To prepare:

• Review and focus on the case study that you chose in Week 2.
• Review the problem-solving model, focusing on the five steps of the problem-solving model formulated by D’Zurilla on page 388 in the textbook.
• In addition, review this article listed in the Learning Resources: Westefeld, J. S., & Heckman-Stone, C. (2003). The integrated problem-solving model of crisis intervention: Overview and application. The Counseling Psychologist, 31(2), 221–239. https://doi-org.ezp.waldenulibrary.org/10.1177/0011000002250638

Upload your Kaltura video of you presenting your PowerPoint presentation that addresses the following:

• Identify the theoretical orientation you have selected to use.
• Describe how you would assess the problem orientation of the client in your selected case study (i.e., how the client perceives the problem). Remember to keep the theoretical orientation in mind in this assessment stage.
• Discuss the problem definition and formulation based on the theoretical orientation you have selected.
• Identify and describe two solutions from all the solutions possible. Remember, some of these solutions should stem from the theoretical orientation you are utilizing.
• Describe how you would implement the solution. Remember to keep the theoretical orientation in mind.
• Describe the extent to which the client is able to mobilize the solutions for change.
• Discuss how you would evaluate whether the outcome is achieved or not. Remember to keep the theoretical orientation in mind.
• Evaluate how well the problem-solving model can be used for short-term treatment of this client.
• Evaluate one merit and one limitation of using the problem-solving model for this case.

Your 11- to 12-slide PowerPoint presentation should follow these guidelines:

• Each slide should be written using bullet points, meaning no long paragraphs of written text should be in the slides.
• Include a brief narration for each slide (i.e., the narration takes the place of any written paragraphs, while the bullet points provide context and cues for the audience to follow along).
• Record both audio and video for presentation.

Be sure to:

• Identify and correctly reference the case study you have chosen.
• Use literature to support your claims.
• Use APA formatting and style.

I need each question answered in 150 words each. Most of the answers are inside the attached Dissertation and the 10 Strategic Points Attached.

MODULE 2

DQ1

Assessment Description

One of the first steps to justifying your dissertation topic is to identify literature relevant for justification of the problem space. Based on the literature you have reviewed to date, identify 3-5 articles relevant to the justification of your proposed problem space. For each, concisely discuss how the article supports your overall potential problem space based on what has been discovered and what still needs to be understood related to your topic. Include in-text citations and APA-formatted references for each article. What did you find most challenging in identifying the relevant articles? What recommendations would you offer to your classmates to make the selection process more efficient? Explain.

DQ2

Assessment Description

Using the 3-5 articles identified and discussed in DQ1, synthesize an argument for the problem space of your proposed topic in 5-6 sentences. What is the overall problem? What has been discovered about the problem? What still needs to be understood (the problem space)? How will your proposed topic contribute to the problem space? Include citations and references.

MODULE 3

DQ1

Assessment Description

Identify the background of the problem for your proposed topic in 3-5 bullets (with citations) by describing how the problem has evolved historically into its current form. Include when and how the problem emerged, how the problem changed over time, and what the problem currently looks like based on recent literature. Incorporate the articles identified in in the Module 2 discussion questions.

DQ2

Assessment Description

Address the theoretical foundation for your proposed topic. What are the theories, models, or concepts used to conceptualize and measure your variables (quantitative) or phenomena (qualitative)? How will each be used to conceptualize your variables or phenomena? How will your study potentially contribute to your theoretical foundation?

MODULE 4

DQ1

Assessment Description

The problem statement is a single sentence used to state what is not known in the literature. Give the problem statement for your proposed topic and identify the scope of the problem. What might happen if the problem is not addressed? How will your research potentially contribute to a solution?

DQ2

Assessment Description

A second draft of your prospectus is due at the end of Topic 5. You should be working on revisions based on instructor feedback received for your initial submission. Using the objectives and slide requirements in the notes sections for each slide in the prospectus PowerPoint template, conduct a self-evaluation of the work you have completed on your prospectus so far. Do you believe your study components are properly aligned? Provide a brief rationale for your assessment. What additional work do you need to complete in order to meet the requirements for each slide? What questions do you have?.

