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3.
Problem Statement
It is not known how mental health providers describe the factors that influence utilization of public mental health services
4.
Sample and Location
· Location – South Texas. USA
· Participants will include people who are members of Mental Health Organizations
· Target Population: Mental Health Providers
· Sample: 20 samples that will comprise of interviews with 10 Mental Health Providers and 10 Caregivers.
5.
Research Questions
· RQ1: How do mental health providers describe the factors influencing utilization of public mental health services?
· RQ 2: How do mental health providers describe strategies of encouraging patients to utilize public mental health services?
· RQ 3: How do caregivers describe the factors influencing patient’s utilization of public mental health services?
· RQ4: How do caregivers describe strategies of encouraging patients to utilize public mental health services?
6.
Phenomenon
(qualitative) or Define Variables/Hypotheses (quantitative)
· Lack of mental health utilization in Texas.
· High rate of mental health conditions is reported in Southern Texas
7.
Methodology and Design
Rationale for Methodology
· Qualitative methodology is justified for my research because it is effective at providing rich data and is neither restrained nor bound by limitations (Bradshaw et al., 2017).
· In addition, it is most appropriate because it is going to provide real life evidences based on interviews with participants who will be healthcare providers and caregivers that have difference experiences at giving primary data
8.
Purpose Statement
The purpose of this qualitative descriptive case study is to understand how mental health providers describe the factors that influence utilization of public mental health services
9.
Data Collection Approach
· Informed & signed consent by participants
· Visits to mental health providers and mental health facilities
· Interview with mental health providers & caregivers recorded on tape
· Sampling Method: Purposeful Sampling
10.
Data Analysis Approach
Factors Influencing Utilization of 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
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ABSTRACT (Dissertation Only—Not Required for the Proposal) (one page) |
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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). |
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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. |
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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. |
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*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. |
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Reviewer Comments: |
Table of ContentsTen Strategic PointsviChapter 1: Introduction to the Study1Introduction1Background of the Study8Definition of Terms15Anticipated Limitations16Summary and Organization of the Remainder of the Study17Chapter 2: Literature Review20Introduction to the Chapter and Background to the Problem20Identification of the Problem Space22Theoretical Foundations24Review of the Literature26Problem Statement56Summary57Chapter 3: Methodology59Qualitative Methodology59Introduction59Purpose of the Study62Research Questions63Rationale for a Qualitative Methodology64Rationale for Research Design66Population and Sample Selection69Qualitative Sample Size70Recruiting and Sampling Strategy72Sources of Data73Research Data74Additional Data76Trustworthiness76Credibility77Dependability78Transferability78Confirmability79Data Collection and Management79Data Analysis Procedures81Ethical Considerations85Assumptions, and Delimitations87Assumptions87Delimitations88Summary88References91Appendix A.123Appendix B. Site Authorization123Appendix C. IRB Approval Letter125Appendix D.126Appendix F.129Appendix G. Focus Groups Questions131
Methodology/Research Design:
Qualitative research method and qualitative descriptive design
This study shall then shift to chapter 2 that focuses on literature review of variety of peer reviewed journal articles that got developed to study mental health improvement departments. The structure of chapter 2 shall be identification of the gap that exists in mental health improvement measures. It would also be possible to develop different topics for the literature review. Each topic shall involve different peer reviewed articles and their synthesis that shall generate required study of mental health improvement measures. Chapter 3 shall be involved with methodology for the proposal. This is required to ensure appropriate outcomes for the study that would ensure the production of required outcomes for the study.
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Chapter 1 Summary and Organization of the remainder of the study (Minimum one to two pages) |
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FOR PROPOSAL ONLY: The learner provides a project timeline for completion of the dissertation. |
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The learner provides a summary of feasibility of the study. The learner completes Appendix H (feasibility and benefits checklist). |
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The learner completes the alignment table above. Furthermore, the items within the table are aligned. |
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The learner describes the remaining Chapters and provides a transition discussion to Chapter 2. |
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The learner correctly formats the chapter to the Template using the Word Style Tool and APA standards. Writing is free of mechanical errors. |
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All research presented in the chapter is scholarly, topic-related, and obtained from highly respected academic, professional, original sources. In-text citations are accurate, correctly cited, and included in the reference page according to APA standards. |
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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. |
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*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. |
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Reviewer Comments: |
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Background : The learner describes the what still needs to be understood defined in the problem space in current literature and how it leads to the creation of the topic and problem statement for the study. Note: This section is a significant expansion on the Background of the Study section in Chapter 1.
