...Mental Health Care Disparities: Consequences of Ineffectiveness and Lack of Access for Minorities Ebony Marinnie RN Rowan University Mental Health Care Disparities: Consequences of ineffectiveness and lack of access for minorities For ages mental illness has been seen as the ultimate curse. The mentally ill were seen as possessed, hidden from society, and never talked about. In America, it is estimated that 26.2 percent of people ages 18 and older suffer from a diagnosed mental disorder in a given year (Kessler,Chiu, Walters, & Demler, 2005). The aforementioned statistics reflect those that have sought or been forced into treatment. There are many left uncounted due to lack of access and ineffective treatment secondary to a number of reasons. Considering history, discrimination, personal perception, socioeconomic status, educational backgrounds and a host of other reasons many minority groups are reluctant to seek out treatment in what many may consider a system of mental health created and sustained primarily for the middle and upper-class White America. In fact, 60 percent of people with mental illnesses do not receive treatment (Kessler et al., 2005). The purpose of this paper is to discuss mental health care disparities in minority populations within American society, and to suggest some needed changes to close the gap in America. One quarter of all Americans meet the criteria for having a mental illness and a quarter of those have a disorder that significantly...
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...culture and heritage importance in health care. .People from different parts of world carry different cultures . Each culture overview health in different ways. Understanding the culture make it easy to provide quality health care to individuals and families. Every culture have their own health belief to that what causes sickness and who should be involved in curing and what sort of remedy to be taken to cure the disease . The more the understanding of the culture of a patient the better the care the patient receives.”The Heritage Assessment Tool” is designed to find a patients cultural, religious, family and ethnic back ground. The norms and practices in each culture is varied. The “Heritage Assessment Tool” gives nurse a picture of the patients understanding regarding the health beliefs ,illness ,health and health promotion. This helps for the plan of developing a culturally appropriate health care. In this paper the goal of the author is to summarize the results of the assessments done on three different families of different cultures and utilize the results to plan the health promotion based on different cultures. The family support and family values are strong support for patient health care and health maintenance and health promotion. Author interviewed three...
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...hard to pick one, but the one that I am going to address is Racial Discrimination and Hispanics in the US. The reason that I have chosen this is because it is subject that doesn’t get addressed as much as it does with African Americans. Now racial discrimination is a term that is used to let you know about how unfair or unruly behavior can be when it is directed to a certain race. Now as far as we can remember racial discrimination goes back as far as we can remember. Now racial discrimination is not only directed to one race it is all races like African Americans, Native Americans, Asian Americans, and Hispanics, and of course other races. Now when it comes to the Hispanics they have had a hard time to be able to fit in and be fully accepted, and have the same opportunity as the rest. Hispanics are about 12.5% of our population here in the US, although Hispanics have been considered as a minority group of our population that is also very often looked at as a monolithic community. It’s sad that they have to discriminate and it continues in the workplace, and pretty much where ever they go. Now according to a report that was released on Human Rights Record of the United States, there is one in every three Hispanics in the US that doesn’t have health insurance. The poverty rate for Hispanics is 21.9% compared to the non-Hispanic Whites and there rate is 8.6%, wow that is a big difference. Now from what I have seen this race has been least respected, and they get the crappiest...
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...Heritage Assessment Paper Trista M. Pattison Grand Canyon University: Family Centered Health Promotion May 19, 2013 Heritage is defined as something acquired from the past or given to someone as a result of their birth (Merriam-Webster,2013). Heritage can vary for everyone not just because of our genetics, but also due to how one chooses to continue with aspects of that heritage for the next generations to remember. Heritage also plays a major role in how people may see the medical field and illnesses. There are multiple ways to assess a person’s heritage to make sure that patient is being cared for in a way they see fit. The Heritage Assessment Tool is one way to evaluate the needs of patients. This tool helps the health care team understand what that patient finds to be an important part of them, to make sure they are being cared for as a whole person. The assessment tool helps the health care team know what cultural background the patient has and what parts of that culture or cultures they choose to apply to their life. It also assesses the religious aspect of the patient to make sure the staff knows those variables, as the patient may have special religious needs to be covered while being cared for. The Heritage Assessment Tool assesses if the patient has a lot of family involvement, which lets the staff know they have family support for when they get discharged and that the family should be involved in the discharge discussions. These things...
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...they are and where their origin lie. Health care has to be specific with patients need and patients traditional and cultural values should be consider. Individuals here in United States came from different cultures, however they still sustained their deep culture, believes and tradition. To deliver high quality health care services to a wide diverse population, it is important to be culturally competent. In the United States where a big part of the population are immigrants coming from all over the world (Edelman, Kudzma, & Mandle, 2014). This is where the Heritage Assessment Tool (HAT) becomes very appropriate. Heritage assessment is the most useful tool in the health care. It can provide better understanding of our patient’s culture. It help assessing one’s religious, ethnic and cultural heritage along with health traditions. With adequate knowledge, the health care provider will know how best to balance medical practice with the traditions patients holds (Spector, 2009).This will ensure that there is a balance and understanding between traditional and modern culture. Health care providers should respect the traditions and values of their patient and make sure to consider patient preferences and their needs. PAKISTANI HEALTH CULTURE: The writer is Asian American Pakistani by descent belongs to an extended family with 7 members. In writer’s culture, Parents are the most important decision makers in every aspects of life including health. Like many other cultures, Pakistani...
