Social Science - Sociology Assignment 8
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maginethattwofocusgroupshavebeenconductedinanAsianAmericanandimmigrantcommunityinalargeurbancity.docx
SOCW_6311_W08_ContentAnalysis.pdf
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Content Analysis of Focus Groups 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
• Participants: Healthcare providers 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 . . .”(RT, pg. 1) “Because of the stigma it is hard to get patients to ask for help and . . .” (AW, pg. 2)
Financial Difficulties “. . .and many have financial difficulty and have to pay an additional fee for psychiatry.” (RT, pg. 1)
Cultural Differences in Help-Seeking
“It is easier sometimes to refer patients to someone else because a lot of times I find that the Chinese patients I see are unwilling to open up or trust.” (AW, pg. 2)
“We have to see why Asians go to see a health care provider, forget about whether it’s in 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 [in] the Western doctor?” (CTS, pg. 7)
Service Provider-Related Barriers “Despite all the training, I have found that working with Chinese populations there are a lot of barriers.” (AW, pg. 2)
“Pass the Buck” Theme “It is easier sometimes to refer patients to someone else because a lot of times I find that the Chinese patients I see are unwilling to open up or trust.” (AW, pg. 2)
Lack of Training/Skills/Expertise
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“. . . and I find that I struggle with my own skills. I am trying to get some help in being a better primary care provider and getting my skills more fine- tuned for the population that I work with.” (AW, pg. 2) “On the Western provider side, we noticed that when a provider is confronted with a non-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 someone with schizophrenia in India has the same symptoms in New York, but you know, there are excuses sometimes and avoidance, so educating the general provider concerning what really can be expected is very important.” (RN, pg. 8) “My comment is very similar, there are very big knowledge gaps for providers and what providers bring to the situation . . .” (FA, 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 knew growing up, and I think these are areas we need to address.” (JG, pg. 7)
Systems Barriers
Primary Care Is the Access Point for Patients With Mental Health Conditions “. . . 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.” (MM, 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 where psychiatry or whomever else is telling us to do this new activity that is really shifting a responsibility.” (JS, pg. 4) Changing of Responsibilities “Another issue is that there are financial issues that primary physicians often see that there is cost shifting going on where psychiatry or whomever else is telling us to do this new activity that is really shifting a responsibility.” (JS, 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. An internalist perceives a different way of treating a patient than a family care doctor,
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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 the specialty referral system is used less frequently, and we have found them being treated much differently.” (JS, pg. 4)
Miscellaneous
“We tend to forget that mental health problems are a spectrum; they may not be necessarily psychosis or dementia, manic depression, they may not be a DSM diagnosis, they may be lifestyle related. They are a state of flux; it is a spectrum. When a woman is having infertility, when a woman loses a pregnancy, when a woman delivers a baby and it is another girl, but she wanted a boy, or when she delivers a baby that she wanted, but the burden is too much. So it can be 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 . . .” (PRF, pg. 6) “The other big thing that I think of 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 squeeze 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 lifestyle related or culture related . . . ” (PRF, pg. 6)
maginethattwofocusgroupshavebeenconductedinanAsianAmericanandimmigrantcommunityinalargeurbancity.docx
magine that two focus groups have been conducted in an Asian American and immigrant community in a large urban city. The rationale for conducting the qualitative study was a previous research finding that 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 completed a content analysis of the transcripts.
In this Assignment, you assume the role of the social worker reviewing the content analysis. You have been tasked with working with an advisory board in the community to formulate social work practice recommendations. You must also consider how culture may influence interpretation of qualitative data.
Submit a 3- to 4-page paper in which you:
· List the main themes found in the Content Analysis of Focus Groups. Based on the data, provide a thorough analysis of the current barriers to services (found in each theme).
· Select one barrier to service and create two social work recommendations to address that specific barrier. Use literature to support your recommendations.
· Discuss how you would collaborate with other service providers and key community members to ensure that they understand the need for a culturally appropriate intervention.
