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ERIC Number: ED654253
Record Type: Non-Journal
Publication Date: 2019
Pages: 176
Abstractor: As Provided
ISBN: 979-8-3827-2059-3
ISSN: N/A
EISSN: N/A
Enhancing Capacity to Provide Cultural Relatability in the In-Home Mental Health Service Experience for Urbanized and Minoritized Youths through Workforce Development Strategy: A Promising Practice Study
Marlon W. Gray
ProQuest LLC, Ed.D. Dissertation, University of Southern California
Mental health care in the United States is both important and expensive. In many instances, those with the least amount of access to quality mental health care services also face other social inequities. The government has addressed this issue in a myriad of ways, some effective, others not. The outpatient development model creates a barrier to access for those who cannot afford a vehicle or face missing income opportunities both short-term and long-term to make their mental health appointments. The wraparound model, which includes in-home professional and paraprofessional mental health services has closed this barrier to access significantly but the application of this model has also created another barrier to access. In New Jersey, children and families who are challenged with mental health needs and fall at or below the poverty line are afforded special Medicaid coverage to provide in-home services. Their neighborhoods, however, are often considered to be too unsafe or otherwise undesirable by qualified providers who are often either privileged themselves and/or not familiar with these areas. The result is a widening gap in service provider availability for this population as mental health providers refuse to work in these locations. Most of the providers willing to work in these urbanized and predominantly minority neighborhoods are often individuals who were raised in these same neighborhoods and are also generally Black or Latinx. The issue is that many of these providers, however, often lack the proper credentials, specializations, or workforce entry opportunities required to properly address the needs of these children and families through the in-home service model like that of their non-urbanized and non-minoritized counterparts. The result is an equity issue in the lack of quality mental health care that is linguistically or culturally matching for and relatable to urbanized and minoritized children and families in need. The manner in which New Jersey authorizes these services is generated also severely limits the use of providers without certain credentials, leaving many of these children and families helpless and with no viable or sustainable care options whatsoever. There is a gap in the number of clinically licensed credentialed minority mental health providers in New Jersey. If this problem is to be addressed in urban areas within New Jersey such as Jersey City, Camden, and the locale of focus for this study, Newark, then the New Jersey State System of Care (NJ-SSC) and certain key stakeholders, such as care management organizations (CMOs) would have to be open to changing their positions on how services are authorized to allow more culturally and linguistically competent providers to gain the opportunity to develop clinical skills, develop clinical specialties, and achieve the adequate credentialing to provide equity in the provision of mental health services to all children -- not just those who live in the "right" neighborhoods. The objective of this transformative mixed-method study is to examine how many urbanized and minoritized families in Newark, New Jersey, are truly impacted by this lack of culturally and linguistically relatable mental health services by focusing on problems of practice that adversely impact diversity in the in-home mental health provider workforce in New Jersey. The goal of this study is to highlight innovative and promising practices that can eventually be implemented not just in the locale of focus, but across New Jersey in other areas like Newark, and possibly in other cities across the country. The logical assumption is that, if this issue can be adequately addressed where there is the greatest need, then it can be understood and addressed anywhere. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]
ProQuest LLC. 789 East Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106. Tel: 800-521-0600; Web site: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml
Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A