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Book part
Publication date: 8 June 2020

Andra D. Rivers Johnson

The role of implicit provider bias in mental health care is an important issue that continues to be of concern in the twenty-first century for the Black/African American

Abstract

The role of implicit provider bias in mental health care is an important issue that continues to be of concern in the twenty-first century for the Black/African American community. Access to mental health and quality care remains elusive as members of this social group lack access to mental health screening, diagnosis, and attention due to institutional and cultural barriers. Supporting the position that implicit and explicit provider bias exists in the mental health profession, this chapter will explore how implicit provider bias is an intractable institutional barrier that prevents Black/African Americans from accessing mental health and quality care. A review of the implications related to mental health outcomes with Black/African American clients will also be explored.

A brief overview of the Black/African American cultural responses to implicit provider bias will be discussed later in this chapter. There will be an exploration of the ways to help identify, address, and eliminate implicit provider bias using evidence-based personal and community engagement strategies that promote mental health wellness within the Black/African American community. Implications for best practices in Black/African American mental health will also be addressed to eradicate the risk of unethical or medical malpractice with Black/African American clients, reduce the mental health disparity experienced by Blacks/African Americans, and create mental health equity for this population.

Details

The International Handbook of Black Community Mental Health
Type: Book
ISBN: 978-1-83909-965-6

Article
Publication date: 19 October 2023

Ashley Wilkinson, Khater Muhajir, Patricia Bailey-Brown, Alana Jones and Rebecca Schiff

Due to ongoing inequities in the social determinants of health and systemic barriers, homelessness continues to be a significant concern that disproportionately impacts racialized…

Abstract

Purpose

Due to ongoing inequities in the social determinants of health and systemic barriers, homelessness continues to be a significant concern that disproportionately impacts racialized communities. Despite constituting a small proportion of the population, Black individuals are over-represented among people experiencing homelessness in many Canadian cities. However, although Black homelessness in Canada is a pressing issue, it has received limited attention in the academic literature. The purpose of this paper is to examine the reported prevalence of Black homelessness across Canada.

Design/methodology/approach

By consulting enumerations from 61 designated communities that participated in the 2018 Nationally Coordinated Point-in-Time Count and two regional repositories – one for homeless counts supported by the government of British Columbia and another from the Rural Development Network – this paper reports on the scale and scope of Black homelessness across Canada.

Findings

Significantly, these reports demonstrate that Black people are over-represented among those experiencing homelessness compared to local and national populations. These enumerations also demonstrate significant gaps in the reporting of Black homelessness and inadequate nuance in data collection methods, which limit the ability of respondents to describe their identity beyond “Black.”

Originality/value

This research provides an unprecedented examination of Black homelessness across Canada and concludes with recommendations to expand knowledge on this important and under-researched issue, provide suggestions for future iterations of homeless enumerations and facilitate the development of inclusive housing policy.

Details

Housing, Care and Support, vol. 26 no. 3/4
Type: Research Article
ISSN: 1460-8790

Keywords

Book part
Publication date: 25 July 2019

Hellen Gerolymatos McDonald, Michelle Asbill, Tara L. Powell, Stacy Billman, Sebnem Ozkan and Sherrie Faulkner

This chapter reports on a study abroad course, where up to 15 registered students complete domestic (in a midwestern American state) and international (in Athens, Greece) service…

Abstract

This chapter reports on a study abroad course, where up to 15 registered students complete domestic (in a midwestern American state) and international (in Athens, Greece) service learning,1 while applying a social work perspective on the global refugee crisis. It highlights the importance of obtaining external funding to support students financially, the significance of university-wide collaborations, and ways to include larger numbers of culturally diverse (non-White) and fiscally underrepresented students. Feedback from survey participants suggests that further subsidies and scholarships would improve accessibility for fiscally underrepresented student groups. 2

Details

Strategies for Facilitating Inclusive Campuses in Higher Education: International Perspectives on Equity and Inclusion
Type: Book
ISBN: 978-1-78756-065-9

Keywords

Article
Publication date: 2 March 2010

Karen L. Middleton and Valrie Chambers

Recent reports suggest the shape and size of the digital divide may be changing. This exploratory study aims to examine the relationships between demographic and situational…

4586

Abstract

Purpose

Recent reports suggest the shape and size of the digital divide may be changing. This exploratory study aims to examine the relationships between demographic and situational variables and small and medium‐sized enterprise (SME) owners' intentions to adopt and use free public wifi technology.

