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• W192521725 abstract "The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semistructured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the subthemes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center. PERCEIVED BARRIERS TO OBTAINING PSYCHIATRIC TREATMENT AT 3 Perceived Barriers to Psychiatric Treatment at the Johnson City Community Health Center Background: One key factor for patients with mental illnesses that influences whether they achieve successful outcomes is obtaining appropriate treatment. Treatment success rates vary by diagnosis and severity of the disease. The National Alliance of Mental Illness (NAMI) has estimated treatment success rates for the following: Bipolar – 80%, Major Depression – 65%, and Schizophrenia – 45% (NAMI, n.d.). This study seeks to address the perceptions and experience of obtaining mental health treatment for patients who have been diagnosed with a mental illness at a rural mental health clinic, Johnson City Community Health Center (JCCHC). Statement of the Problem: Understanding the barriers to treatment in mental health is integral to obtaining improved disease management. This study evaluated perceived barriers of patients who have been previously diagnosed with a mental illness to receiving mental health care at the Johnson City Community Health Center. Research Questions: 1. What do patients perceive as barriers to accessing mental health care at the Johnson City Community Health Center? 2. How do patients perceive mental health care at the Johnson City Community Health Center? a. What are the perceived obstacles to obtaining of mental health treatment at the Johnson City Community Health Center? b. What is the perceived stigma of mental health treatment at the Johnson City Community Health Center? PERCEIVED BARRIERS TO OBTAINING PSYCHIATRIC TREATMENT AT 4 Assumptions: The researcher had an assumption that everyone deserves the same access to treatment and medications regardless of the ability to pay. The researcher felt that because someone had more money to spend or better insurance this should not be an indicator of the quality of treatment the patient receives. Furthermore, the researcher had the assumption that patients with psychiatric diagnoses had difficulty with critical-thinking or decision-making. Limitations: The limitations of this study are related to research method and data collection technique. The research method does not allow the conclusions of the study to be applied to any population other than those at the Johnson City Community Health Center. Additionally, the research method, phenomenology, does not allow for generalizability. The conclusions of this study are applicable to only those receiving Mental Health treatments at the Johnson City Community Health Center. Definitions: Mental health was defined as a state of well being in which the individual recognizes their potential, can cope with daily stressors of life, can work productively, and make a contribution to his or her community. A barrier was defined as anything perceived by the participant at JCCHC that hindered the ability of the participant to obtain treatment, including both internal and external factors. Stigma was defined as the mark of disgrace by a certain condition or illness of a person. Availability was defined as the perceived accessibility of mental health treatment at JCCHC. Non-verbal cues for the purpose of this study were defined as perceived facial expressions, hand gestures, and body movements PERCEIVED BARRIERS TO OBTAINING PSYCHIATRIC TREATMENT AT 5 Overview of the Study: This study focused on the perceived barriers of participants to procuring psychiatric treatment at JCCHC, a rural area comprehensive health clinic. Obtaining treatment was found to be a key predictor of successful outcomes related to psychiatric diagnoses in the literature review (NAMI, n.d.). However, successful outcomes varied depending on the particular illness and the severity of the illness. Understanding the perceptions of those with psychiatric diagnoses is an integral component to ensuring those with a psychiatric diagnosis have mental health services more readily available. By understanding the perceptions of those with a mental health diagnosis, the JCCHC staff and mental health providers can customize the available programs to meet the needs of the rural population that they serve. Review of the Literature Integrated literature review: Mental health is essential to personal wellbeing, to interpersonal relationships, and to quality of life. Mental health can become a significant burden and is among the most common causes of disability (“Mental health and mental disorders”, n.d.). The National Institute of Mental Health reports that in 2011, an estimated 45.9 million American adults over 18 were diagnosed with a mental illness in the last year. One essential intervention to decrease the burden of mental illness is obtaining mental health treatment. NAMI states, “Without treatment, the consequences of mental illness for the individual and society is staggering: unnecessary disability, unemployment, substance abuse, homelessness, inappropriate incarceration, suicide, and wasted lives; The economic cost of untreated mental illness is more than 100 billion dollars each year in the United States.” (NAMI," @default.
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• W192521725 modified "2023-09-27" @default.
• W192521725 title "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center" @default.
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