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Invisible Outsiders: Developing A Working Alliance With Appalachian Clients, Jake J. Protivna, Cassandra G. Pusateri, Matthew J. Paylo, Kyoung Mi Choi
Invisible Outsiders: Developing A Working Alliance With Appalachian Clients, Jake J. Protivna, Cassandra G. Pusateri, Matthew J. Paylo, Kyoung Mi Choi
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Appalachian clients are often ‘invisible’ within the majority culture and possess characteristics unique to the region that must be considered within the counseling relationship (Tang & Russ, 2007). Individuals in Appalachia have higher incidences of certain mental health disorders and substance use as compared to the national average (Appalachian Regional Commission [ARC], 2008). Although the need for mental health services is evident, limited research exists to inform mental health professionals how to deliver culturally competent interventions to build a working alliance with Appalachian clients. The authors will discuss a framework for mental health professionals to develop a strong working alliance …