Correlation of Culture-Related Components for Clinical Decision-Making in Mental Health Workgroups

Date of Conferral

10-25-2023

Degree

Ph.D.

School

Psychology

Advisor

Yoly Zentella

Abstract

Conflicting ethnic identity (EI), collective emotions (CE), and critical self-reflection (CSR) among mental health clinicians who treat American Indian and Alaskan Native (AIAN) people in the U.S. raise clinical decision-making concerns. This study involved using the transformation learning theory, collective emotions theory, and clinical decision-making model to address research questions involving the relationship between EI, CE, CSR, and clinical decision-making (CDM). Participants consisted of 80 psychologists, psychiatrists, social workers, substance abuse counselors, mental health counselors, and traditional healers who were recruited from Facebook, LinkedIn, Craigslist, Instagram, and Walden’s participant pool. The Self-Reflection and Insight Scale, Workgroup Emotion Climate Scale, Multigroup Ethnic Identity Measure-Revised, Group Information Elaboration and Group Decision Making Measure, and a demographic questionnaire were used to explore relationships between CSR, CE, EI, and CDM. Multiple regression results indicate EI is a statistically significant predictor of CDM among this population. CSR and CE are not statistically significant predictors of CDM. Positive social change implications of this study include supporting mental health clinicians who treat AIAN people using cultural understanding and bridging cultural learning within workgroups in urban, reservation, and rural settings.

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