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Reducing mental health disparities by increasing the personal relevance of interventions
- Source :
- The American psychologist, vol 76, iss 1, Am Psychol
- Publication Year :
- 2021
- Publisher :
- eScholarship, University of California, 2021.
-
Abstract
- One of the most persistent health disparities is the underutilization of mental health services by people of color. Neither evidence-based treatments (universal focus) nor culturally adapted treatments (group focus) have reduced these disparities. We propose the personal relevance of psychotherapy (PROP) model, which integrates universal, group, and individual dimensions to determine the personal relevance of interventions. A cultural example of personal relevance among people of East Asian ancestry involves "face" (i.e., one's prestige and position in society), which may moderate treatment outcomes. Pragmatic intervention approaches focused on helping individuals cope with specific external problems, compared to managing a "personal" disease, can effectively "restore" face. Thus, social problem-solving interventions may be more personally relevant to many people of East Asian ancestry than are approaches that are internally focused. In addition, we posit that social neuroscience can offer unique opportunities above and beyond self-report measures when assessing the impact of PROP and the personal relevance of interventions for diverse populations. Our preliminary evidence upon testing this hypothesis indicated that among Asian Americans, exposure to problem-solving therapy content elicited significantly greater neural activity in brain areas associated with personal relevance compared to exposure to cognitive-behavioral therapy content. Identifying personally relevant interventions has the potential to reduce mental health disparities by increasing engagement with mental health services for diverse groups. The increased client engagement produced by personally relevant interventions also has the potential to make mental health services more effective for diverse groups. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
- Subjects :
- Mental Health Services
Evidence-based practice
Social Psychology
Psychological intervention
Social Sciences
050109 social psychology
PsycINFO
Article
Social neuroscience
Clinical Research
Behavioral and Social Science
Relevance (law)
Integrative psychotherapy
Humans
Psychology
0501 psychology and cognitive sciences
Cultural Competency
Healthcare Disparities
General Psychology
Cultural Characteristics
Cognitive Behavioral Therapy
Asian
05 social sciences
General Medicine
Mental health
Health equity
Brain Disorders
Mental Health
Good Health and Well Being
Cognitive Sciences
Clinical psychology
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- The American psychologist, vol 76, iss 1, Am Psychol
- Accession number :
- edsair.doi.dedup.....93df49866afe83611db2580589523dcf