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...Ellis Island was the first immigration quarantaine station to operate in the United States. Being located on the atlantic ocean coast of the United States, Ellis Island was a common and frequent destination for Europeans. In Ellis Island the immigrant demographic ranged from western,eastern, southern, and northern European. Typically, the immigrant who was white, able bodied, and had at least a middle socio-economic class was favored to become American citizen candidates. In Galusca’s scholarly research paper, she explains this by, “Health, economic status, and race were central to anti-immigration discourses that labeled immigration as either “poor” or “good,” with the evident implication that immigrants of poor health, poor economic status,...
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...8/31/2012 What is a heritage assessment? A heritage assessment is a subpart to the overall nursing assessment. Assessing a patient’s heritage allows the nurse to obtain more information about a patient’s culture, including beliefs about health and values, this is important to providing cultural health care. One’s heritage includes information about their cultural beliefs and practices of the family and ethno religious community (Jarvis, C., 2012). Through a heritage assessment the nurse can obtain a vast amount of information about the patient/ family, including but not limited to, where ancestors were born, how many siblings they have, if the family originated in another country, how often time is spent with family, religion, if the patient prefers the company of people with the same values and religion or ethnic background, what type of foods the patient prepares, and the patient’s native language. This paper will discuss what the author learned from completing a heritage assessment tool, the usefulness of a heritage assessment tool when assessing a patient/ family/ community as a whole. This paper will also compare the health traditions of three different families (and cultures) to include, health maintenance, health protection, and health restoration, while identifying common traditions based on the author’s heritage. What the families ascribe their traditions to will also be discussed. To begin, what was learned from the heritage assessment tool and why it is useful to...
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...are eight different Latino groups, which are Mexican, Puerto Rican, Dominican, Colombian, Ecuadorian Salvadoran Peruvian and Guatemalan. In regards to the literature review on Latino experience I have gathered in the semester is that. Puerto Ricans historically have been the 2nd largest Latino population in the New York City. I know from personal knowledge that the Cubans that are domestic born are the richest among all the Hispanic groups right now in 2015. Cuban’s Latino group is at the top in regards to socio economic and educational attainment. In Latino studies and survey’s focuses on comparing socio economic conditions and cultural conditions and problems found within in each primary Latino group. Latino group on the whole still control a small portion of wealth in New York City compared to non Hispanic White, Black, and Asian city residents. The socio economic lower income levels among Latinos maybe at least partially because of lower education attainment compared with Asian, Black and non Hispanic whites. Approximately two thirds of New York City Latinos over the age of 25 reported having no college education, which is higher than Asian, Black and non Hispanic. Puerto Ricans are also the only national group in the Latino population where the majority of respondents were born in the United States. For all other national groups being Latino generally also means being an immigrant. (Howard Caro-Lopez center for Latin American, Caribbean and Latino studies). In addition...
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...Explain the issues of reliability and validity in the classification and diagnosis of Schizophrenia Schizophrenia is a chronic mental health condition in which causes a range of psychological symptoms. There are two types of symptoms a person with schizophrenia may experience; positive symptoms and negative symptoms. One example of a positive symptom might be a delusion. A delusion is when a sufferer has an extreme sense that unreal event or belief is real, due to distortions of reasoning. In addition to this the sufferer may also have hallucinations, which are also an example of a positive symptom. A hallucination is often described as a visual or auditory distortion, for example “hearing voices”. Alogia is an example of a negative symptom. Alogia is the inability of a sufferer to speak fluently. A final example of a negative symptom is social withdrawal. If a person has social withdrawal they will try to avoid any interactions with other people. Schizophrenia can be diagnosed by classification, in the diagnostic and statistical manual of mental disorders (DSM). The DSM assumes that all mental disorders are distinct from each other, and that patients can be categorised with a disorder based on their having particular symptoms. However, diagnosing abnormality is not as straightforward as this approach suggests. For example the DSM categorises Schizophrenia into five different types; disorganised, catatonic, paranoid, undifferentiated, and residual. Because of this...