MODULE 5

DQ1

Assessment Description

What methodology did you select for your proposed study? Why? Justify and defend your choice as the best option for addressing your problem statement and research questions. Discuss an alternative methodology and explain why you did not select it for your study. Use at least 2-3 peer-reviewed sources in your defense and refutation..

DQ2

Assessment Description

What research design did you select for your proposed study? Why? Justify and defend your choice as the best option for addressing your problem statement and research questions. Discuss an alternative design and why you did not select it for your study. Use at least 2-3 peer-reviewed sources in your defense and refutation..

MODULE 6

DQ1

Assessment Description

Synthesize the methodology, design, problem statement, target population, and geographic location to develop a one-sentence purpose statement for your proposed dissertation study. How does the purpose of your study relate to the research problem identified in the problem statement?

DQ2

Assessment Description

If doing a qualitative study, respond to the following prompt:

Identify the data sources for the phenomenon/a in your proposed study. How will each data source be used to answer the research questions? Identify and discuss at least one strategy you will use to establish trustworthiness of each data source. Support your justification with citations from peer-reviewed sources.

If doing a quantitative study, respond to the following prompt:

Identify the data sources or instrumentation for each of the variables in your proposed study. How will each data source or instrument in your proposed study be used to answer the research questions? Support your justification with citations from peer-reviewed sources. Discuss the reliability and validity of each data source or instrument. Also, discuss how the instrument is scored and the level (categorical, ordinal, interval, ratio) the data obtained for your variable of interest..

MODULE 7

DQ1

Assessment Description

If doing a qualitative study, respond to the following prompt:

Describe the data analysis approach you intend to use for each instrument or data source. Support your approach with citations from peer-reviewed sources.

If doing a quantitative study, respond to the following prompt:

Describe the data analysis approach you intend to use for each of the research questions/hypotheses. Support your approach with citations from peer-reviewed sources..

DQ2

Assessment Description

Does your proposed study lie safely within accepted ethical boundaries? How do you know? What additional information do you need to make such a determination about your study? Explain..

MODULE 8

TOPIC: Introduction To The Formal Dissertation Proposal: Chapters 2 And 3

DQ1

Assessment Description

Based on the methodology you have chosen for your dissertation study, review the feasibility checklist in the appendix of either the qualitative or quantitative dissertation template. Describe the feasibility of your potential study by addressing the following questions:

What resources are needed to conduct the study?

Do you have ready accesses to those resources?

What, if any, professional training or licensure do you have relevant to conducting the study?

Do you have ready access to the intended participants and/or data?

What ethical concerns arise related to the target population?

How does your proposed study align with your degree program?.

DQ2

Assessment Description

Read and reflect on the document “What to Expect in the Dissertation Phase” located in the topic Resources. What challenges do you anticipate overcoming in the dissertation phase? How might you overcome those challenges? What questions do you have regarding the dissertation phase of your program?.

ix

 

Factors Influencing Utilization of Public Mental Health Services in South Texas

Submitted by

Kehinde Alli

 

 

 

 

 

 

 

A Dissertation Presented in Partial Fulfillment

of the Requirements for the Degree

Doctor of Education

(or) Doctor of Philosophy

(or) Doctor of Business Administration

 

 

 

 

 

Grand Canyon University

Phoenix, Arizona Comment by GCU: HINT: There are several “styles” that have been set up in this GCU Template. When you work on your proposal or dissertation, “save as” this template in order to preserve and make use of the preset styles. This will save you hours of work!

 

 

[Insert Current Date Until Date of Dean’s Signature]

QUAL GCU Dissertation Template V9.0 Final 08-10-20_cnb 7 am

QUALITATIVE GCU Dissertation Template V9.0 08-10-2020

 

© by Your Full Legal Name (No Titles, Degrees, or Academic Credentials), 20xx

All rights reserved.

 

QUALITATIVE GCU Dissertation Template V9.0 08-10-2020

Factors Influencing Utilization of Public Mental Health Services in South Texas

By

 

Kehinde Alli

 

 

 

Successfully Defended and Approved by All Dissertation Committee Members

[Insert Date]

 

 

DISSERTATION COMMITTEE APPROVAL:

The following committee members certify they have read and approve this dissertation and deem it fully adequate in scope and quality as a dissertation for the degree of Doctor of XXX.

