DOI
https://doi.org/10.25772/2NV2-5483
Author ORCID Identifier
Defense Date
2020
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Psychology
First Advisor
Nao Hagiwara
Second Advisor
Rosalie Corona
Third Advisor
Kristina Hood
Fourth Advisor
Nicole Corley
Fifth Advisor
Anika Hines
Abstract
Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no evidence to suggest that racial identity moderates the relationship between perceived therapy inclusivity and willingness to use mental health services. These findings suggest that Black emerging adults may be more willing to utilize mental health services and engage with the mental healthcare system if they perceive that mental health services are for them. Findings from this dissertation project have implications for clinical practices to increase Black adults’ perceptions of therapy inclusivity. Recommendations include developing trainings about Black people’s experiences in the mental health system, building relationships with Black communities, and providing culturally responsive treatments. The findings also have policy implications. Specifically, structural changes (e.g., increasing Black adults’ representation in clinical staff and leadership) must be made to the mental healthcare system to increase Black adults’ perceptions of therapy inclusivity and willingness to seek care. Such intentional measures will help to create a better, more inclusive system for all Black adults.
Rights
© Randl B. Dent
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
4-16-2020
Included in
Community Psychology Commons, Counseling Psychology Commons, Health Psychology Commons, Health Services Research Commons, Mental and Social Health Commons, Multicultural Psychology Commons