychotherapy treatment /Camelia Harb, Jessica Jackson, Alfiee M. Breland-Noble --Racial disparities in university counseling centers /M. R. Natacha Foo Kune, Agnes Kwong, Ellen B. Taylor --Mental health treatment disparities in racial and ethnic minority military service members and veterans /Elizabeth M. Goetter, Allyson M. Blackburn --Refugee communities /Victoria A. Schlaudt, Alisa B. Miller.

Refugees who settle in Western countries exhibit a high rate of mental health issues, which are often related to experiences throughout the pre-displacement, displacement, and post-displacement processes. Early detection of mental health symptoms could increase positive outcomes in this vulnerable population. The rates and predictors of positive screenings for mental health symptoms were examined among a large sample of refugees, individuals with special immigrant visas, and parolees/entrants (N = 8149) from diverse nationalities. Logistic regression analyses were used to determine if demographic factors and witnessing/experiencing violence predicted positive screenings. On a smaller subset of the sample, we calculated referral acceptance rate by country of origin. Refugees from Syria, Iraq, and Afghanistan were most likely to exhibit a positive screening for mental health symptoms. Refugees from Sudan, Iraq, and Syria reported the highest rate of experiencing violence, whereas those from Iraq, Sudan, and the Democratic Republic of Congo reported the highest rate of witnessing violence. Both witnessing and experiencing violence predicted positive Refugee Health Screener-15 (RHS-15) scores. Further, higher age and female gender predicted positive RHS-15 scores, though neither demographic variable was correlated with accepting a referral for mental health services. The findings from this study can help to identify characteristics that may be associated with risk for mental health symptoms among a refugee population.