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:
Learner Score
Chair Score
Methodologist Score
Content Expert Score
Identification of the Problem Space
(Minimum two-three pages)
The learner provides a detailed description of how the problem space has evolved over time, and the effects it has had on the research (research trends).
The learner summarizes the problem space, highlighting what has been discovered and what still needs to be understood related to the topic from literature or research dated primarily within the last five years.
The learner discusses and synthesizes the evolution of the research on the problem. Specifically:
· Identifies the key sources used as the basis for the problem space
· Identifies trends in research and literature.
· Identifies how the research focus has changed over the recent past (five years).
· Discusses key findings that emerged from recent studies.
· Discusses prior research and defined future research needs.
From the findings of research studies and evolution of recent literature on the topic, the learner defines the parameters for problem statement for the study.
The learner describes how the study will contribute to the body of literature.
The learner describes the potential practical or professional applications from the research.
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:
Learner Score
Chair Score
Methodologist Score
Content Expert Score
Theoretical Foundations
(Minimum two to three pages)
The learner discusses the theoretical foundation and, where appropriate, the extended conceptual framework that undergird and frame the study.
The learner identifies theory(ies) models, and/or concepts from seminal source(s) that provide the theoretical foundation to use in developing the research questions, identifying phenomena, and describing the sources of data.
The learner cites the appropriate seminal source(s) for each theory, model, or concept.
The learner includes a cogent discussion/synthesis of the theories, models and concepts, and justifies the theoretical foundation/framework as relevant to the problem statement for the study. The learner connects the study directly to the theory and describes how the study adds or extends the theory, model, or concept.
The learner’s discussion reflects understanding of the foundational and historical research relevant to the theoretical foundation.
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:
Research Questions
After analysis of the theoretical foundation, it is possible to develop the following research questions to guide this topic of mental health improvement and factors affecting its improvement. All the research questions shall get addressed in the review of literature section where it shall be possible to develop different topics. The following are the appropriate research questions:
RQ1: How do mental health providers describe the factors influencing utilization of mental health services?
RQ 2: How do caregivers describe the factors influencing patient’s utilization of mental health services?
Learner Score
Chair Score
Methodologist Score
Content Expert Score
Data Collection and Management
(Minimum one to three pages)
The learner describes the procedures for the actual data collection at a level of detail that would allow execution of the study by another researcher. This will include (but not be limited to) how each instrument, measurement technique, or data source will be used, how and where data will be collected, and how data will be recorded.
The learner includes a sequence of actions or step-by-step procedures to be used to carry out all the major steps for data collection. This includes a workflow and corresponding timeline, presenting a logical, sequential, and transparent protocol for data collection that would allow another researcher to conduct the study.
Data from different sources may have to be collected in parallel (e.g., paper-and-pen surveys for teachers, corresponding students, and their parents AND retrieval of archival data from the school district). Provides detailed description of data collection process, including all sources of data and methods used, such as field tests, interviews, member checking, observations, surveys, and expert panel review. Note: The collected data must be sufficient in breadth and depth to answer the research question(s) and interpreted and presented correctly, by theme, research question and/or instrument. sequence is acceptable.
The steps include acquisition of site authorization documents, IRB approval, and the procedures for obtaining participant informed consent and protecting the rights and well-being of the participants.
The learner includes copies of the relevant site authorizations, participant informed consent forms, recruitment announcements/materials (e.g., posters, e-mails, etc.) in appropriate appendices.
The learner describes the data management procedures for paper-based and/or electronic data. This includes, for example, data security procedures and how and when data will be destroyed.
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:
Data Analysis Procedures
The problem statement involved in this study is that: It is not known how mental health providers and caregivers in south Texas describe the factors that influence utilization of mental health services. There is prevalence of mental health issues in south Texas that requires to get studied to determine the rationale for underutilization of mental health in the region and how residents get adversely affected by their conditions. The research would study key participants to determine the exact the factors influencing utilization of mental health services in the region.
