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Experiences of People with Disabilities in Mental Health Treatment.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Experiences of People with Disabilities in Mental Health Treatment./
Author:	Gomez, Marco Antonio.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	163 p.
Notes:	Source: Dissertations Abstracts International, Volume: 82-11, Section: B.
Contained By:	Dissertations Abstracts International82-11B.
Subject:	Individual & family studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28415792
ISBN:	9798728225478

Experiences of People with Disabilities in Mental Health Treatment.
Gomez, Marco Antonio.

Experiences of People with Disabilities in Mental Health Treatment. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 163 p.

Source: Dissertations Abstracts International, Volume: 82-11, Section: B.

Thesis (Psy.D.)--Alliant International University, 2021.

This item must not be sold to any third party vendors.

The purpose of this study was to collect experiences in mental health treatment from people living with physical disabilities and low vision or blindness. In addition to gathering narratives about their best and worst experiences, participants shared their perceptions about their therapists' knowledge of disability issues, level of disability affirmativeness and their ability to hold disability in the appropriate frame within treatment. To understand disability identity from the participant's perspective, the relationship between the Models of Disability Identity (Wong, 2008) and the Personal Identity Factor measure (Hahn & Belt, 2004; a measure of affirmation/denial of disability) was examined. Common reasons for seeking treatment were also explored, and barriers to accessing treatment were identified. The study was conducted via online survey and by telephone interview to promote accessibility to blind/low vision participants. A total of 62 surveys were accepted for final analysis, with participants ranging from 22-73 years of age, and 62.9% reporting having multiple sclerosis. Participant responses were captured using a mix of multiple choice/Thurstone scale and open-ended questions. Most participants (77.4%) identified as having a physical disability, and 24.9% identified as Blind or low vision. All but five participants reported having a best experience in therapy. However, worst experiences led to a third of the sample leaving therapy, and 19% switching therapists. Problems included invalidation, unprofessionalism, boundary violations. Of note, only 10% reported that their therapist brought up the disability. Much as for those without disabilities, key reasons for seeking therapy were depression and anxiety, but disability-related issues were the main reason. Although physical barriers were generally not a problem, people with low vision/blindness reported lack of accommodations related to vision needs. Only the moral model subscale (Wong, 2008) was significantly associated with the Personal Identity factor measure (Hahn & Belt, 2004); higher belief in the moral model was associated with less disability identity affirmation. Despite, having a small sample, and limited disability representation, the results highlight the impact of positive and negative experiences in therapy. Specific recommendations include greater accommodations for persons with blindness/low vision, language that therapists can use in discussions of disability, greater attention to disability in forms and procedures even before therapy begins, and for office staff to also receive training in disability awareness and accommodations.

ISBN: 9798728225478Subjects--Topical Terms:

2122770
Individual & family studies.
Subjects--Index Terms:

Blindness

Experiences of People with Disabilities in Mental Health Treatment.
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300 $a 163 p.
500 $a Source: Dissertations Abstracts International, Volume: 82-11, Section: B.
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502 $a Thesis (Psy.D.)--Alliant International University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a The purpose of this study was to collect experiences in mental health treatment from people living with physical disabilities and low vision or blindness. In addition to gathering narratives about their best and worst experiences, participants shared their perceptions about their therapists' knowledge of disability issues, level of disability affirmativeness and their ability to hold disability in the appropriate frame within treatment. To understand disability identity from the participant's perspective, the relationship between the Models of Disability Identity (Wong, 2008) and the Personal Identity Factor measure (Hahn & Belt, 2004; a measure of affirmation/denial of disability) was examined. Common reasons for seeking treatment were also explored, and barriers to accessing treatment were identified. The study was conducted via online survey and by telephone interview to promote accessibility to blind/low vision participants. A total of 62 surveys were accepted for final analysis, with participants ranging from 22-73 years of age, and 62.9% reporting having multiple sclerosis. Participant responses were captured using a mix of multiple choice/Thurstone scale and open-ended questions. Most participants (77.4%) identified as having a physical disability, and 24.9% identified as Blind or low vision. All but five participants reported having a best experience in therapy. However, worst experiences led to a third of the sample leaving therapy, and 19% switching therapists. Problems included invalidation, unprofessionalism, boundary violations. Of note, only 10% reported that their therapist brought up the disability. Much as for those without disabilities, key reasons for seeking therapy were depression and anxiety, but disability-related issues were the main reason. Although physical barriers were generally not a problem, people with low vision/blindness reported lack of accommodations related to vision needs. Only the moral model subscale (Wong, 2008) was significantly associated with the Personal Identity factor measure (Hahn & Belt, 2004); higher belief in the moral model was associated with less disability identity affirmation. Despite, having a small sample, and limited disability representation, the results highlight the impact of positive and negative experiences in therapy. Specific recommendations include greater accommodations for persons with blindness/low vision, language that therapists can use in discussions of disability, greater attention to disability in forms and procedures even before therapy begins, and for office staff to also receive training in disability awareness and accommodations.
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653 $a Psychotherapy
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