These projects investigate the mechanisms that are rotted in patient-provider interaction that contribute to the mental health disparities:
• Investigating patient-provider interaction with multicultural populations:
Implications to mental health service disparities in Israel
Mental health service disparities are ethnic/racial differences in the quality of healthcare that are not due to access-related factors, clinical needs, preferences, and/or appropriateness of interventions. We focus on examining and improving accessibility of services and the patient-provider interaction, which lie at the core of this complex phenomenon. The aim of the current project is to investigate mechanisms contributing to mental health service disparities, including: (a) structural factors affecting access to services and (b) factors affecting patient-provider interaction.
The ultimate goal is to distill feasible recommendations for policy decisions that seek to reduce disparities and improve mental health care for diverse populations. At the clinic level, the study will yield information that could enhance patient and provider satisfaction, increase effectiveness and reduce losses through no-shows.
The project is funded by the Israel National Institute for Health Policy Research
• Investigating mechanisms rooted in social psychological theories on intergroup relations to understand the effect of identity discordance on the outcomes of the clinical encounter
The problem of mental health disparities is multifaceted. The accumulating evidence points to processes that are rooted in the provider as playing a key role in the development of mental health disparities, as well as to the unique importance of social identities of providers and patients. However, little empirical research has been done trying to apply the knowledge accumulated in social psychology about power and identity to the clinical encounter. Our research examines potential mediators, strongly rooted in theories of power, as underlying the effects of identity discordance on outcomes of the clinical encounter.
Mechanisms underlying mental health disparities