"Sorry, I'm Not Accepting New Patients": An Audit Study of Access to Mental Health Care.

Through a phone-based field experiment, I investigated the effect of mental help seekers' race, class, and gender on the accessibility of psychotherapists. Three hundred and twenty psychotherapists each received voicemail messages from one black middle-class and one white middle-class help seeker, o...

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Detalles Bibliográficos
Publicado en:Journal of Health & Social Behavior Vol. 57; no. 2; pp. 168 - 184
Autor principal: Kugelmass, Heather
Formato: journal article
Publicado: Sage Publications Inc. Jun2016
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Through a phone-based field experiment, I investigated the effect of mental help seekers' race, class, and gender on the accessibility of psychotherapists. Three hundred and twenty psychotherapists each received voicemail messages from one black middle-class and one white middle-class help seeker, or from one black working-class and one white working-class help seeker, requesting an appointment. The results revealed an otherwise invisible form of discrimination. Middle-class help seekers had appointment offer rates almost three times higher than their working-class counterparts. Race differences emerged only among middle-class help-seekers, with blacks considerably less likely than whites to be offered an appointment. Average appointment offer rates were equivalent across gender, but women were favored over men for appointment offers in their preferred time range.