course material

1. Analyzing Focus Group Findings Mental Health Discussion
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DiscussionImagine that two focus groups have been conducted in an Asian American and
immigrant community in a large urban city. The rationale of conducting the qualitative
study was because it has been noted that many Asian Americans and immigrants are
reluctant to seek mental health services. To further understand this issue, service providers
including social workers, counselors, doctors, and nurses were recruited to discuss the
barriers in implementing mental health services targeted to Asian Americans and
immigrants. After the focus groups were transcribed, two research assistants were hired to
conduct a content analysis of the transcripts. Refer to the Week 5 Handout: Content Analysis
of Focus Groups. Analyzing Focus Group Findings Mental Health DiscussionAs the social
worker, you have been asked to analyze the focus group data and are charged with working
with an advisory board in the community to formulate social work practice
recommendations using the ecological model.To prepare for this Assignment, review Week
5 Handout: Content Analysis of Focus Groups.QuestionSubmit a 3-4-page report of the
following:Discuss the themes found in the Week 5 Handout: Content Analysis of Focus
Groups. Based on this data, what is your analysis of the current barriers to services?Create
two social work recommendations to address a current barrier and explain how the
recommendation proposed addresses the findings.Discuss how you would collaborate with
the research stakeholders (e.g. service providers and community members) to ensure that
the data are interpreted accurately and that the practice recommendations made will be
culturally appropriate.Critically reflect on your own culture and explain how your cultural
values and beliefs may have influenced how you interpreted the focus group data. What
specific cultural knowledge do you think you need to obtain to conduct culturally sensitive
research with this group?Support the assignment with references using assigned readings
and/or additional scholarly literature. Analyzing Focus Group Findings Mental Health
DiscussionRequired ReadingsKnight, K. R., Lopez, A. M., Comfort, M., Shumway, M., Cohen, J.,
& Riley, E. D. (2014). Single room occupancy (SRO) hotels as mental health risk
environments among impoverished women: The intersection of policy, drug use, trauma,
and urban space. International Journal of Drug Policy, 25(3), 556-561. Retrived from
https://www-ncbi-nlm-nih-
gov.ezp.waldenulibrary.org/pmc/articles/PMC4014526/Document: Lee, M. Y, Wang, X.,
Cao, Y., Liu, C., & Zaharlick, A. (2016). Creating a culturally competent research agenda. In A.

2. Carten, A. Siskind, & M. P. Greene (Eds.), Strategies for deconstructing racism in the health
and human services (pp. 51-65). New York, NY: Oxford University Press. (PDF)Copyright
2016 by Oxford University Press. Used with permission of Oxford University Press via the
Copyright Clearance Center. Retrieved
from https://class.content.laureate.net/b5fdb51ddb7b9ba…Marsiglia, F.F. & Booth, J.M.
(2015). Cultural adaptations of interventions in real practice settings. Research on Social
Work Practice, 25(4), 423-432. Retrieved from https://journals-sagepub-
com.ezp.waldenulibrary.or…Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content
analysis and thematic analysis: Implications for conducting a qualitative descriptive
study. Nursing & Health Sciences, 15(3), 398-405. Retrived from https://onlinelibrary-
wiley-com.ezp.waldenulibrary…Document: Week 5 Handout Content Analysis of Focus
Groups (PDF) (attached) Analyzing Focus Group Findings Mental Health
Discussionattachment_1Unformatted Attachment PreviewWeek 5 Handout: Content
Analysis of Focus Groups 1 Research Question 1: What are the barriers in implementing
mental health services in the Asian American community? Research Design: Qualitative,
Descriptive Research Method: Focus groups Patient Related Barriers Social Stigma
Associated with Mental Illness “….but also a lot of my patients have a fear of going to
psychiatrists because of the social stigma ….” and most of them have financial difficulty and
have to pay an additional fee to pay for psychiatry. (DN, pg. 1) Financial Difficulties “….but
also a lot of my patients have a fear of going to psychiatrists …. and most of them have
financial difficulty and have to pay an additional fee to pay for psychiatry.” (DN, pg. 1)
Characteristics of the Asian patient Mistrustful of mental health “I found it easier sometimes
to refer them to someone else because a lot of times I find that the Chinese patients are
unwilling to open up or trust.” (TPW, pg. 2) “we have to see why Asians go to see a health
care provider, forget about whether the mental health profession, or even a regular
clinician. Why does the patient see the provider..is it because they have seen a chinese
herbalist and have failed and have used their last efforts to see a western doctor, that will
put tremendous expectations on this relationship, as opposed to someone who comes to see
the doctor for the first time and has faith that the Western doctor.” (Anthony, pg. 7) Don’t
Ask for Assistance “It is hard to get them ask for help and ….. “ (TPW, pg. 2) Patient’s View of
Mental Health Provider as Last Resort “we have to see why Asians go to see a health care
provider, forget about whether the mental health profession, or even a regular clinician.
Why does the patient see the provider..is it because they have seen a chinese herbalist and
have failed and have used their last efforts to see a western doctor, that will put tremendous
expectations on this relationship, as opposed to someone who comes to see the doctor for
the first time and has faith that the western doctor.” (Anthony, pg. 7) Week 5 Handout:
Content Analysis of Focus Groups 2 Service Provider Related Barriers “Despite all the
training I have found that working with Chinese populations there are a lot of barriers I am
finding that it is not as easy working with them.” (TPW, pg. 2) “Pass the Buck theme” I found
it easier sometimes to refer them to someone else because a lot of times I find that the
Chinese patients are unwilling to open up or trust. Analyzing Focus Group Findings Mental
Health Discussion(TPW, pg. 2) Lack of training/skills/expertise “….and I find that I struggle
with my own skills and I am trying to get some help in being a better primary care provider

