Alexandra Gantt-Howrey, Mickey Lin, Afroze Shaikh, Kaprea F. Johnson, Judith W. Preston, Liz Wilson
{"title":"Assessing social determinants of mental health: Client experiences and counselor practices","authors":"Alexandra Gantt-Howrey, Mickey Lin, Afroze Shaikh, Kaprea F. Johnson, Judith W. Preston, Liz Wilson","doi":"10.1002/jcad.12519","DOIUrl":null,"url":null,"abstract":"<p>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’ (<i>N</i> = 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.</p>","PeriodicalId":48104,"journal":{"name":"Journal of Counseling and Development","volume":"102 4","pages":"394-405"},"PeriodicalIF":2.3000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Counseling and Development","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jcad.12519","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, APPLIED","Score":null,"Total":0}
引用次数: 0
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.
期刊介绍:
Journal of Counseling & Development publishes practice, theory, and research articles across 18 different specialty areas and work settings. Sections include research, assessment and diagnosis, theory and practice, and trends.