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Psychotherapy racial/ethnic disparities in treatment outcomes: The role of university racial/ethnic composition.
Journal of Counseling Psychology ( IF 3.8 ) Pub Date : 2021-03-25 , DOI: 10.1037/cou0000548
Jesse Owen 1 , Jeremy Coleman 1 , Joanna M Drinane 2 , Karen Tao 2 , Zac Imel 2 , Bruce Wampold 1 , Mark Kopta 3
Affiliation  

OBJECTIVE Mental health disparities between racial/ethnic minorities (REM) and White individuals are well documented. These disparities extend into psychotherapy and have been observed among clients receiving care at university/college counseling centers. However, less is known about if campus RE composition affects outcomes from psychotherapy for REM and White clients. METHOD This study examined psychotherapy outcomes from 16,011 clients who engaged in services at 33 university/college counseling centers. Each of these clients completed the Behavioral Health Measure as a of part routine practice. Campus RE composition was coded from publicly available data. RESULTS The results demonstrated that White clients had better therapy outcomes than REM clients when they were at campuses where there were more White students. For universities 1 SD below the mean percentage of White students, the average difference in therapy outcomes for White and REM clients was Cohen's d = .21 (with White students experiencing more improvement); however, for universities 1 SD above the mean, the between group outcome disparity was greater (Cohen's d = .38). CONCLUSION Therapists and higher education professionals should consider environmental impacts on counseling services. Implications for higher education, counseling centers, and mental health disparities are provided. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

心理治疗中种族/族裔差异在治疗结果中的作用:大学种族/族裔组成的作用。

目的种族/族裔少数民族(REM)与白人之间的心理健康差异已得到充分证明。这些差异扩大到心理治疗中,并已在大学/学院咨询中心接受护理的客户中观察到。但是,关于校园RE构成是否会影响REM和White客户的心理治疗结果的知之甚少。方法这项研究调查了在33个大学/学院咨询中心从事服务的16011名客户的心理治疗结果。这些客户中的每一个都是常规行为的一部分,即完成了“行为健康衡量”。校园可再生能源成分是根据可公开获得的数据进行编码的。结果结果表明,在白人学生较多的校园中,白人患者比REM患者有更好的治疗效果。对于低于白人学生平均百分比1 SD的大学,白人和REM客户的治疗结果的平均差异为Cohen d = .21(白人学生的进步更大);但是,对于比平均值高1 SD的大学,组间结果差异更大(Cohen d = 0.38)。结论治疗师和高等教育专业人士应考虑环境对咨询服务的影响。提供了对高等教育,咨询中心和精神健康差异的启示。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。组间结果差异更大(Cohen d = 0.38)。结论治疗师和高等教育专业人士应考虑环境对咨询服务的影响。提供了对高等教育,咨询中心和精神健康差异的启示。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。组间结果差异更大(Cohen d = 0.38)。结论治疗师和高等教育专业人士应考虑环境对咨询服务的影响。提供了对高等教育,咨询中心和精神健康差异的启示。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。
更新日期:2021-03-25
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