A qualitative evaluation of barriers to care for trauma-related mental health problems among low-income minorities in primary care.

摘要: This study aimed to identify barriers and facilitators of mental health care for patients with trauma histories via qualitative methods clinicians administrators from primary clinics the underserved. Individual interviews were conducted, followed by a combined focus group three jurisdictions; there groups each clinic system. Common themes identified, responses compared. Administrators report extensive among patients. Clinician include lack time, patient resistance, inadequate referral options; cite reimbursement issues, staff training, clarity about term trauma. A key facilitator is doctor-patient relationship. There differences in perceived at institutional clinical levels Importantly, agreement better access development trauma-specific interventions. Findings will aid implementation trauma-focused interventions embedded care.