Design/methodology/approach

A survey study of 158 SME owners in the urban renewal community (RC) of a large Southwestern metroplex investigated the influence of known digital divisors – gender, ethnicity, age, education, and experience – on the adoption and use of wi‐fi technologies. Partial least squares was used to test the hypotheses.

Findings

Contrary to previous research, gender, age, education, and experience were not related to the intention to adopt wifi technology. Ethnicity was significantly related to intent to adopt, but the relationship was small. Ethnicity and age were found to be somewhat related to wifi usage. In marked contrast from earlier research, education, gender, and experience were not significant predictors of usage.

Practical implications

The findings suggest that access to high‐speed wifi has the potential to reduce and/or eliminate the digital divide. The projected changes in the digital divide can be expected to make a significant impact on SME productivity and performance.

Originality/value

This study is one of the first to examine the influence of the adoption and use of public wi‐fi technologies by SME owners on the digital divide.

Details

Information Technology & People, vol. 23 no. 1
Type: Research Article
ISSN: 0959-3845

Keywords

Article
Publication date: 28 February 2024

Daryl Mahon

Psychotherapy and clinical supervision outcomes are influenced by client and supervisee factors, one of which is cultural identity. Those with diverse racial and ethnic…

Abstract

Purpose

Psychotherapy and clinical supervision outcomes are influenced by client and supervisee factors, one of which is cultural identity. Those with diverse racial and ethnic minoritised identities often experience disparities in therapy outcomes. Therapists and supervisors need to be responsive to the identity of those they support. The multicultural orientation (MCO) framework is an emerging concept in psychotherapy and clinical supervision that may offer these practitioners a framework to be responsive.

Design/methodology/approach

A preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews was conducted. Six databases, PubMed, Scopus, Embase, Academic Search Complete, Web of Science and PsychInfo, were searched for peer-reviewed literature published in English between the years 2000 and 2023.

Findings

A total of 1,553 sources were identified, of which (n = 42) are included in this review. Findings suggest that MCO is still in its infancy as applied to therapy and clinical supervision. Most of the research has been conducted in America, using quantitative methodologies with white western populations. Cultural humility is the most studied MCO pillar, and variables such as reductions in psychological stress, the working alliance and microaggressions are reported on as outcomes. MCO applied to the group therapy process is an emerging finding of interest. However, more research is needed, especially experiential designs across different and diverse populations and contexts.

Originality/value

MCO is an emerging therapy and clinical supervision process that has the potential to improve the outcomes for therapy clients and supervisees. Further research is needed to replicate current studies, and further research with diverse populations, countries and contexts should be undertaken as a priority.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Abstract

Details

Travel Survey Methods
Type: Book
ISBN: 978-0-08-044662-2

Article
Publication date: 1 March 2005

Jerrell D. Coggburn and Arturo Vega

Local governments play important roles in creating public value for their residents. Recognizing this, they have made improving local quality of life a high priority. Such…

Abstract

Local governments play important roles in creating public value for their residents. Recognizing this, they have made improving local quality of life a high priority. Such emphasis has led to the development of various service innovations designed to make urban areas better places to live and work. This article examines one such innovation, the city of San Antonio’s Neighborhood Sweep program (or, simply, “Sweeps”). Sweeps is an example of a general service delivery strategy we term “municipal services bundling” (or MSB). MSB entails targeting resources to particular neighborhoods and tailoring bundles of public services designed to meet neighborhoods' respective needs. Analysis of survey data collected from residents of “swept” neighborhoods from 1999 to 2002 suggests that MSB can have positive effects on overall levels of neighborhood satisfaction and, in the case of Sweeps, may empower local residents while promoting their sense of individual responsibility for neighborhood appearance.