 

Full Legal Name, EdD, DBA, or PhD, Dissertation Chair

Full Legal Name, EdD, DBA, or PhD, Committee Member

Full Legal Name, EdD, DBA, or PhD, Committee Member

 

 

ACCEPTED AND SIGNED:

 

________________________________________ ____________________

Michael R. Berger, EdD Date

Dean, College of Doctoral Studies

 

 

Abstract

The abstract is the most important component of your dissertation! It is required for the dissertation manuscript only. The abstract is typically the last item written and should be updated based on final acceptance of manuscript by the dissertation committee members and reviewer(s). The abstract is intended as a precise, non-evaluative, summary of the entire dissertation presenting the major elements and findings of the study in a highly condensed format. Although few people typically read the full dissertation, the abstract will be read by many scholars and researchers. Consequently, great care must be taken in writing this page of the dissertation. The content of the abstract should mirror the structure of the entire dissertation, covering the research problem purpose of the study to solve the problem, theoretical foundation, research questions stated in narrative format, sample, location, methodology, design, data sources, data analysis approach, major findings or trends based on the analysis. The most important finding(s) should state the themes that support the conclusion(s). The abstract should close with a conclusion statement of the study implications and contributions to the field. The abstract does not appear in the table of contents and has no page number. The abstract is double-spaced, fully justified with no indentations or citations, and no longer than one page. Refer to the APA Publication Manual, 7th Edition, for additional guidelines for the development of the dissertation abstract. Make sure to add the keywords at the bottom of the abstract to assist future researchers.

Keywords: Abstract, one-page, vital information

Criterion *(Score = 0, 1, 2, or 3)	Learner Score	Chair Score	Methodologist Score	Content Expert Score
ABSTRACT (Dissertation Only—Not Required for the Proposal) (one page)
The abstract provides a succinct summary of the study and MUST include: the purpose of the study, theoretical foundation, research questions stated in narrative format, sample, location, methodology, design, data sources, data analysis, results, and a valid conclusion of the research. Note: The most important finding(s) should be stated with actual codes and resulting themes data/numbers (qualitative).
The abstract is written in APA format, one paragraph fully justified with no indentations, double-spaced with no citations, one page, and includes key search words. Keywords are on a new line and indented.
The abstract is written in a way that is well structured, has a logical flow, uses correct paragraph structure, uses correct sentence structure, punctuation, and APA format.
*Score each requirement listed in the criteria table using the following scale: 0 = Item Not Present or Unacceptable. Substantial Revisions are Required. 1 = Item is Present. Does Not Meet Expectations. Revisions are Required. 2 = Item is Acceptable. Meets Expectations. Some Revisions May be Suggested or Required. 3 = Item Exceeds Expectations. No Revisions are Required.
Reviewer Comments:

 

 

 

 

Dedication

I would to dedicate this dissertation to my family for their immense contribution in my studies.

 

Acknowledgments

I would like to thank all my family members for supporting me while writing this dissertation. I would also like to thank all my professors for their immense contribution in my academics.

 

 

Table of Contents

List of Tables x List of Figures xi Chapter 1: Introduction to the Study 1 Introduction 1 Background of the Study 8 Definition of Terms 15 Anticipated Limitations 16 Summary and Organization of the Remainder of the Study 17 Chapter 2: Literature Review 20 Introduction to the Chapter and Background to the Problem 20 Identification of the Problem Space 24 Theoretical Foundations 29 Review of the Literature 33 Problem Statement 80 Summary 82 Chapter 3: Methodology 85 Introduction 85 Purpose of the Study 88 Research Questions 90 Rationale for a Qualitative Methodology 93 Rationale for Research Design 95 Population and Sample Selection 98 Qualitative Sample Size 100 Recruiting and Sampling Strategy 101 Sources of Data 104 Research Data 105 Additional Data 106 Trustworthiness 109 Credibility 110 Dependability 110 Transferability 111 Confirmability 111 Data Collection and Management 113 Data Analysis Procedures 116 Ethical Considerations 123 Assumptions, and Delimitations 128 Assumptions 129 Delimitations 129 Summary 131 References 134 Appendix A. Ten Strategic Points 167 Appendix B. Site Authorization 180 Appendix C. IRB Approval Letter 181 Appendix D. 182 Appendix F. 185 Appendix G. Focus Groups Questions 187

