Social Work Commons^™

Factors Associated With Primary Care Providers' Willingness To Deliver Routine And Transition Care To Transgender Individuals, Deirdre Aisling Shires

Wayne State University Dissertations

Transgender individuals report being denied healthcare services, but very little is known about primary care providers’ (PCP) willingness to deliver either routine or transition care to the transgender community. The purpose of this study is to examine PCP willingness to deliver routine care, continue a hormone therapy (HT) regimen initiated by another provider, and initiate HT for transgender patients using a theoretical framework informed by the Theory of Planned Behavior and Intergroup Contact Theory. The study sample was all family medicine, internal medicine, and women’s health providers in a large integrated Midwestern health system. Eligible participants were emailed a unique …

Considerations In The Provision Of Mental Health Services Toward Arabs, Dalia Khoury

Theses and Dissertations

Existing evidence suggests that disparities exist in the use of mental health services by Arabs in the U.S. While there are likely many factors that contribute, lack of cultural competence of mental health providers is one potentially important barrier for mental health service use among racial/ethnic minorities, including Arabs. The primary purpose of this study was to identify and examine factors related to the development and existence of cultural competence toward Arabs. Variables measuring demographics, professional characteristics, familiarity with Arabs, prior experience and knowledge of Arabs, and readiness for change were tested with a randomly selected sample of mental health …

We Were Treated Like Machines : Professionalism And Anti-Blackness In Social Work Agency Culture, Mark D. Davis

Theses, Dissertations, and Projects

This exploratory study sought to answer two overarching research questions: (1) To what extent is there color-blind anti-Black bias in the way that professionalism is defined and enforced in social work agency culture? (2) What are exacerbating and ameliorating factors for this anti-Black bias? I developed a mixed-methods online questionnaire and recruited 246 participants via e-mail and Facebook. Participants were mostly White female social workers 18-39 years old, though the sample was disproportionately African American as compared with the general social worker population. When participants were asked if they perceived anti-Black bias in professionalism at their agencies, 42.7% answered yes …

The Integrationists : Exploring The Experiences Of Third Culture Kid Psychotherapists, Carly S. Inkpen

Theses, Dissertations, and Projects

This study was undertaken to explore how being a third culture kid (TCK) impacts the experience of working as a psychotherapist. A TCK is a person who spent a significant part of their developmental years living outside their passport country, often moving between numerous countries. This study sought to understand the unique perspective that TCKs bring to psychotherapy work and to increase the visibility of transnational, multicultural therapists and clinicians of color in the clinical literature.

Sixteen TCK psychotherapists on five continents were interviewed, responding to a range of questions about how their TCK identities impact their experience of clinical …

Presenting Image/Presenting Symptoms : Clinicians' Diagnoses Of Black Women In The Therapeutic Space, Kim Teresa Dubose

Theses, Dissertations, and Projects

This was a mixed methods study that used both random and non-random purposive snowball convenience sampling. The purpose of the study was to investigate whether clinicians issue more severe psychotic DSM diagnoses (schizophrenia and schizoaffective disorders) to Black female clients than to White female clients when implicitly primed with cultural archetypes unique to Black women. The research questions were, “Do clinicians issue more severe and stereotype-consistent diagnoses to Black female clients than they do to White female clients;” and “Is there a difference in reaction time in clinician diagnosis of severe psychotic disorders between a clinically-identical Black female vignette and …