Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway
Several studies indicate that mental health and mental health service vary with ethnicity. Ethnically linked social differences affect these results. We examined the multiethnic population in northern Norway where social inequalities between the Sami and the non‐Sami population are not prominent. Cl...
Published in: | Scandinavian Journal of Psychology |
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crwiley:10.1111/j.1467-9450.2005.00476.x 2024-06-02T08:12:05+00:00 Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway MØLLERSEN, SNEFRID SEXTON, HAROLD C. HOLTE, ARNE 2005 http://dx.doi.org/10.1111/j.1467-9450.2005.00476.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1467-9450.2005.00476.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-9450.2005.00476.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Scandinavian Journal of Psychology volume 46, issue 5, page 447-457 ISSN 0036-5564 1467-9450 journal-article 2005 crwiley https://doi.org/10.1111/j.1467-9450.2005.00476.x 2024-05-03T11:15:13Z Several studies indicate that mental health and mental health service vary with ethnicity. Ethnically linked social differences affect these results. We examined the multiethnic population in northern Norway where social inequalities between the Sami and the non‐Sami population are not prominent. Clients ( N = 347) and therapists ( N = 32) in outpatient treatments reported demographics, ethnicity and the therapeutic alliance. Clients also reported pretreatment psychosocial status, service utilization and the type of help requested. Therapist recorded clinical and diagnostic assessments and treatment plans. The Sami and non‐Sami client groups were similar in demographics and pretreatment psychosocial characteristics. However, the therapists prescribed more sessions and more socially focused interventions when clients were Sami. Verbal therapy was more often used by the non‐Sami therapists. Alliance ratings were positively correlated only between Sami therapists and their clients, and Sami therapists rated the largest initial clinical improvement. Clinics located in the high Sami density areas offered their clients more therapy sessions, than in clinics in the high non‐Sami density areas. Ethnic similarity between client and therapist were associated with more frequent use of medication and less frequent use of verbal therapy. Article in Journal/Newspaper Northern Norway sami Wiley Online Library Norway Scandinavian Journal of Psychology 46 5 447 457 |
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Open Polar |
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Wiley Online Library |
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crwiley |
language |
English |
description |
Several studies indicate that mental health and mental health service vary with ethnicity. Ethnically linked social differences affect these results. We examined the multiethnic population in northern Norway where social inequalities between the Sami and the non‐Sami population are not prominent. Clients ( N = 347) and therapists ( N = 32) in outpatient treatments reported demographics, ethnicity and the therapeutic alliance. Clients also reported pretreatment psychosocial status, service utilization and the type of help requested. Therapist recorded clinical and diagnostic assessments and treatment plans. The Sami and non‐Sami client groups were similar in demographics and pretreatment psychosocial characteristics. However, the therapists prescribed more sessions and more socially focused interventions when clients were Sami. Verbal therapy was more often used by the non‐Sami therapists. Alliance ratings were positively correlated only between Sami therapists and their clients, and Sami therapists rated the largest initial clinical improvement. Clinics located in the high Sami density areas offered their clients more therapy sessions, than in clinics in the high non‐Sami density areas. Ethnic similarity between client and therapist were associated with more frequent use of medication and less frequent use of verbal therapy. |
format |
Article in Journal/Newspaper |
author |
MØLLERSEN, SNEFRID SEXTON, HAROLD C. HOLTE, ARNE |
spellingShingle |
MØLLERSEN, SNEFRID SEXTON, HAROLD C. HOLTE, ARNE Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
author_facet |
MØLLERSEN, SNEFRID SEXTON, HAROLD C. HOLTE, ARNE |
author_sort |
MØLLERSEN, SNEFRID |
title |
Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
title_short |
Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
title_full |
Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
title_fullStr |
Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
title_full_unstemmed |
Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway |
title_sort |
ethnic variations in the initial phase of mental health treatment: a study of sami and non‐sami clients and therapists in northern norway |
publisher |
Wiley |
publishDate |
2005 |
url |
http://dx.doi.org/10.1111/j.1467-9450.2005.00476.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1467-9450.2005.00476.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1467-9450.2005.00476.x |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway sami |
genre_facet |
Northern Norway sami |
op_source |
Scandinavian Journal of Psychology volume 46, issue 5, page 447-457 ISSN 0036-5564 1467-9450 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1467-9450.2005.00476.x |
container_title |
Scandinavian Journal of Psychology |
container_volume |
46 |
container_issue |
5 |
container_start_page |
447 |
op_container_end_page |
457 |
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1800758408694988800 |