List of Tables

Table 1. Correct Formatting for a Multiple Line Table Title is Single Spaced and Should Look Like this Example xii

Table 2. Alignment Table 15

Table 3. Description of Building Blocks for the Theoretical Foundations Section 25

Table 4. Steps for the Theoretical Foundations Section 26

Table 5. Qualitative Core Designs and Descriptions 43

Table 6. Example of a Clean, Easy-to-Read Table 75

Table 7. Example of Clean, Easy-to-Read Table for Focus Group Data 75

Table 8. Example of Case Unit Profiling (in Narrative) 76

Table 9. Initial Codes 83

Table F10. Sample Codebook 113

 

 

 

 

 

 

 

 

 

 

 

List of Figures

Figure 1. The Relationship of Things xiii

Figure 2. Incorporating Theories and Models of Research 24

Figure 3. IRB Alert 64

Figure 4. Diagram of a Blank Sociogram 84

 

 

 

ix

 

 

 

QUALITATIVE GCU Dissertation Template V9.0 08-10-2020

Chapter 1: Introduction to the Study

Introduction

The study of mental health in Texas forms its basis on the argument that lack of social connections affects mental health status of people. This paper shall be based on mental health improvement in Texas which is a critical consideration in the current health environment. There have been prevalent social issues that have caused worsening and development of mental health conditions. The most common issues that lead to mental disorders are finances, systemic racism, traumatic events, adverse upbringing, physical or sexual abuse, substance abuse, and lack of emotional support during changes in external environment (Einstein et al., 2017). These factors often result in the affected persons to lack proper wellbeing that would ensure they transform the situations for the better. It is evident that environmental factors form the root of the majority of mental health conditions. This proposal shall identify issues that are linked to rejection and inaccessibility of mental health improvement initiatives.

Einstein et al. (2017) explained that mental illnesses are linked to environmental issues especially when the affected person is constantly exposed to situations that cause anxiety and depression. This paper’s study of mental illnesses in Texas and factors influencing use of mental health improvement initiatives is critical since the state as constantly gotten exposed to changes in its social structure and environmental issues. For instance, the recent pandemic has resulted in the majority of college students developing mental illnesses due to the government measures of social distancing (Taboada, 2020). This is a clear indication that people in Texas suffer mental health issues as they are unable to access required medical improvement initiatives. After discovering presence of mental health issues, the affected persons often reject mental health improvement measures.

The study of mental health in Texas is influenced further by the fact that accessibility of mental health improvement measures is limited in the state (Leonard, 2017). Study of mental health in Texas reveals that “1 in 5 Texans” are exposed to adverse mental health illness every year. The issue of mental health in Texas continues even as the National Alliance on Mental Illness discovered that 110,000 persons in Montgomery County were exposed to mental illnesses (Leonard, 2017). The author further states that schizophrenia or bipolar disorder affect around 23000 persons in Montgomery county only (Leonard, 2017). This indicates that mental health issues are adverse in the state and require study to ensure the creation of solutions that would ensure proper wellbeing of all persons. The statistics for all persons in Texas was approximately more than 500,000 persons in Texas who were living with adverse and recurrent mental health issues.

The main types of mental disorders, according to the World Health Organization (WHO) are “depression, bipolar disorder, schizophrenia and other psychoses, dementia, and developmental disorders” (WHO, 2019). These disorders affect many persons in Texas and become worse when they lack access to healthcare. The most important solution of mental health issues to offer suitable social support and to provide treatment measures that are proven to create effective outcomes. The process of identification of cause of mental health disorders is connected to patients’ cognitive capability (Magaard et al., 2017). This forms a basis of treatment of mental health conditions since the affected persons can identify their need to receive treatment. This would influence their desire to visit mental health providers in order to identify the type of issue and to receive treatment. Issues in mental healthcare develop internal barriers to mental health access that cause them to have worse conditions.

