Purpose: Scholars indicate that rates of mental and physical health issues (e.g., substance use, anxiety, depression) may be much higher among transgender individuals relative to the general population. This disparity may be even greater for transgender individuals in rural areas. Clinical researchers suggest using affirmative therapeutic approaches and interventions to address the health concerns of transgender individuals, specifically to connect individuals with the transgender community. However, little is known about the content of information that is shared in transgender communities in rural areas.Method: For this qualitative study, researchers asked transgender individuals in rural areas (n=10) what recommendations they would offer to other transgender individuals in rural areas regarding healthcare access.Results: Results were organized into four domains: Access care, Quality control, Difficulties, and Mentorship. Within these domains, we identified 11 sub-domains: Get physical healthcare, Get mental healthcare, Provider search, Provider vetting, Treatment verification, It will be difficult, Know who you are, Believe in yourself, Move, Connect to community, and Other.Conclusions: We discuss implications of our findings for healthcare provision in rural areas, and we provide recommendations for future research.
Exoffenders represent a population with unique concerns related to high unemployment. Betz and Hackett's (1981) career decision self-efficacy theory suggests that efficacy is an important component of career development. The differences in career decision self-efficacy between exoffenders and nonoffenders before and after a career development workshop were examined. Prior to the workshop, both groups were similar in overall career decision self-efficacy, self-appraisal, goal setting, planning, and problem solving, but exoffenders had lower occupational information. After the workshop, there were no significant differences between exoffenders and nonoffenders. Findings indicate that the entire sample experienced growth in all areas except for planning.
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