Qualitative research

Question 1

Research question: What are the barriers to mental healthcare access experienced by West and Central African immigrants in the United States?

· Restate your research question,

· approach, (Phenomenological)

· sampling plan.

· Identify the key elements of data analysis that are consistent with your chosen approach to propose your analysis plan. Be sure to cite sources specific to your approach as well as your textbooks.

· Choose one coding method and code both interviews (Transcripts attached)

· Indicate the codes in the text of the transcript or summary. You can use Excel or Word. Attach this document to your post.

 

QUESTION 2

Choose two examples of Qualitative Data Analysis (QDA) software to investigate. Go to their respective websites and explore the FAQs, demos, customer feedback, and other resources that inform you about their capabilities and limitations.

Develop a 3- to 5-page paper describing considerations for choosing to use QDA software. Include your responses to the following:

· Hands-on: Summarize your experience with coding using Excel or Word. Identify what worked well, where you struggled, and how the process of coding evolved.

· Research: Summarize your research on your two choices by comparing and contrasting features. Describe why you chose these two versus the others and, given your experience in this course, what you are considering for your project.

Data Transcription 1

1. Research question

What are barriers to mental healthcare access experienced by West and Central African immigrants in the United States?

2. History of the participant

I: Mr. Emmanuel tell me a little about you, what part of West/Central Africa you are from, Gender, Interaction with other people and Interaction with healthcare

R: I am from Cameroon, west Africa. Been in the US for 5 years. In Cameroon we live as a community so I try my best to meet with others from the region when I can. Regarding healthcare, I go to the hospital when I need too but no mental healthcare access since I have been to the US.

I: What are the lived experience as a person with mental health disorders or knows someone who does?

R: I know of a Cameroonian who has had a mental breakdown for about 4-5 times. It has been traumatizing for friends and family around him. Right now, people from Cameroon are going through a civil war crisis which is kind of placing a lot of stress to their family residing here in the US.

I: Any problems one can define as a culturally based stigma?

R: Yes, there is a lot of stigmas because people are thought to be strong to man up and handle stress within them. It is hard to say one is stress.

I: How do you define of mental illnesses?

R: The basic of mental health starts with stress. The individual I mention always goes into crisis when stress from my experience

I: What are examples that qualify to be mental health illnesses

R: Stress, trauma, crisis, depression

I: How challenging is it to access medical help?

R: It has been very challenging due to cost. Most Cameroonians come in like first generation Africans and it is hard to generate income to cover the cost for health care and to see specialist so many turns to ignore their mental health.

I: How has been the experience when seeking help?

R; I have not seek mental health care.

I: Are there any barriers? Which ones

R: Stigma people afraid to open up, finances, means to take care of physical and mental health, lack of awareness because we live with it back home.

3. Current feeling

I: What are your feelings regarding past experiences?

R: Education is helping me to accept some realities. Back home I would like to raise more awareness about stress, trauma and impact of civil war. Kidnapping and loss should seek mental help, but they overlook all these which affect them in the long run.

I: If the same experience happened today, what would be your response

Education and awareness

4. Barriers to access to mental health services among African immigrants

I: Why is it challenging to access mental health services?

R: Cost, stigma, lack of trust with health care providers

I: How does cultural stigma occur for African immigrants when seeking help?

R: People do not want family to know they are struggling mentally. They want to look strong. It is a cultural thing to be strong.

I: What are your experiences with mental health providers or hospitals?

R: I haven’t had any interaction with mental health providers, but I have visited the hospital for physical checkups.

I: How has it been living as a West or Central African immigrant?

R: It has been hard in the sense that the community aspect of life is missing here. Neighbors don’t ay hi and you have to find community members to interact with which becomes lonely and stressful. We try to create a small community to share with each other.

I: How did you discover you had developed mental illnesses?

R: Denial. The person is not accepting that he has a mental health issue. But he had a psychotic episode and we had to call for help. After this episode he is still in denial due to the stigma.

I: What efforts have you made to ensure you get mental health-related services? Were they successful?

