Substance Abuse Treatment Provider Views of “Culture”: Implications for Behavioral Health Care in Rural Settings

Mandates for culturally competent substance abuse and mental health services call for behavioral health providers to recognize and engage cultural issues. These efforts to incorporate culture typically focus on client culture, but provider views of culture can also influence the provision of service...

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Bibliographic Details
Published in:Qualitative health research 2007-11, Vol.17 (9), p.1256-1267
Main Authors: Quintero, Gilbert A., Lilliott, Elizabeth, Willging, Cathleen
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health Services - standards
Attitude of Health Personnel - ethnology
Cultural attitudes
Cultural competence
Cultural Competency - legislation & jurisprudence
Culture
Drug abuse
European Continental Ancestry Group - psychology
Family - ethnology
Female
Gender Identity
Gender roles
Health behavior
Healthcare Disparities
Help seeking behavior
Hispanic people
Humans
Interviews as Topic
Male
Medical treatment
Mental Disorders - ethnology
Mental health professionals
Mental health services
Mental Health Services - standards
Mexican Americans - psychology
New Mexico
Poverty
Professional attitudes
Professional Competence - legislation & jurisprudence
Professional-Family Relations
Professional-Patient Relations
Qualitative Research
Rural communities
Rural Health Services - standards
Social Values - ethnology
Substance abuse
Substance abuse treatment
Substance-Related Disorders - ethnology
Teenagers
Youth
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Summary:Mandates for culturally competent substance abuse and mental health services call for behavioral health providers to recognize and engage cultural issues. These efforts to incorporate culture typically focus on client culture, but provider views of culture can also influence the provision of services. Analysis of 42 semistructured interviews with behavioral health providers suggests that culture is considered by many to be an obstacle to help seeking and treatment of substance-abusing youth. Although some providers do not highlight cultural issues, others conceptualize culture in terms of (a) generalized Hispanic cultural attributes, (b) male-dominant gender roles, and (c) the culture of poverty. Recommendations for provider training on cultural issues focus on ways they might critically consider their ideas about culture.
ISSN:1049-7323
1552-7557
DOI:10.1177/1049732307307757