title: Clinical Experiences With Clients Who Are Low-Income: Mental Health Practitioners' Perspectives.
abstract: The experiences of nine licensed mental health practitioners regarding their work with clients from low-income backgrounds were examined utilizing grounded theory methodology. Themes that emerged from the semi-structured interviews highlighted a rich narrative that portrayed the work as both deeply satisfying and inherently complex. Participants described the personal nature of this work, including countertransference elicited because of their own personal economic contexts and emotional reactions experienced within and outside the therapy room. Their stories acknowledged systematic challenges that act as barriers to treatment. Some participants noted that this has contributed to feelings of disillusionment toward the field as well as fears about the future of the mental health care. Based on these findings, we discuss implications for training, future research, and clinical practice.
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA mnthompson@wisc.edu.
authors.forename: Mindi N
authors.initials: MN
authors.lastname: Thompson
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA.
authors.forename: Rachel S
authors.initials: RS
authors.lastname: Nitzarim
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA.
authors.forename: Odessa D
authors.initials: OD
authors.lastname: Cole
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA.
authors.forename: Nickholas D
authors.initials: ND
authors.lastname: Frost
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Ramirez Stege
authors.affiliation: University of Wisconsin-Madison, Wisconsin, USA.
authors.forename: Pa Tou
authors.initials: PT
authors.lastname: Vue
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D066296:Grounded Theory; D054625:Healthcare Disparities / Q000191:economics*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D008875:Middle Aged; D011203:Poverty; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000191:economics* / Q000379:methods; D036301:Qualitative Research; D012923:Social Class; D014481:United States; D000078329:Workforce
keywords: grounded theory; health care disparities; mental health and illness; poverty; psychology