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Qualitative study of mental health services as a social entrepreneurship

Research Prospectus

Colorado Technical University

Name

January 22, 2021

Abstract

The purpose of the qualitative study is to establish how the provision of mental health services as part of social entrepreneurship can benefit the nation with special emphasis placed on the state of Texas. Through understanding the mind of those in need of mental health services with special emphasis on the acceptance and rejection of mental health services it will be possible to come up with a business model that is attractive to those in need of the services. The target population will be residents of Texas. The study will be based on the qualitative methodology. The literature review section of the study will be divided into seven sections. The seven sections are mental health infrastructure, populations that accept mental health, populations that reject mental health, populations that have access to mental health, populations that do not have access to mental health, reasons for the rejection of mental health and the reasons for the use of mental health services.

[CTU Research Prospectus Template v2.0 August 2020]

Introduction

[Kohn et al. (2018) noted that in the United States (US), there is the existence of a gap between mental health patients that require treatment and those that successfully receive the treatment. Overall, there is a need to identify the social determinants of mental disorders, align them with its sustainable development goals, and identify potential mechanisms and targets for interventions (Lund, et al. 2018). Specifically, Lund et al., (2018) have expressed a need for further research on the reasons why people decide to utilize or reject mental health services.

This research study will examine the factors according to mental health providers that influence an individuals' decision to utilize or reject mental health services. The mental health providers will be asked for strategies to encourage patients to accept and to not reject treatment at the start of treatment and when continuing treatment. This research is needed to systematically review evidence regarding the potential mechanisms that cause people to utilize or reject mental health treatment. By so doing it will be possible to develop a business model that is based on the offering of mental health services. Such a business will not only generate income considering that there is a high rise in mental health complications but it will help in addressing the social issue of mental illnesses. The research hopes to confirm the viability of a business tied around mental health provision as a social entrepreneurship.

There is a need for the research at several levels. The reasons why people choose to utilize or reject treatment lead to a treatment gap. According to Kohn, et al. (2018), there is a gap in mental health treatment in America when examined through the prevalence of mental health disorders and the lack of use of mental health services. For example, while 42.6% of children and adolescents in the US suffered mental illness, the treatment gap in this group was 64%. The use or rejection of mental health services depends upon the collaborative nature of participating in treatment; the patient and the provider work together to make the therapy worthwhile.

Mental health is a national problem as well. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Justice, millions of people suffer from mental illness in this country. According to the National Alliance on Mental Health (2019), 47.6 million people in the U.S. experienced signs of a mental illness in 2018. This amounts to one in every five adults. Roughly 11.4 million Adults between the ages of 25 and 35 had an episode of serious mental illness that same year.

In 2016, 7.7 million young people between the ages of 6 and 17 experienced some sort of mental health disorder, while 9.2 million people were reported to have experienced a substance use disorder (National Alliance on Mental Illness, 2019). The high numbers necessitate raising public awareness and campaigning for a better health care system (Hamilton.et al. 2016). Through the development of a business model targeting those in need of mental health services, it will be possible to not only generate income for the services rendered but it will be possible for a social issue to be addressed.

Problem Statement Comment by Dawn Howell: This should be centered and your Problem Statement should be no more than one paragraph of 250-350 words. Yours is 2 paragraphs. What does research say about your topic. You need to cover the “well supported” element of the task. Research tells us ….. Also, you need to include the remainder of the template in each submission regardless of whether they are filled out or not. Each task is interwoven with the one before and the one after.

The problem is that it is not known how mental health providers describe the factors influencing individual decisions to utilize or reject mental health services. Without an understanding of what the reasons are for use or rejection, it is unlikely that successful interventions can occur that would enable more people to utilize mental health services.

The importance of addressing this problem is because people’s mental health depends on their use or rejection of mental health treatment. Knowing the positive reasons that people take advantage of services may help bring additional people in need in contact with services. Knowing the barriers may lead to policies or programs that can overcome the barriers. Lack of mental health treatment has dire implications including lost productivity, unemployment, job absenteeism, and lack of involvement in the community (Mental Health Workforce in Texas, 2016).

References

Augsberger, A., Yeung, A., Dougher, M., & Hahm, H. C. (2015). Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. BMC health services research15(1), 542. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-1191-7

Colorafi, K. J., & Evans, B. (2016). Qualitative descriptive methods in health science research. HERD: Health Environments Research & Design Journal, 9(4), 16-25.

Hamilton, J. E., Desai, P. V., Hoot, N. R., Gearing, R. E., Jeong, S., Meyer, T. D., ... & Begley, C. E. (2016). Factors associated with the likelihood of hospitalization following emergency department visits for behavioral health conditions. Academic Emergency Medicine23(11), 1257-1266. https://onlinelibrary.wiley.com/doi/full/10.1111/acem.13044

Kim, Sefcik, & Bradway (2017): Staying focused on non-treatment seekers. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6552680/

Kohn, R., Ali, A. A., Puac-Polanco, V., Figueroa, C., López-Soto, V., Morgan, K., . . . Vicente, B. (2018). Mental health in the Americas: An overview of the treatment gap. Revista Panamericana De Salud Publica = Pan American Journal of Public Health, 42, e165. doi:10.26633/RPSP.2018.165

Lund, C., Brooke-Sumner, C., Baingana, F., Baron, E. C., Breuer, E., Chandra, P., . . . Saxena, S. (2018). Social determinants of mental disorders and the sustainable development goals: A systematic review of reviews. The Lancet Psychiatry, 5(4), 357-369. doi:10.1016/S2215-0366(18)30060-9

National Alliance on Mental Health (2020). Never Be Ashamed of Seeking Help. https://www.nami.org/Personal-Stories/Never-Be-Ashamed-of-Seeking-Help

The Mental Health Workforce in Texas, (2016). Continuing Challenges & Sensible Strategies. https://hogg.utexas.edu/wp-content/uploads/2016/07/2016_policybrief_workforce.pdf

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