Bias & barriers to services

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Bias & barriers to services

  1. 1. AODA Special PopulationsBarriers & Bias in Treatment Services
  2. 2. Barriers to Treatment ServicesWhat is a barrier? – Characteristics or events that restrain or serve as an obstacle to treatmentDimensions Internal External 2
  3. 3. Internal BarriersPerception Motivation Stigma Recognition of use Beliefs Opinions of others Privacy concerns Fear of the unknown 3
  4. 4. External Barriers Socio-cultural-environmental factors  Transportation  Childcare  Homelessness  Communication  Legal system  Discrimination Health care system  Options  Access Agency characteristics  Access & biases  Treatment style 4
  5. 5. Bias in ServicesEvaluation concerns Bias & mis/under/over diagnosing Culture bound syndromes & spiritual influencesSubstance abuse providers: What to do? Review records & clinical information 5 key questions  Were substance abuse issues included?  Were MH issues included?  Were cultural/spiritual issues included?  Were social/environmental stressors noted?  Am I aware of necessary medical issues? Collaborative contact
  6. 6. Provider InterventionsRecognition of types of barriers and bias and their influence on clientsRole of advocacy with barriers Intervention at clinician level Intervention at agency level 6

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