· 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 strategies would you undertake to become more culturally competent to practice or conduct research with this group?
Use the Learning Resources and peer-reviewed scholarly journal articles to support your paper. Make sure to include appropriate APA citations and a reference list.
submission information
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Rubric
SOCW_6311_Week8_Assignment_Rubric
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SOCW_6311_Week8_Assignment_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeSubmit a 3- to 4-page paper in which you:...List the main themes found in the Content Analysis of Focus Groups. Based on the data, provide a thorough analysis of the current barriers to services (found in each theme). |
10 to >8.9 ptsExceeds Expectation 90%-100%Response meets expectations and exceeds through insightful connection to social work research and practice and/or additional details and examples from the Learning Resources, peer-reviewed research, or other relevant sources. 8.9 to >7.9 ptsMeets Expectation 80%–89%Response lists the main themes found in the Content Analysis of Focus Groups. Response fully analyzes the current barriers to services based on the data relating to each theme. 7.9 to >6.9 ptsFair 70%–79%Response lists the main themes found in the Content Analysis of Focus Groups. The list may contain occasional omissions. Response provides a limited, incomplete, or vaguely developed analysis of the current barriers to services based on the data relating to each theme. 6.9 to >0 ptsNeeds Improvement 0%–69%Response may list the main themes found in the Content Analysis of Focus Groups, but the list is incomplete or inaccurate. Response makes little or no attempt to analyze the current barriers to services based on the data relating to each theme. |
10 pts |
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This criterion is linked to a Learning OutcomeSelect one barrier to service and create two social work recommendations to address that specific barrier. Use literature to support your recommendations. |
12.5 to >11.13 ptsExceeds Expectation 90%-100%Response meets expectations and exceeds through insightful connection to social work research and practice and/or additional details and examples from the Learning Resources, peer-reviewed research, or other relevant sources. 11.13 to >9.88 ptsMeets Expectation 80%–89%Response selects one barrier and creates two appropriate and specific social work recommendations to address that barrier. Recommendations are fully supported through reference to the Learning Resources or other peer-reviewed research. 9.88 to >8.63 ptsFair 70%–79%Response selects one barrier and creates two appropriate but general social work recommendations to address that barrier. Support for recommendations is limited, incomplete, or vague and/or does not reference the Learning Resources or other peer-reviewed research. 8.63 to >0 ptsNeeds Improvement 0%–69%Response makes little or no attempt to select a barrier and create two social work recommendations to address that barrier. If provided, the recommendations are inappropriate or unclear. Response makes little or no attempt to support the recommendations through reference to the Learning Resources or other peer-reviewed research. |
12.5 pts |
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This criterion is linked to a Learning OutcomeDiscuss how you would collaborate with other service providers and key community members to ensure that they understand the need for a culturally appropriate intervention. |
10 to >8.9 ptsExceeds Expectation 90%-100%Response meets expectations and exceeds through insightful connection to social work research and practice and/or additional details and examples from the Learning Resources, peer-reviewed research, or other relevant sources. 8.9 to >7.9 ptsMeets Expectation 80%–89%Response fully discusses plans for collaborating with other service providers and key community members to ensure understanding of the need for culturally appropriate intervention. ... Response demonstrates clear connection to the Learning Resources. 7.9 to >6.9 ptsFair 70%–79%Response provides a limited, incomplete, or vaguely developed discussion of plans for collaborating with other service providers and key community members to ensure understanding of the need for culturally appropriate intervention. ... Response may show evidence of connection to the Learning Resources, but it is vague or poorly connected. 6.9 to >0 ptsNeeds Improvement 0%–69%Response makes little or no attempt to discuss plans for collaborating with other service providers and key community members to ensure understanding of the need for culturally appropriate intervention. ... Response does not demonstrate connection to the Learning Resources. No resources are used to support the response. |
10 pts |
