Background
Educators who train healthcare students to provide behavioral health services in primary care settings frequently encounter challenges as they work to ensure that students acquire the knowledge and skills to effectively function on interprofessional practice teams. This has become increasingly important during COVID-19, as interprofessional collaborative practice is needed more than ever to address the interrelated health, mental health, and social structural issues linked to the pandemic.
Methods
We used qualitative focus groups to understand the experiences of 6 interprofessional teams (comprised of graduate social work, nursing, and rehabilitation counseling students; n = 19) providing behavioral health services in primary care settings before and after the immediate start of COVID-19. To triangulate data and enrich findings, one focus group with students’ faculty supervisors was also conducted; n = 5). Data were analyzed using thematic analysis.
Results
Four themes highlighted student participants’ need to assert themselves at the beginning of their educational experience, to communicate and learn from one another to develop positive team dynamics, to contend with role confusion and missed opportunities for collaboration, and to manage the emotional impact of COVID-19 on learning.
Conclusion
Findings indicate that educators should work with clinical faculty and agency supervisors to orient students to ensure they have role clarity within the agency. Graduate students providing behavioral health services should also learn to work collaboratively within their scopes of practice to serve patients virtually, especially in preparation for public health emergencies.
Sexual minorities are at a greater risk for experiencing a serious mental illness (SMI) compared to heterosexuals, and sexual minorities suffering from a SMI experience stigma and discrimination that leads to a greater need for counseling services. Current research does not address the needs of sexual minorities with a SMI and how to prepare counselors to work with this population, as most sexual minorities with a SMI find that counseling services do not meet their unique needs. The purpose of this transcendental phenomenological study, grounded in a Husserlian philosophical and minority stress model conceptual framework, was to explore the experiences and perceptions of counselors who provide counseling services to sexual minorities with a SMI. Data were collected from six participants using semistructured interviews and followed a thematic data analysis process, ensuring thematic saturation. The results of this study highlighted many themes regarding the unique needs of sexual minorities with a SMI such as multiple minority stressors, negative counseling experiences, and the impact of family, as well as counselors' perceptions regarding the lack of preparation in graduate school to work with sexual minorities with a SMI. Study findings may improve counselors' understanding of the needs of sexual minorities with a SMI so they may provide more effective counseling services. This study also highlights the importance of training counselors to work with this population and may support the efforts of counselor educators.
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