Mental health disorders develop further due to overreliance of positive factors in the environment that do not provide full positive wellbeing for accepted persons. In this era, social media has caused in increase in mental health issues since many people get affected by adverse conditions that lead to inability to realize real stressors that cause them to get mental health issues (Wongkoblap et al., 2017). This paper shall study how intrapersonal issues affect capability of people to recover from mental health issues. The use of social media forms an intrapersonal barrier to mental healthcare access especially when the affected persons form a different reality while using the vast choices of social media platforms (Keles et al., 2019; McLafferty, et al., 2017; McKenzie, et al., 2021). This is an adverse barrier of improvement of healthcare since it becomes difficult to offer improvements based on the prevailing conditions.

The factors influencing mental health improvement are also connected to substance abuse which is an adverse issue that changes cognitive capability of affected person (Kim et al., 2020; Middleton et al., 2018; Mehta & Edwards, 2018). Any type of mental health issue affects people’s normal capacity to identify that they need help. In the case of South Texas, it is imperative to study how mental health conditions have affected local residents and the different government initiatives developed to ensure improvement in all areas. Any type of mental disorder can get considered as a negative issue that can form full incapacitation for affected persons. The fact that environmental issues often develop results in the need to study how mental health improvement can get performed without affecting the possibility of fully treating the condition.

Treatment of mental health disorders is possible by creating a conducive environment, identifying root cause of issues, and selecting a treatment plan that suits the type of patient (Mayo Clinic, 2019). This paper shall create an argument that is linked to mental health improvement requirements to ensure the capability of offering support to persons affected with mental illnesses. Any type of mental health issues has an impact on the affected persons daily operations. The issues worsen as the people lack connection with family members or friends that would enable them to cope with their adverse conditions. This results in the need to create more social awareness for affected persons to ensure they would be able to engage with the proper solutions and professionals that can offer solutions.

Chang et al. (2019) identified that psychological issues often develop as people get exposed to adverse social conditions. The process of detection is critical since it ensures identification of issues that would lead to the proper solution depending on patient conditions. The issue of mental health is strongly connected to any professional environment since it is required to ensure identification of limiting factors that can cause for a person to gain profitable outcomes. The development of personality traits affects possibility of mental health improvement since it is connected to the issue of accessibility by affected persons. The transition between personal factors and mental health improvement requires consideration since it affects normal functioning that has a capability of generating required outcomes for patients.

After studying factors that may lead to development of mental health issues, it is imperative to analyze how people’s desire to access care gets performed. There are certain barriers for mental health improvement that often occur due to limited capability to generate profitable treatments. The most common barriers are financial constraints, inability to reach required destination, age, stigma, social influence, limited literacy about mental health, lack of insurers, inadequate government interventions, and lack of access with professionally trained persons (Smith et al., 2019; Shukla et al., 2020; Shi et al., 2020; Shalaby & Agyapong, 2020). For instance, adolescents find it hard to receive mental health treatment since they are influenced by their peers (Cuddy & Currie, 2020). This is also connected to social influence that is common in all areas of a person’s daily life. Limited desire to mental health improvement often occurs in this way and thus creates more constraints for mental health departments.

There is a discrepancy between mental health improvement initiatives and the desire of targeted persons to engage with the improvement measures (Nyblade et al., 2019). This is dangerous for the health departments and affected persons since it affects their desire to access care. The procedure of identification of a type of mental health issue requires collaboration with the affected person and professionally trained person. Whenever the affected persons lack full confidence in their health provider’s capabilities, it becomes difficult to improve quality of care and to offer the best outcome (Brondani et al., 2017). There are a variety of interventions like emotional support, therapy, and medicine to help affected persons to cope with their issues. Depending on the type of issue mental healthcare providers are involved with the improvement measures that have high likelihood of producing required outcomes.

There is availability of mental healthcare procedures in the current environment the majority of which are proven to produce effective results. This paper shall apply qualitative descriptive method to analyze various factors related to mental health improvement initiatives. The purpose of this qualitative descriptive study is to analyze all factors affecting mental healthcare providers as well as patients and result in limited capability to access required treatment in South Texas. This proposal shall analyze many high quality and peer reviewed articles that got developed during study of mental healthcare improvement. The fact that there are scholars who are involved in the study results in the need to study different articles and to a perform a synthesis that would connect are required topics. This study shall form a basis for any mental health department.