3. and getting my skills more fine tuned for the population that I work with.” (TPW, pg. 2) “On
the Western provider side, we noticed that when a provider is confronted with a Western
patient they are reluctant to enter areas because they are not really sure if that behavior is
natural to that culture so that while they know pathology on the one hand they are not sure
if what they are seeing is pathological. I remember one indian psychiatrist said that a
schizophrenic in india is the same schizophrenic in NY but you know there are excuses
sometimes and avoidance so educating the general provider concerning what really can be
expected is very important.” (MAC, pg. 8) “My comment is very similar, there are very big
knowledge gaps for providers and what providers bring to the situation…” (JK, pg. 8)
Cultural Assumptions “well what you have to think about is other areas, our own cultural
biases. There are certain things that I make assumptions on without even knowing it just
because of what I know growing up or and I think these are areas we need to address.”
(Ernesto, pg. 7) Systems Barriers Primary Care is the Access Point for Patients with Mental
Disorders “….primary care as sort of the gatekeeper those are the guys that are picking up
the symptoms and so I sort of see that this is a good project to enhance our understanding
of this population.” (AN, pg. 2) Changing Financial Systems “Another issue is that there are
financial issues that primary physicians often see that there is cost shifting going on that
psychiatry or whomever else is telling us to do this new activity that is really shifting a
responsibility” (LR, pg. 4) Week 5 Handout: Content Analysis of Focus Groups Changing of
Responsibilities “Another issue is that there are financial issues that primary physicians
often see that there is cost shifting going on that psychiatry or whomever else is telling us to
do this new activity that is really shifting a responsibility” (LR, pg. 4) Professional
Medical/Psychiatry Culture Differing Cultures and Ideologies Within Medical Profession
“one major barrier is that there is a difference in physician culture that an internalist
perceives a different way of treating a patient than a family care doctor and the pediatrician
looks at it differently than an internalist and that certain cultures when they have certain
specialty referral systems will feel differently when they specialty referral system is used
less frequently, and we have found them being treated much differently” (LR, pg.4)
Miscellaneous “we tend to forget that the mental health problems are a spectrum, they may
not be necessarily psychosis or dementia, manic depression, they may not be a DSM 4
diagnosis, they may be life style related , they are a state of flux it is a spectrum, when a
women is having infertility when a women loses a pregnancy when a women delivers a
baby and it is another girl but she wanted a boy, or when she delivers a baby it is what she
wanted but the constraints, but the burden is too much, so it can gyn issues it could be ob
issues but they are not dsm categories and I think that a barrier is that we do not
acknowledge the existence of these kinds of things…” (IH, pg. 6) “The other big thing that I
think of is the other side of the spectrum which is when we do see these patients and when
we do have the luxuries of identifying these issues that I have just outlined that we try to
squeezed these people into the diagnoses that I just described so we make it into an anxiety
disorder or we make it into a depression when it could be just life style related or cultural
related..” (IH, pg. 6) 3 …Analyzing Focus Group Findings Mental Health Discussion