"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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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
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: "Sorry, I'm Not Accepting New Patients": An Audit Study of Access to Mental Health Care.
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        au: Kugelmass, Heather
        affil: Princeton University, Princeton, NJ, USA
      su:
        United States
        Health services accessibility
        Mental health services
        Race discrimination in mental health services
        Working class
        Help-seeking behavior
        Voice mail systems
        Middle class
        Mental illness treatment
        Black people
        Mental health
        Sex distribution
        White people
        Socioeconomic factors
        Psychotherapist-patient relations
      sug:
        subj:
          Health services accessibility
          Mental health services
          Race discrimination in mental health services
          Working class
          Help-seeking behavior
          Voice mail systems
          Middle class
          Mental illness treatment
          Black people
          Mental health
          Sex distribution
          White people
          Socioeconomic factors
          United States
          Offices of Mental Health Practitioners (except Physicians)
          Residential Mental Health and Substance Abuse Facilities
          Psychiatric and Substance Abuse Hospitals
          All Other Information Services
          Psychotherapist-patient relations
      keyword:
        bias
        field experiment
        mental health care
        race
        social class
        bias
        field experiment
        mental health care
        race
        social class
      ab: 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.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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