“Sorry, I’m Not Accepting New Patients”

Kugelmass, Heather

doi:10.1177/0022146516647098

Cited by 107 publications

(64 citation statements)

References 55 publications

(82 reference statements)

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“…A recent phone-based experimental study documented discrimination by race, gender, and class in getting access to mental health care (Kugelmass 2016). As part of the study, 326 licensed psychotherapists in New York city received a voice mail message from a black middle-class and a white middle-class individual or from a black and white working-class person seeking an appointment.…”

Section: Cultural Racism and Mental Healthmentioning

confidence: 99%

Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors

2018

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This article provides an overview of research on race-related stressors that can affect the mental health of socially disadvantaged racial and ethnic populations. It begins by reviewing the research on self-reported discrimination and mental health. Although discrimination is the most studied aspect of racism, racism can also affect mental health through structural/institutional mechanisms and racism that is deeply embedded in the larger culture. Key priorities for research include more systematic attention to stress-proliferation processes due to institutional racism, the assessment of stressful experiences linked to natural or manmade environmental crises, documenting and understanding the health effects of hostility against immigrants and people of color, cataloguing and quantifying protective resources, and enhancing our understanding of the complex association between physical and mental health.

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Section: Cultural Racism and Mental Healthmentioning

confidence: 99%

Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors

2018

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“…Clinicians can adopt several principles and approaches to increase accessibility of services for POC. Clinicians must actively consider their own biases towards minoritized clients to prevent under-serving individuals from these communities (Kugelmass, 2016;Williams et al, 2012b). As cultural mistrust of mental health care is also a barrier to seeking services (Kolvenbach et al, 2018;Williams et al, 2017c), clinicians should endeavour to practise transparency when communicating goals and expectations for treatment (Williams et al, 2012b).…”

Section: Culturally Informed Outreach Practicesmentioning

confidence: 99%

Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines

Williams

Rouleau

Torre

et al. 2020

tCBT

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This article provides clinical guidelines for basic knowledge and skills essential for successful work with clients who have obsessive-compulsive disorder (OCD) across ethnic, racial and religious differences. We emphasise multiculturalist and anti-racist approaches and the role of culture in shaping the presentation of OCD in clients. Several competencies are discussed to help clinicians differentiate between behaviour that is consistent with group norms versus behaviour that is excessive and psychopathological in nature. Symptom presentation, mental health literacy and explanatory models may differ across cultural groups. The article also highlights the possibility of violating client beliefs and values during cognitive behavioural therapy (CBT), and subsequently offers strategies to mitigate such problems, such as consulting community members, clergy, religious scholars and other authoritative sources. Finally, there is a discussion of how clinicians can help clients from diverse populations overcome a variety of obstacles and challenges faced in the therapeutic context, including stigma and cultural mistrust. Key learning aims (1) To gain knowledge needed for working with clients with OCD across race, ethnicity and culture. (2) To understand how race, ethnicity and culture affect the assessment and treatment of OCD. (3) To increase awareness of critical skills needed to implement CBT effectively for OCD in ethnoracially diverse clients. (4) To acknowledge potential barriers experienced by minoritized clients and assist in creating accessible spaces for services.

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“…Despite a severe need for treatment, less than half of those individuals received mental health services [2]. There is a severe shortage of mental health providers [3], and thus, seeking care can involve many calls to providers [4] and wait times that are longer than the duration of many acute mental health episodes [5]. Moreover, training licensed master’s- or doctoral-level psychotherapists is an expensive and time-consuming process.…”

Section: Introductionmentioning

confidence: 99%

Development and Evaluation of ClientBot: Patient-Like Conversational Agent to Train Basic Counseling Skills

Tanana¹,

Soma²,

Srikumar³

et al. 2019

J Med Internet Res

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Background Training therapists is both expensive and time-consuming. Degree–based training can require tens of thousands of dollars and hundreds of hours of expert instruction. Counseling skills practice often involves role-plays, standardized patients, or practice with real clients. Performance–based feedback is critical for skill development and expertise, but trainee therapists often receive minimal and subjective feedback, which is distal to their skill practice. Objective In this study, we developed and evaluated a patient-like neural conversational agent, which provides real-time feedback to trainees via chat–based interaction. Methods The text–based conversational agent was trained on an archive of 2354 psychotherapy transcripts and provided specific feedback on the use of basic interviewing and counseling skills (ie, open questions and reflections—summary statements of what a client has said). A total of 151 nontherapists were randomized to either (1) immediate feedback on their use of open questions and reflections during practice session with ClientBot or (2) initial education and encouragement on the skills. Results Participants in the ClientBot condition used 91% (21.4/11.2) more reflections during practice with feedback ( P <.001) and 76% (14.1/8) more reflections after feedback was removed ( P <.001) relative to the control group. The treatment group used more open questions during training but not after feedback was removed, suggesting that certain skills may not improve with performance–based feedback. Finally, after feedback was removed, the ClientBot group used 31% (32.5/24.7) more listening skills overall ( P <.001). Conclusions This proof-of-concept study demonstrates that practice and feedback can improve trainee use of basic counseling skills.

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“Sorry, I’m Not Accepting New Patients”

Cited by 107 publications

References 55 publications

Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors

Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors

Cultural competency in the treatment of obsessive-compulsive disorder: practitioner guidelines

Development and Evaluation of ClientBot: Patient-Like Conversational Agent to Train Basic Counseling Skills

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