Details

International Journal of Organization Theory & Behavior, vol. 8 no. 3
Type: Research Article
ISSN: 1093-4537

Article
Publication date: 28 January 2011

Karen L. Middleton and Kent Byus

The purpose of this paper is to examine the influence of Hispanic ethnicity on the adoption and use of information and communication technology (ICT) tools by small‐ and…

3201

Abstract

Purpose

The purpose of this paper is to examine the influence of Hispanic ethnicity on the adoption and use of information and communication technology (ICT) tools by small‐ and medium‐sized enterprises (SMEs) in a southwestern renewal community (RC).

Design/methodology/approach

The paper investigates the influence of ethnicity on the adoption and use of information and communications technologies in small and medium enterprises using a sample from the RC of a large southwestern metroplex.

Findings

Results point to a continuing digital divide among Hispanic and non‐Hispanic SME owners. Non‐Hispanic SME owners were found to be much more likely to adopt a wider range of ICTs and to use them for both administrative and analytical purposes. Hispanic SME owners not only failed to adopt a full range of ICTs but also they were less likely to use ICTs for long‐term strategic analyses.

Originality/value

The differences presented in this paper suggest that Hispanic SME owners may not be exploiting ICTs in order to achieve optimal operating efficiency and strategic effectiveness. The outcomes are particularly alarming because SMEs in RC areas have been the target of federal efforts to raise business productivity and profitability. The continuing digital divide may be undermining the very polices designed to enhance business operations in these relatively disadvantaged urban areas.

Details

Management Research Review, vol. 34 no. 1
Type: Research Article
ISSN: 2040-8269

Keywords

Article
Publication date: 15 December 2008

Kenneth R. Jones

This research project evaluated outcomes for a leadership development program utilizing adult volunteers who worked with youth to incorporate experiential learning and civic…

Abstract

This research project evaluated outcomes for a leadership development program utilizing adult volunteers who worked with youth to incorporate experiential learning and civic engagement opportunities. As a result, this experience exposed youth to practical skills as well as a chance to develop a sense of community connectedness. This was revealed through the youth developing more positive perceptions toward their role as decision makers in their communities, after participation in the program. Youth also developed more positive perceptions of their relationships with adults. Moreover, when comparing those youth who volunteer at least one hour per week to those who do not, those who had volunteered in the past had significantly more positive perceptions than those who had never volunteered in their community.

Details

Journal of Leadership Education, vol. 7 no. 3
Type: Research Article
ISSN: 1552-9045

Book part
Publication date: 24 September 2010

Cirila Estela Vasquez Guzman, Gilbert Mireles, Neal Christopherson and Michelle Janning

Researchers have spent considerable time studying how racial-ethnic minorities experience poorer health than whites [Townsend, P., & Davidson, N. (Eds). (1990). Inequalities in…

Abstract

Researchers have spent considerable time studying how racial-ethnic minorities experience poorer health than whites [Townsend, P., & Davidson, N. (Eds). (1990). Inequalities in health: The black report. England: Penguin Press; Platt, L. (2006). Assessing the impact of illness, caring and ethnicity on social activity. STICERD Research Paper No. CASE108 London England), and how low socioeconomic status (SES) can negatively influence health status (Lynch, J., & Kaplan, G. (2000). Socioeconomic position. In: L. F. Berkman & I. Kawachi (Eds), Social epidemiology (pp. 13–55). New York: Oxford University Press]. This research investigates the relationship between class and race and perceived health status among patients with chronic conditions. More specifically, we apply the concept of social capital to assess whether the quantity of health information seeking behaviors (HISB) via social networks mediates the relationship between race and health status, and between SES and health status. Regression, t-test and ANOVA analyses of 305 surveys completed at a chronic illness management clinic in a Northwest research hospital reveal three important findings: first, that social class affects perceived health status more strongly than race; second, that frequency and amount of HISB do not play a significant role in perceived health status, regardless of race or SES; and third, that an interaction effect between frequency and amount of HISB suggests that the way that patients seek health information, and the quality of that information, may be more useful indicators of the role of social capital in HISB than our study can provide.

Details

The Impact of Demographics on Health and Health Care: Race, Ethnicity and Other Social Factors
Type: Book
ISBN: 978-1-84950-715-8

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