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...Theorized to be used as a religious sacrament to early Jews and Christians. * In 1619, Jamestown Colony, Virginia passed a law that required farmers to grow hemp and could be jailed for not growing it. * The banning of cannabis began in the early 20th century around the world. IV. Why it’s illegal * Early 1900s, the western states developed tensions regarding Mexican-Americans. Once the differences were settled, it was revealed that the Mexicans were taking the plants with them and smoking it, which was when California passed the law outlawing “preparations of hemp or loco weed.” * The first state law was not only influenced by Mexicans smoking it, but Mormons as well. * Other states followed stating that once a Mexican uses the drug, they have a state of mind where they are the “mayor of Mexico” and out to execute all of their political enemies.” In Texas, a senator said that “all Mexicans are crazy and smoking the Marijuana is what makes them crazy” V. Why it’s illegal * In the eastern states, the problem was attributed to black jazz musicians and Latin Americans. * With Jazz being popular at the time, the marijuana travelled with the musicians to New Orleans, Chicago and then to Harlem where it became an irreplaceable part of the music scene. * Again, racism was...
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...Assessment and Analysis - Rio Grande The lower Rio Grande Valley is located along the United States and Mexican border. The lower Rio Grande Valley consists of four counties along the southernmost tip of Texas (Migrant Health Promotion, 2012). These counties include metropolitan areas such as Rio Grande City, McAllen, Harlingen, and Brownsville (Migrant Health Promotion, 2012). The Rio Grande Valley is nestled right along the Rio Grande River which is why the area is so abundant in agriculture. In phenomenological communities, place is emphasized more by the sense of belonging among the members (Maurer & Smith, 2009). The lower Rio Grande Valley has over one million people in which 90 percent of the population is Hispanic (Migrant Health Promotion, 2012). The Valley is known to be home to one of the largest concentrations of farm workers in the United States (Migrant Health Promotion, 2012). A considerable amount of farm workers travel from Mexico to work in agriculture in the United States and because of this, the members of this community can relate. Four counties in the southern tip of Texas along the Mexican border make up the Lower Rio Grande Valley. Over 1 million people make up this population with 85 to 98% being Hispanic. It is made up of over 2,000 colonias and most of residents. Colonia is a Spanish term for community along the United States-Mexican border. These are in unincorporated and unregulated neighborhoods where lower-income families build homes...
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...all over to the United States because of the opportunities offered here. Latino immigrants face many problems and I want to focus on education. Culture from different races that come to America and how important the value of education is to these cultures. Also the troubles and boundaries that cultures face with education in America. People started emigrating to the United Stated many years ago. The article “Immigration” is from the The American Economy: A Historical Encyclopedia and is written by Eric Pullin. This article is a brief summary of immigration in America. Pullin briefly explains the emigration that occurred during the nineteenth and twentieth century. A lot of immigrants emigrated to the U.S because of “educational...
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...unalienable rights that cannot be confined by any political movement or ideology which attempts to abolish them. One of the most imperative of these is the freedom of expression. The freedom to express one’s self, whether it be by religion, speech, or association, is in serious harm today in American politics. In recent years Halloween costumes have become more and...
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...driving the epidemic?, 2012. 02). This is becoming a harmful trend which is contributing to the rise of chronic diseases. Obesity does not discriminate and studies over the years have found that there is a significant difference in obesity by ethnicity and race and it differs by sex and age. Obesity is a major contributor of heart disease, cancer, liver and gallbladder diseases, sleep apnea and respiratory issues, depression, infertility, erectile dysfunction and mental health conditions (Jacobson, 2000). In the past 20 years, obesity has risen in the United States and continues to rise with more than 35.7 % of the adults and 17% of children between the ages of 2-19 years of age suffering from obesity today. Studies have shown that obesity affects differently between the ethnic groups, males and females and the higher and lower income brackets. Between the Non-Hispanic Blacks, Mexican Americans, Hispanics, and Non-Hispanic Whites, obesity is higher in Non-Hispanic Blacks (49.5%) as opposed to Mexican Americans (40.4%) with Hispanics (39.1%) and...
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...Concepts in Community and Public Health Community Assessment and Analysis Part II: Hispanic Obesity in Las Vegas, Nevada In this report, the Hispanic community was assessed using Gordon’s 11 Functional Health Patterns. The Hispanic people were found to have a high rate of obesity and other health related problems. From looking the different social, cultural, behavioral, environmental, and economic aspects, obesity, and chronic diseases impact not only individuals and families but society as a whole. Their strengths and weaknesses were put into two clusters and nursing diagnoses were provided for each cluster. Next, they were prioritized by level of importance and a rationale was provided. The Hispanic community in Las Vegas, Nevada has many strong points, as well as many weaknesses regarding their health. Value/Belief Pattern: Hispanics believe that there is a path of life is set in stone for them. These beliefs deter Hispanics from getting preventative care and screened for chronic diseases or cancers. The majority of Hispanics in Las Vegas are Catholic and this accompanies strong beliefs. A chronic disease or cancer is believed to be a punishment from God (Carteret, 2011). Some illness and diseases are believed to be an imbalance of ‘hot’ and ‘cold’ and it is believed that these illnesses can be treated with consuming the opposite (Kemp, 2005). Family and higher powers of authorities in respect is very much valued for the Hispanic people. Health Perception/Management: ...
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