Abstract
African-Americans have a greater likelihood to experience psychological distress as compared to other racial populations; however, they are less likely to seek mental health treatment. Their prolonged and cumulative experiences of racism and discrimination create barriers to treatment services, which negatively impact mental health treatment outcomes. Research suggests that there is a need for more culturally competent treatment to strengthen treatment outcomes within African-American communities. Social work field education coins itself as the pedagogy of social work education. It becomes the role of social work field education to prepare new practitioners to address the unique needs of vulnerable populations and begin to bridge the gap in current inequities in mental health treatment. A content analysis was conducted to examine policies, specifically related to outpatient treatment regulations. Policy documents were collected from Maryland, Virginia, and the District of Columbia and surveyed according to appropriateness and effectiveness in providing mental health services to African-Americans. The results showed an emphasis on licensing requirements for treatment facilities and standard treatment practices. There was a deficiency in requirements for training across all three jurisdictions, with little emphasis made for culturally competent training. Recommendations were made to strengthen organizational policies by conceptualizing practices to be more inclusive of race-based issues and trauma-informed care.
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References
Boitel, C. R., & Fromm, L. R. (2014). Defining signature pedagogy in social work education: Learning theory and the learning contract. Journal of Social Work Education, 50(4), 608–622. https://doi.org/10.1080/10437797.2014.947161
Carrilio, T. E. (2008). Accountability, evidence, and the use of information systems in social service programs. Journal of Social Work, 8(2), 135–148. https://doi.org/10.1177/1468017307088495
Centers for Disease Control. (2015). Definition of Policy. Retrieved December 7, 2021, from https://www.cdc.gov/policy/analysis/process/definition.html
Chae, D. H., Nuru-Jeter, A. M., Lincoln, K. D., & Francis, D. D. (2011). Conceptualizing racial disparities in health: advancement of a socio-psychobiological approach. Du Bois Review: Social Science Research on Race, 8(1), 63–77.
Coleman, J. A. (2016). Racial differences in posttraumatic stress disorder in military personnel: Intergenerational transmission as a theoretical lens. Journal of Aggression, Maltreatment & Trauma, 25(6), 561–579. https://doi.org/10.1080/10926771.2016.1157842
Coleman, J. A., Ingram, K. M., & Sheerin, C. M. (2019). Racial differences in posttraumatic stress disorder symptoms among African American and Caucasian male veterans. Traumatology, 25(4), 297.
Copeland, V. C., & Snyder, K. (2010). Barriers to mental health treatment services for low-income African American women whose children receive behavioral health services: An ethnographic Investigation. Social Work in Public Health, 26(1), 78–95. https://doi.org/10.1080/10911350903341036
Council on Social Work Education. (2020). Council of Field Education. Retrieved July 23, 2020, from https://www.cswe.org/About-CSWE/Governance/Commissions-and-Councils/Council-on-Field-Education.aspx
Danzer, G., Rieger, S. M., Schubmehl, S., & Cort, D. (2016). White psychologists and African Americans’ historical trauma: Implications for practice. Journal of Aggression, Maltreatment & Trauma, 25(4), 351–370. https://doi.org/10.1080/10926771.2016.1153550
Daugbjerg, S. B., Kahlmeier, S., Racioppi, F., Martin-Diener, E., Martin, B., Oja, P., & Bull, F. (2009). Promotion of physical activity in the European region: Content analysis of 27 national policy documents. Journal of Physical Activity and Health., 6(6), 805–817.
Gaston, G. B., Earl, T. R., Nisanci, A., & Blake Glomb, B. (2016). Perception of mental health services among Black Americans. Social Work in Mental Health, 14(6), 676–695. https://doi.org/10.1080/15332985.2015.1137257
Healey, P., Stager, M. L., Woodmass, K., Dettlaff, A. J., Vergara, A., Janke, R., & Wells, S. J. (2017). Cultural adaptations to augment health and mental health services: A systematic review. BMC Health Services Research, 17(1), 8. https://doi.org/10.1186/s12913-016-1953-x
Kataoka, S., Novins, D. K., & Santiago, C. D. (2010). The practice of evidence-based treatments for ethnic minority youth. Child and Adolescent Psychiatric Clinics of North America, 19(4), 775–789.