R: He was placed in treatment and medication, but the cost was not affordable to pay for mental health counselor to follow up or a therapist. No it was not successful.

I: What would you wish that the federal, state, or local governments do to improve the current situation faced by African immigrants as they struggle to get medical help?

R: Black people live in a lot of fear and easily get triggered mentally. The govt could make it more accessible. Most people don’t get treatment because of the cost. Make it user friendly to pull toward services.

I: What is your perception regarding the future of African immigrants experiencing mental health services?

R: My wish is that it should improve but we are a long way from there. Stress is coming from work, systemic racism, community, it is hard. It is going to take some time.

I: What is the role of medical providers in increasing the challenges or barriers faced by African immigrants in accessing mental health services?

R: Lack of trust. I think they should gain the trust of Africans. For instance, many Africans are hesitant of taking the covid vaccine due to past experiences where medical providers treated them unfairly which build up a lack of trust in the healthcare system. Restoring some trust might help the community is regaining access.

Data Transcription 2

1. Research question

What are barriers to mental healthcare access experienced by West and Central African immigrants in the United States?

2. History of the participant

I: Mr. Phineas tell what part of West/Central Africa you are from, Gender, Interaction with other people and Interaction with the healthcare system

R: I am from Zimbabwe; I am a male gender. I used to go to the hospital for my mental health, but I have not been there for some time now due to language barrier. I felt like people did not understand me.

I: What are the lived experience as a person with mental health disorders or knows someone who does?

R: It was very rough at the beginning. As I said before, I felt like people did not understand me and that was frustrating.

I: Any problems one can define as a culturally based stigma?

R: Yes, cultural stigma is huge. People are afraid to even say they have a mental illness. And when the providers start moving you around rom one counselor to another, it affected my pride.

I: How do you define of mental illnesses?

R: People losing their minds or experiencing psychosis.

I: What are examples that qualify to be mental health illnesses

R: Psychotic behaviors, depression

I: How challenging is it to access medical help?

R: The cost and language barrier

I: How has been the experience when seeking help?

R; Language barrier has been a problem. Cultural beliefs

I: Are there any barriers? Which ones

R: Stigma people afraid to open up, cost, language

3. Current feeling

I: What are your feelings regarding past experiences?

R: Back home was even worse. We hardly talk about our mental health. We do not even have mental health setup. Most people with psychotic disorders are seen to be under some form of spell or witchcraft. It was a taboo.

I: If the same experience happened today, what would be your response

R: Education and interacting with other people have helped me gained some awareness and coping skills.

4. Barriers to access to mental health services among African immigrants

I: Why is it challenging to access mental health services?

R: Cost, stigma, language

I: How does cultural stigma occur for African immigrants when seeking help?

R: People do not want family to know they are struggling mentally. They want to look strong. It is a cultural thing to be strong.

I: What are your experiences with mental health providers or hospitals?

R: it has been very difficult to explain myself to them.

I: How has it been living as a West or Central African immigrant?

R: It has been great living here and being able to support my family back home and having the opportunity to get ahead in life.

I: How did you discover you had developed mental illnesses?

R: I was not able to sleep at night and I was very tried and angry.

I: What efforts have you made to ensure you get mental health-related services? Were they successful?

R: Understanding me and not judging me was very challenging and I had to keep changing counselors and sharing my information with several peoplr which didn’t sit right with me. That was unfair. I should not be explaining my life to more than one person. I do not think it was successful.

I: What would you wish that the federal, state, or local governments do to improve the current situation faced by African immigrants as they struggle to get medical help?

R: I think that they should provide more funding for training for more diverse therapist and counselors.

I: What is your perception regarding the future of African immigrants experiencing mental health services?

R: I think Africans contribute so much to the economy of the United States and they should reduce cost to accommodate immigrants from this population.

I: What is the role of medical providers in increasing the challenges or barriers faced by African immigrants in accessing mental health services?

R: Medical providers are unfair and bias to black seeking mental healthcare. They do not provide enough options for care.

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