Factors Influencing Individuals’ Decision to Utilize Mental Health in South Texas
Dissertation Prospectus
Factors Influencing Individuals’ Decision to Utilize Mental Health in South Texas
Submitted by:
James Dada
April 5, 2020
The Prospectus Overview and Instructions
Prospectus Instructions:
1. Read the entire Prospectus Template to understand the requirements for writing your prospectus. Each section contains a narrative overview of what should be included in the section and a table with required criteria for each section. WRITE TO THE CRITERIA, as they will be used to assess the prospectus for overall quality and feasibility of your proposed research study.
2. As you draft each section, delete the narrative instructions and insert your work related to that section. Use the criterion table for each section to ensure that you address the requirements for that particular section. Do not delete/remove the criterion table as this is used by you and your committee to evaluate your prospectus.
3. Prior to submitting your prospectus for review by your chair or methodologist, use the criteria table for each section to complete a realistic self-evaluation, inserting what you believe is your score for each listed criterion into the Learner Self-Evaluation column. This is an exercise in self-evaluation and critical reflection, and to ensure that you completed all sections, addressing all required criteria for that section.
4. The scoring for the criteria ranges from a 0-3 as defined below. Complete a realistic and thoughtful evaluation of your work. Your chair and methodologist will also use the criterion tables to evaluate your work.
5. Your Prospectus should be no longer than 6-10 pages when the tables are deleted.
Score
Assessment
0
Item Not Present
1
Item is Present. Does Not Meet Expectations. Revisions are Required: Not all components are present. Large gaps are present in the components that leave the reader with significant questions. All items scored at 1 must be addressed by learner per reviewer comments.
2
Item is Acceptable. Meets Expectations. Some Revisions May Be Required Now or in the Future. Component is present and adequate. Small gaps are present that leave the reader with questions. Any item scored at 2 must be addressed by the learner per the reviewer comments.
3
Item Exceeds Expectations. No Revisions Required. Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions. No changes required.
Dissertation Prospectus
Introduction
This research study will examine the factors according to mental health providers that influence an individuals’ decision to utilize mental health services in South Texas. This research will help us understand why individuals choose to utilize or reject mental health services in the state. Researchers (AUTH YEAR) have expressed a need for further research on the reasons why people decide to utilize or reject mental health services. In South Texas this research is needed because XXXXXXX. There is a high need as this region receives the second-largest allocation for mental health in the country (Mista et al. 2017). Interestingly, Misra et al. (2017) describe the use of complementary and alternative medicine (CAM) for mental health treatment among children in Southern Texas. Despite all these efforts, there still exists a gap between the treatment of mental health disorders in the US. This research on reasons why people use or reject mental health treatment is needed because mental health is such a prevalent problem. Indeed, mental health service use is an international problem. Comment by Dr. Seymour: This is the “gap” statement for further research that we discussed.
Mental health is a major issue around the World. The United Nations (UN, 2015) has identified the issue as one of its Sustainable Development Goals. These are a collection of goals designed globally that aim to achieve a sustainable future for all. The UN expressed its uncertainty regarding the extent to which major social determinants of mental disorders are being addressed worldwide (WHO, 2015). Developing a conceptual framework will address There is a need to identify the social determinants of mental disorders, and align it with its sustainable development goals, . This way it can systematically review the pieces of evidence about the social determinants and identify potential mechanisms and targets for interventions (Lund, et al. 2018). Part of this effort is to determine why people choose to get mental health support or not. Comment by Dr. Seymour: Provides a summary of results from the prior empirical research on the topic.This is really not meeting this item. Instead it is part of the reason why the study is needed from the first rubric item.
Mental health is a national problem as well. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Justice, millions of people suffer from mental illness in this country. The high numbers necessitate raising public awareness and start campaigning for a much better health care system (Hamilton.et al. 2016). According to the National Alliance on Mental Health (2019), 47.6 million people in the U.S. experienced signs of a mental illness in 2018. This amounts to one in every five adults. Roughly 11.4 million Adults between the ages of 25 and 35 had an episode of serious mental illness that same year. In 2016, 7.7 million young people between the ages of 6 and 17 experienced some sort of mental health disorder, while 9.2 million people were reported to have experienced a substance use disorder (National Alliance on Mental Illness, 2019). The high numbers necessitate raising public awareness and campaigning for a better health care system (Hamilton.et al. 2016). Part of this effort is identifying the reasons why people choose to utilize or reject mental health support.
Results from previous studies on the topic of use of mental health services indicate that there is a gap between the people who need treatment and the people who get treatment.
According to Kohn, et al. (2018), there is an emphasis on the a gap in mental health treatment in America when examined through the prevalence of mental health disorders, the lack of use of mental health services, and the global burden of disease. Statistical data from community-based surveys of mental disorders in the various countries in America including Argentina, Brazil, Canada, Chile, and the United States, etc. were utilized in formulating this conclusion. While 42.6% of children and adolescents in the US suffered mental illness, the treatment gap in this group was 64%. This issues of addressing a lack of mental health services has not been given enough attention, thus resulting in a wide gap in treatment(REF). Comment by Dr. Seymour: Provides a summary of results from the prior empirical research on the topic. Comment by Dr. Seymour: How it is about America when the data is international? Focus on US.
Other studies have found that there are programs that help support the use of mental health services. According to Bowdoin et al. (2018), a patient-centered medical home (PCMH) model This designed to improve certain mental health outcomes, while at the same time proving effective as cost-containment. A total 6908 non-aging adults suffering from mental illness participated in the 2007-2012 Medical Expenditure Panel Survey. Utilization of healthcare services was compared with expenditures on care consistent with the PCMH, other participants include a non-PCMH, usual source of care (USC), and participants without a USC. The outcome showed differences in utilization and expenditures between participants who were provided with care consistent with the PCMH and those who had a non-PCMH. USC showed no statistical importance for any healthcare services category.
Using results, societal needs, recommendations for further study, or needs identified in three to five research studies (primarily from the last three years), the learner identifies the stated need, called a gap
Given these needs in the mental health around the world, in the US and in South Texas this study will examine the gap: there is a need to understand why people choose to utilize or reject mental health services. This is recommended by researchers including xxxx who stated “ xxxx” (p. 202).
Mental disorders in children can be corrected if detected early enough. Unfortunately, most of the caregivers do not have the skills to detect these disorders, which allows them to persist to the point that it is dangerous (Kohn et al. 2018).
According to Bowdoin et al. (2018), a patient-centered medical home (PCMH) model is designed to improve certain mental health outcomes, while at the same time proving effective as cost-containment.
This proposed study will examine the links between care provided that is inconsistent with the PCMH and healthcare services utilization as well as expenditures for non-aging citizens who are suffering from mental illness in the United States. Comment by Dr. Seymour: This seems too complicated. You don’t want to do this for your study I don’t think. You would need a pcmh system. Do you have one? You’d have to compare it to non pcmh.
A total 6908 non-aging adults suffering from mental illness participated in the 2007-2012 Medical Expenditure Panel Survey. Utilization of healthcare services was compared with expenditures on care consistent with the PCMH, other participants include a non-PCMH, usual source of care (USC), and participants without a USC. The outcome showed differences in utilization and expenditures between participants who were provided with care consistent with the PCMH and those who had a non-PCMH. USC showed no statistical importance for any healthcare services category. This research study will examine the factors according to mental health providers that influence an individuals’ decision to utilize mental health services in South Texas. This…