In Texas, there are a million adults that suffer from post-traumatic stress disorder, schizophrenia, bipolar disorder, emotional disturbance, and depression (Piedad, 2017). This depicts how adverse the mental health department is and the need to create effective outcomes. The data got studied in 2017 alone and the figures have been increasing as economies change and there becomes a need to utilize available healthcare department knowledge. The availability of healthcare providers and the desire of people to receive suitable care have always been concerning factors that influence proper healthcare improvement in the state. The facts that have been mentioned result in the need to study how health improvement can get conducted without reducing ability to generate the expected outcome.

This study shall base the argument on reputable organizations that have conducted mental health improvement initiatives in Texas. The Kaiser Family Foundation (KFF) has closely been linked to mental health improvement as it possesses the required funds for studying the sector. A survey got conducted in 2020 on the United States Census Bureau and it was discovered that Texas had 40.1% of its residents reporting that they experienced depression and anxiety issues during the pandemic (KFF, 2020). This is a clear indication that the study ought to get conducted in order to develop the suitable outcomes for affected persons. Adults were more adversely affected according to 2020 data since 21.4% of them reported they could access required therapy for the mental illness issues (KFF, 2020). In this regard, the mental health department requires connection with all affected persons to determine ways of improving their output.

This paper shall study how mental healthcare improvement is possible by connecting with affected persons and offering them the appropriate care. Chapter 2 of this study is based on the literature review which is vast and contains a lot of critical data linked to the mental health department. The cited materials shall get discussed and then synthesis performed to generate required knowledge improvement related to the healthcare department. Chapter 3 of this study shall contain data related to the methodology plan associated with this study. This shall offer the guidance of implementation of the majority of topics developed in the chapter 2 literature review section.

Criterion *(Score = 0, 1, 2, or 3)	Learner Score	Chair Score	Methodologist Score	Content Expert Score
Introduction (Minimum three to four paragraphs or approximately one page)
The learner introduces the dissertation topic supported by prior research as defined by the problem space (see Chapter 2 for more information regarding problem space).
The learner states the purpose statement.
The learner overviews how the study advances knowledge and practice.
The learner writes this section in a way that is well structured, has a logical flow, uses correct paragraph structure, sentence structure, punctuation, and APA format.
*Score each requirement listed in the criteria table using the following scale: 0 = Item Not Present or Unacceptable. Substantial Revisions are Required. 1 = Item is Present. Does Not Meet Expectations. Revisions are Required. 2 = Item is Acceptable. Meets Expectations. Some Revisions May be Suggested or Required. 3 = Item Exceeds Expectations. No Revisions are Required.
Reviewer Comments:

 

Background of the Study

The research that needs to be understood is how mental health gets affected by external factors surrounding each person that is mentally ill. There are many peer reviewed articles based on mental health improvement which affects many persons some of which do not disclose their conditions. The issue of mental health affects many people since it not only affects the person diagnosed with mental health issues but also affects the persons who interact with the mentally ill person (USHH, 2017). Mental health occurs in an intrapersonal perspective whereby the affected person has inability to function properly and then they get affected by issues in their external environment. This often occurs when the affected person gets exposed to adverse situations that impair their capability of functioning properly.

Expounding on the intrapersonal issues of mental health is imperative since it reveals how affected persons can reject any efforts of improving their mental health conditions. Mental health issues affect normal physical functioning since it becomes difficult for the affected persons to put focus on their physical wellbeing (Ohrnberger et al., 2017). Whenever a person interacts with improper social background the resulting effects is negative social, economic, biological, and lifestyle factors (Ohrnberger et al., 2017). The issues progress due to limited capability to separate adverse interactions with the impact they would have on affected persons. Exposure to mental illnesses often results in incapacitation on the part of the affected person to think of ways to improve their statuses. The issues have been increasing recently as the environment changed.

