Robert Johnson, Ph.D.
Department of Sociology
Kent State University
Kent,  Ohio

Pathways to Therapy: Social and Cultural
Determinants of and Barriers to Treatment

    This chapter will address factors that influence access to treatment. It will present three different models and discuss the impact that their theoretical constructs have on treatment. First, the chapter will discuss the medical model and the relationship between types of symptoms and types of treatment. Next, the chapter will address the cultural model and its implications for differential effects of race, gender and tolerance on access to treatment. Networks of referral based on the social model will also be discussed in the third model. Finally, the chapter will address characteristics of the physician-patient relationship in order to help parents and physicians recognize the presence of psychosocial problems, and the barriers they face in meeting the need for treatment.

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