- Link:
- http://hdl.handle.net/1860/3356
- Collection:
-
- Subjects
- Collaborative Care Transdiciplinary Models Community Health Center Couple and Family Therapy
- Creator:
- Bruner, Patricia
- Language
- en_US
- Relation
- Drexel University. Drexel Theses and Dissertations. Creative Arts in Therapy Theses.
- Type
- Thesis
- Description
- Racial and ethnic minorities represent a growing
portion of the population (United States Census Bureau, 2004) and
tend to experience worse health and mental health outcomes as
compared to White populations (United States Department of Health
and Human Services, n.d.). Since ethnic and racial minority
populations tend to first seek mental health services through their
primary care providers, more research is needed to explore how
collaborative care between medical and mental health providers in
primary health care settings can improve patient outcomes. The goal
of this longitudinal mixed-method study was to investigate
collaboration among this transdisciplinary health care team at The
Eleventh Street Family Health Services exploring the following 3
aims: (1) facilitators and barriers to collaboration; (2) how
provider and patient characteristics affect the collaborative
process; and (3) interdisciplinary collaboration from the
perspectives of all members of the healthcare team, exploring the
emphasis on family and community involvement in the process.
Regarding the first aim, the qualitative data revealed that many
factors facilitated the collaborative process including collocation
of services, multiple communication systems, and having a shared
vision of patient care. Factors that impeded collaboration included
poor communication between providers, lack of easy access through
schedules and building layout issues, and overall work volume. In
terms of the second aim, qualitative results revealed that staff
viewed their intense focus on patient care and mutual respect for
each other as key aspects of their characteristics as providers.
They also recognized that various provider characteristics such as
professional role, gender, and age affected collaboration, but
there were mixed responses regarding the level of awareness of the
impact of their own race and culture. In terms of patient
characteristics, staff consistently noted that their patients
tended to be underprivileged facing multiple issues such as ethnic
and racial minority status, low socioeconomic income, poor health
care history, and exposure to trauma and violence. Finally, in
terms of the third aim, while the majority of the support staff
tended to participate less often in discussions than the
professional staff and department leaders and also tended to drop
out at time 2 data collection, the support staff still made
valuable contributions, highlighting the essential and unique role
they played as the first point of contact for patients. The level
of family and community involvement was also explored in this
study, with participants noting a more patient-centered approach,
with only serendipitous family and community involvement which is
an area of future growth at the center.
- Relation
- Drexel University. Drexel Theses and Dissertations.
Creative Arts in Therapy Theses.
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- Access:
- Instructions in case access is denied
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