Ohrnberger et al. (2017) explained further about the intrapersonal issues of mental illness whereby people get affected due socio-economic conditions that result in lack of capability to access required resources. The feeling of loneliness often develops as the affected persons sink deeper into depression due to lack of financial independence. Once the affected persons realize they are incapable of being self-sustaining they often get exposed to rejection of mental health improvement initiatives since they do not see the need to access care. Feelings of depression and anxiety develop more as the affected person’s brain gets used to negative environment. Ohrnberger et al. (2017) explained that loneliness develops due to limited capability of engaging with mental health improvement initiatives. In this perspective, intrapersonal issues develop due to mental health requirements that are often highly demanding for people who have no capability of accessing care.

Ohrnberger et al. (2017) further explained that issues of mental health result in an affected person lacking the capability of realizing positive health improvement measures. Mental issues develop as the affected persons engage in substance abuse to manage their negative conditions. The common issues include too much alcohol intake, and drug use (Ohrnberger et al., 2017). The mentally ill persons find themselves getting addicted to substances since they lack capability of realizing that the substances provide only a temporary relief. This action results in rejection of mental health improvement measures since the persons get addicted and cannot realize that they need to change their wellbeing. The lack of social interactions also results in limited capability of accessing health care since it becomes difficult to balance the negative conditions with required health improvement measures.

From an interpersonal perspective, mental illness develops and worsens due to limited capability of affected persons to engage with people that can produce positive outcomes in them. This perspective requires study of interaction between mentally ill people and their peers, professional colleagues, families, and mental healthcare providers. The interpersonal perspective of mental health issues requires more study since it is one the basis of mental health issues of a vast community. There are issues connected to health requirements whereby the affected persons lack a capability of generating the required health improvement measures. It is often difficult for some mentally ill persons perceive their need to improve due to the inability to connect with highly trained persons (Garcia et al., 2020). This is detrimental since it is difficult for a sick person to realize that they have a problem that can get solved.

The interpersonal perspective of mental health issues results in the need to find a method of studying how mental health providers have an impact on their patients’ wellbeing. Any health improvement initiative requires to get studied by professional persons since they would have received training that can improve their health outcomes.

The interpersonal study of mental health improvement measures requires study of how different persons get affected by their social interactions. The issue of stigma often affects the capability of mentally ill people to realize the adversity of their issues and to receive treatment that is effective and suitable to them (Gaiha et al., 2020; Paul et al., 2018; Patino & Ferreira, 2018). The issue often causes rejection as the mentally ill persons become afraid to reveal their weaknesses to other people. Interpersonal issues often develop as mentally ill persons find it difficult to access care when they use technology to form connection that are not always positive. This usually occurs due to use of smartphones and social media which result in limited capability to form positive face to face encounters (Bauer et al., 2020). The issue of rejection develops further in this way.

Interpersonal issues often cause development of mental health issues since it is difficult for any person to function well when they are constantly exposed to negative environments. There are issues that develop such as anxiety and depression when an employed person constantly gets exposed to rude and unprofessional employees (Tricco et al., 2018; Pascoe et al., 2019; Packness et al., 2019). Issues such as bullying, workplace conflicts, and negative relationships develop and can have detrimental effect on the overall output of every employee. The fact the current work environment is constantly changing as people get exposed to a variety of issues results in the need to offer positive advice for all people that interact with other people in a social or professional context. In-person analysis is required to ensure affected persons do not get negative outcomes when they receive external connections and unfamiliar outcomes.

The interpersonal study of mental health issues requires study of how mental healthcare providers’ mental health is important when they deal with patients (Picco et al., 2017; Planey et al., 2017; Picco et al., 2017). The ability to provide proper mental healthcare is connected to the capability of mental healthcare providers to generate positive social, psychological, and emotional improvements to all affected persons. There are variety of mental healthcare professionals who are therapists, psychiatrists, social workers, and nurses who frequently engage with patients. Such persons require high degree of professionalism to ensure they are capable of generating required outcomes for the affected persons (Moutier, 2018). The ability to improve mental health is connected to possibility of generating proper treatment based on patients’ conditions.

