Assessing social determinants of mental health: Client experiences and counselor practices.
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| Title: | Assessing social determinants of mental health: Client experiences and counselor practices. |
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| Authors: | Gantt‐Howrey, Alexandra, Lin, Mickey, Shaikh, Afroze, Johnson, Kaprea F., Preston, Judith W., Wilson, Liz |
| Source: | Journal of Counseling & Development (John Wiley & Sons, Inc.). Oct2024, Vol. 102 Issue 4, p394-405. 12p. |
| Subjects: | Competency assessment (Law), Social determinants of health, Professional practice, Social justice, Descriptive statistics, Race, Counseling, Factor analysis, Health equity, Patient satisfaction, Patients' attitudes |
| Abstract: | Increasing socioeconomic challenges and their impacts on mental health support the importance of assessing clients' social determinants of mental health (SDMH) challenges. We examined counseling clients' (N = 390) experiences with SDMH assessment in counseling using the Client Perceptions of SDMH Assessment Scale (CP‐SDMH). Confirmatory factor analysis confirmed a three‐factor structure for the CP‐SDMH. Results suggest potential biases in SDMH assessment practices. Clients reported that SDMH assessment most often occurred verbally and in relation to health and economic issues. Disparities emerged, indicating higher assessment frequency for Black/African American clients compared to White clients, and lower SDMH assessment rates for clients in specific settings, such as private practices. Furthermore, results indicate a significant positive correlation between assessment of SDMH challenges and client satisfaction. Implications for counseling and future research are discussed. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Counseling & Development (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Increasing socioeconomic challenges and their impacts on mental health support the importance of assessing clients' social determinants of mental health (SDMH) challenges. We examined counseling clients' (N = 390) experiences with SDMH assessment in counseling using the Client Perceptions of SDMH Assessment Scale (CP‐SDMH). Confirmatory factor analysis confirmed a three‐factor structure for the CP‐SDMH. Results suggest potential biases in SDMH assessment practices. Clients reported that SDMH assessment most often occurred verbally and in relation to health and economic issues. Disparities emerged, indicating higher assessment frequency for Black/African American clients compared to White clients, and lower SDMH assessment rates for clients in specific settings, such as private practices. Furthermore, results indicate a significant positive correlation between assessment of SDMH challenges and client satisfaction. Implications for counseling and future research are discussed. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 15566676 |
| DOI: | 10.1002/jcad.12519 |