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This criterion is linked to a Learning OutcomeCritically 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 strategies would you undertake to become more culturally competent to practice or conduct research with this group? |
10 to >8.9 ptsExceeds Expectation 90%-100%Response meets expectations and exceeds through insightful connection to social work research and practice and/or additional details and examples from the Learning Resources, peer-reviewed research, or other relevant sources. 8.9 to >7.9 ptsMeets Expectation 80%–89%Response fully reflects on personal culture and how cultural values and beliefs may have influenced interpretation of focus group data. Includes specific strategies and plans for becoming more culturally competent with the group. ... Response demonstrates clear connection to the Learning Resources. 7.9 to >6.9 ptsFair 70%–79%Response provides a limited, incomplete, or vaguely developed reflection on personal culture and how cultural beliefs may have influenced interpretation of focus group data. Includes general strategies and plans for becoming more culturally competent with the group. ... Response may show evidence of connection to the Learning Resources, but it is vague or poorly connected. 6.9 to >0 ptsNeeds Improvement 0%–69%Response makes little or no attempt to reflect on personal culture and how cultural values and beliefs may have influenced interpretation of focus group data. Strategies and plans for becoming more culturally competent with the group are missing or unclear. ... Response does not demonstrate connection to the Learning Resources. No resources are used to support the response. |
10 pts |
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This criterion is linked to a Learning OutcomeWriting |
7.5 to >6.68 ptsExceeds Expectation 90%-100%Paper meets length requirements, meets expectations, is generally error-free (two or fewer), and further exceeds by showcasing an exemplary scholarly voice to develop its message or communicate ideas. ... Paper appropriately paraphrases sources, using one or fewer quotes. Presents polished APA Style. Citations, reference list, and paper formatting are generally error-free (two or fewer). ... Tone and presentation of ideas are free from bias and objective, unless otherwise directed in the prompt. 6.68 to >5.93 ptsMeets Expectation 80%–89%Paper meets length requirements and is clear and coherent. Errors in grammar, sentence structure, and punctuation are minor, minimal (three to five), and do not interfere with the scholarly message. The paper displays effective organization and focus to communicate ideas. ... Paper appropriately paraphrases sources. Paper may use two to three short quotes but provides appropriate reference. Consistently documents sources in APA Style. Uses citations for ideas requiring attribution, with a few minimal errors (three to five). The reference list is complete and contains only minimal errors (three to five). Paper formatting is appropriate. There is a clear distinction between cited content and original thought. ... Tone and presentation of ideas are free from bias and objective, unless otherwise directed in the prompt. 5.93 to >5.18 ptsFair 70%–79%Paper does not meet length requirements (either somewhat too short or too long). The paper is somewhat clear and coherent. Errors in grammar, sentence structure, and punctuation are minor but frequent (5–10) and occasionally interfere with the message. The paper lacks clear organization or occasionally strays from the focus. ... Paper may rely on four short quotes or one to two long quotes (over 40 words) and/or does not sufficiently paraphrase material from other resources into student’s own words. Attempts to document sources in APA Style. Citations are present but contain frequent APA errors or omissions. A reference list is provided but is incomplete and/or contains frequent APA errors. Paper formatting may be incorrect (e.g., single-spaced or without a title page). ... Occasionally lacks a clear distinction between cited content and original thought. ... Tone and presentation of ideas are free from bias and objective, unless otherwise directed in the prompt. 5.18 to >0 ptsNeeds Improvement 0%–69%Paper does not meet length requirements (either significantly too short or too long). The paper lacks clarity and coherence. Errors in grammar, sentence structure, and punctuation are major, pervasive (11+), and interfere with the message. The paper is not organized or lacks focus. ... Paper relies excessively on quoting (five or more short quotes or three or more long quotes [over 40 words]) and/or uses quoted material without paraphrasing or referencing the source of the material. Little or no attempt has been made to document sources in APA Style. Citations are infrequent or missing, and a reference list is not provided. Little or no attempt has been made to format the paper in APA Style. ... There is no distinction between cited content and original thought. ... Tone and presentation of ideas reveal bias and subjectivity. |
7.5 pts |
Total Points: 50
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