From a systemic perspective, mental health institutions have a critical connection to the acceptance or rejection of mental health improvement initiatives. The mode of treatment provided by each medical provider has an impact on the overall outcome for each patient. White et al. (2020) explained that one-to-one peer support is a critical technique that can get applied by mental health institutions to offer suitable care for affected persons. The institutions can offer hospitalization equipment and professional persons that can have an impact on the overall outcome for the patients. Issues occur when the institutions lack proper high standard medical equipment that can suit the ability of patients to receive full treatment. Further, there are issues of rejection that occur when patients deny the positive impact that healthcare institutions would have on their wellbeing.

The ability to offer required health improvement is also connected to the availability of training and development for each mental healthcare provider. The choice of treatment, whether it shall be in-patient care, specialist care, or primary care is dependent on the healthcare institution’s mode of operation (Gillard, 2019; Radez et al., 2021; Probst, 2017). This has an impact on the ability to generate effective outcomes for the patients. From this perspective, it is evident that issues of rejection of mental healthcare initiatives would occur based on the requirements that each party has (Wakida et al., 2018; Radmanović & Burgić, 2017). This paper shall study how each mental healthcare professional can impact quality of care and ability of patients to receive required improvements. The relationship by mental healthcare institutions and the ability to generate required improvements depends on acceptance on known standards of care by the patients.

There are issues of rejection of mental health improvement measures by persons from the LGBT community and those with religious backgrounds. The issue of mental health occurs for persons from the LGBT community since they receive a lot of stigma and negative social encounters (Whaibeh et al., 2020). These issues form a barrier for mental health improvement since it becomes difficult to provide care as the affected persons constantly receive negative environments. The issue of sexual orientation is also connected to the ability to generate effective outcomes for affected persons since they may not identify that they need help (Williams, 2017). This forms a background for mental health improvement health improvement measures since it is imperative to generate a positive environment for affected persons to identify their need to improve the mental wellbeing.

This study shall focus on barriers of mental health improvement that are connected to the desire to receive appropriate care. Discrimination is a detrimental barrier that forms development of more issues related to the mental health sector (Williams et al., 2019; Reardon et al., 2017; Rafferty et al., 2019). It is imperative to discover techniques of solving mental health issues that affect capability of different persons from improving their output. Barriers for mental health improvement often occur further as affected persons lack cognitive capability to improve their wellbeing (Whittle et al., 2018; Ribiero et al., 2018; Reardon et al., 2017). This is detrimental to all health improvement measures since it becomes difficult for the professional persons to engage with patients and to offer them care.

This proposal shall identify all barriers for mental health improvement in Texas (Mental Health America, 2020). This is effective in identifying issues related to mental healthcare since it would be possible to find a connection between the affected persons and their ability to receive care.

Criterion *(Score = 0, 1, 2, or 3)	Learner Score	Chair Score	Methodologist Score	Content Expert Score
Background of the Study (Minimum two to three paragraphs or approximately one page)
The learner provides a brief history of the problem space, and a summary of results from the prior research on the topic.
The learner identifies what still needs to be understood within the problem space.   The learner provides a clear statement of what still needs to be understood: “The research that needs to be better understood is …”
The learner builds a justification for the current study, using a logical set of arguments supported by appropriate citations.
Learner situates what needs to be understood by discussing how the research is applicable to/beyond the local setting and may be contributory to professional or broader societal needs.
The learner writes this section in a way that is well structured, has a logical flow, uses correct paragraph structure, sentence structure, punctuation, and APA format.
*Score each requirement listed in the criteria table using the following scale: 0 = Item Not Present or Unacceptable. Substantial Revisions are Required. 1 = Item is Present. Does Not Meet Expectations. Revisions are Required. 2 = Item is Acceptable. Meets Expectations. Some Revisions May be Suggested or Required. 3 = Item Exceeds Expectations. No Revisions are Required.
Reviewer Comments:

 

Definition of Terms

DocuSign – This is an electronic signature software platform that would identify all persons who accept to get involved in the study.

MaxQDA – The platform offers qualitative data analysis that is required to provide analysis of different research data and to connect it to expectations

Criterion *(Score = 0, 1, 2, or 3)	Learner Score	Chair Score	Methodologist Score	Content Expert Score
Definitions of Terms (Each definition may be a few sentences to a paragraph.)