Abstract

One of the most persistent and troubling health disparities is the underutilization of mental health services by individuals with marginalized aspects of their identity. We provide a critical review of the literature of barriers to psychotherapy initiation and the connection to social determinants of health. We propose a change from a deficit-based view of the problem to a strength-based view that include the following strategies: family therapy treatments designed to reduce barriers, telehealth as an option to address treatment barriers, changes to the recruitment of therapists-in-training, and person of the therapist development.

中文翻译：

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心理治疗的障碍是否在寻求健康的社会决定因素的指标？：文献的批判性回顾

摘要

最持久和最令人不安的健康差异之一是其身份被边缘化的个人对心理健康服务的利用不足。我们对心理治疗启动障碍的文献以及与健康的社会决定因素的联系进行了批判性审查。我们建议将问题的基于缺陷的观点转变为基于力量的观点，其中包括以下策略：旨在减少障碍的家庭治疗治疗，远程医疗作为解决治疗障碍的一种选择，改变治疗师的招募-培训和治疗师发展的人。