Lyter, S. C. (2012). Field note: Potential of field education as signature pedagogy: The field director role. Journal of Social Work Education, 48(1), 179-188. https://doi.org/10.5175/JSWE.2012.201000005
Maryland Department of Health. (2018). Code of Maryland Regulations. Retrieved July 1, 2020, from http://www.dsd.state.md.us/comar/subtitle_chapters/10_Chapters.aspx#Subtitle41
Misurell, J., & Springer, C. (2013). Developing culturally responsive evidence-based practice: A game-based group therapy program for child sexual abuse (CSA). Journal of Child & Family Studies, 22(1), 137–149. https://doi.org/10.1007/s10826-011-9560-2
National Institute of Health. (2016). Grants, compliance and oversight. Retrieved August 26, 2021, from https://grants.nih.gov/policy/compliance.htm
Olcoń, K., Gilbert, D. J., & Pulliam, R. M. (2020). Teaching about racial and ethnic diversity in social work education: A systematic review. Journal of Social Work Education, 56(2), 215–237. https://doi.org/10.1080/10437797.2019.1656578
Olson-Morrison, D., Radohl, T., & Dickey, G. (2019). Strengthening field education: An integrated model for signature pedagogy in social work. InSight: A Journal of Scholarly Teaching, 14, 55–73.
Purtle, J., Brownson, R. C., & Proctor, E. K. (2017). Infusing science into politics and policy: The importance of legislators as an audience in mental health policy dissemination research. Administration and Policy in Mental Health and Mental Health Services Research, 44(2), 160–163. https://doi.org/10.1007/s10488-016-0752-3
Purtle, J., & Lewis, M. (2017). Mapping trauma-informed legislative proposals in U.S. Congress. Administration and Policy in Mental Health and Mental Health Services Research, 44(6), 867–876. https://doi.org/10.1007/s10488-017-0799-9
Rice, N., & O’Donohue, W. (2002). Cultural sensitivity: A critical examination. New Ideas in Psychology, 20(1), 35–48.
Rochefort, A. (2020). Regulating social media platforms: A comparative policy analysis. Communication Law & Policy, 25(2), 225–260. https://doi.org/10.1080/10811680.2020.1735194
Shields, J. J., Delany, P. J., & Smith, K. E. (2015). Factors related to the delivery of trauma services in outpatient treatment programs. Journal of Social Work Practice in the Addictions, 15(1), 114–129. https://doi.org/10.1080/1533256X.2014.996230
Shulman, L. S. (2005). Signature pedagogies in the profession. Daedalus, 134(3), 52–59.
UN General Assembly. (1965). United Nations of Human Rights Office of the High Commissioner. Retrieved September 1, 2021, from https://www.ohchr.org/en/professionalinterest/pages/cerd.aspx
U.S. Census Bureau. (2015). Facts for Features Black (African-American) History Month: February 2015. Retrieved July 1, 2020, from https://www.census.gov/newsroom/facts-for-features/2015/cb15-ff01.html
U.S Health and Human Services Office of Minority Health. (2019). Black/African American profile. Retrieved October 12, 2021, from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61
Virginia Department of Behavioral Health and Developmental Services. (2018). Office of Licensing. Retrieved July 1, 2020, from https://www.dbhds.virginia.gov/quality-management/Office-of-Licensing
Washington D.C. Child and Family Services Agency. (2020). Families First DC. Retrieved December 28, 2021 from https://cfsa.dc.gov/page/families-first-dc
Washington D.C. Department of Behavioral Health. (2020). Policies and Notices. Retreived July 1, 2020 from https://dbh.dc.gov/node/240592
Williams-Washington, K. N., & Mills, C. P. (2018). African American historical trauma: Creating an inclusive measure. Journal of Multicultural Counseling and Development, 46(4), 246–263.
Wilson, B., & Nochajski, T. H. (2016). Evaluating the impact of trauma-informed care (TIC) perspective in social work curriculum. Social Work Education, 35(5), 589–602. https://doi.org/10.1080/02615479.2016.1164840
Wilton, L., Herbst, J. H., Coury-Doniger, P., Painter, T. M., English, G., Alvarez, M. E., Scahill, M., Roberson, M. A., Lucas, B., Johnson, W. D., & Carey, J. W. (2009). Efficacy of an HIV/STI prevention intervention for black men who have sex with men: Findings from the Many Men, Many Voices (3MV) project. AIDS and Behavior, 13(3), 532–544. https://doi.org/10.1007/s10461-009-9529-y
Yanovitzky, I., & Weber, M. (2020). Analysing use of evidence in public policymaking processes: A theory-grounded content analysis methodology. Evidence & Policy: A Journal of Research, Debate and Practice, 16(1), 65–82.
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Ross, K., Van Sluytman, L. Race-Based Trauma and Treatment Outcomes: An Examination of State Organizational Policies and Implications in Social Work Field Education. J. Hum. Rights Soc. Work 7, 449–453 (2022). https://doi.org/10.1007/s41134-021-00205-w
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DOI: https://doi.org/10.1007/s41134-021-00205-w