According to the Texas Association of Counties (TAC), there was allocation of “$476 million” for mental health improvement initiatives in the state. The county government contributed “$371 million of the $476 million” used in mental health improvement procedures (TAC, 2020). This reveals that a lot of government funds get used to conduct mental health initiatives in the state. The research is thus valid in south Texas since it would be possible for the local government to come up with health improvement initiatives once the root causes of issues get discovered.
The data analysis procedure would involve analysis of the root cause of poor utilization of mental health services and seek improvement measures. The participants involved in the study would all be mental health providers and caregivers as they produce trustworthiness for the entire research process. The study shall offer guidance on proper government allocation of funds to ensure capability of directing taxpayers’ money to the proper department (Vaesen & Katzav, 2017). The data analysis process would offer guidance on development of policies that are capable of generating suitable information for the improvement of mental health departments. It would be possible to discover the type of mental disorder that people suffer from and to guide mental health providers on the direction to take while treating patients.
The fact that there is poor utilization of mental health services that results in the need to study how mental health providers can connect with patients to improve utilization of the services. The research process shall involve participants who are qualified mental health practitioners to ensure they all provide data suitable to real mental health issues which affect people in south Texas (Lee et al., 2018). The mental health department in south Texas already facing issues of inaccessibility since it is hard for person who cannot afford care to receive appropriate treatment. Hence, the issues of health improvement progress since it is hard to acquire treatment without insurance (Koons & Tozzi, 2019). This issue is connected to the need of gaining health measures for every person regardless of financial constraints. The fact that there are more economic requirements to enable each person to remain self-sufficient is another factor that influences this study’s development (Chen et al., 2019). The high rate of uninsured persons in south Texas result in the need to study barriers that influence mental health utilization, which may cause limited capability to generate mental health improvement in future studies. Inaccessible healthcare improvement techniques would get addressed in the data analysis stage to determine how each person can eliminate barriers to the status improvement.
The data analysis process shall produce high-quality and suitable data required for mental health improvement. This would be possible after addressing each of the following research questions:
· RQ1: How do mental health providers describe the factors influencing utilization of mental health services?
This question would be directed to mental health providers to determine how they can conclude that a person suffers from mental health issues.
· RQ2: How do caregivers describe the factors influencing patient’s utilization of mental health services?
This research questions shall reveal why individuals living in south Texas utilizes very low budget allocation on funding of mental health care
· Supplemental RQ: How do mental health providers determine the root cause of mental health related issues?
This research question shall provide direction on how mental health providers assess patients to determine background issues that would have led to their present condition.
This research question shall be directed towards mental health improvement that has a capability of using valid knowledge to provide effective improvement.
As mentioned before, qualitative descriptive analysis is the best procedure to use to develop effective outcome for the research process. The data collection procedure shall be performed for the interview sessions and focus group sessions. The collection procedure would involve putting data into the sections involved in the topics related to identification of the problem in south Texas. The unique topics are all provided in the literature review section and have a possibility of generating required insight into mental health related issues in south Texas.
The data collection procedure for the interviews would involve verbatim to ensure the recording and back up procedure involved trustworthiness. After collecting the data, it would be possible to generate valid responses by frequently listening to the interview processes. The procedure would involve effective analysis of the responses to ensure the study gets performed using required direction for the improvement of mental healthcare. The analysis procedure of this study shall be thematic analysis which has a capability of generating suitable topics based on the study’s direction (Nowell et al., 2017). Thematic analysis is suitable since it can produce required direction and research questions can get used to produce required topics.
Learner Score
Chair Score
Methodologist Score
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ETHICAL CONSIDERATIONS
(Minimum three to four paragraphs or approximately one page)
Provides a discussion of ethical issues, per Belmont Report and IRB guidelines, related to the study and the study population of interest. Includes citations.
Explains which principles / issues are relevant to the study.
Identifies the potential risks for harm that are inherent in the study.
Describes the procedures for obtaining informed consent and for protecting the rights and well-being of the study sample participants. Includes statement in Informed Consent on who has data access including chair, committee members, IRB and peer reviewers, college representative.
Addresses key ethical criteria of anonymity, confidentiality, privacy, strategies to prevent coercion, and any potential conflict of interest.
Describes the data management procedures adopted to store and maintain paper and electronic data securely, including the minimum 3-year length of time data will be kept, where it will be kept, and how it will be destroyed.
Explains plan to implement each of the principles/issues that are relevant the study data management, data analysis, and publication of findings.
Note: Learners are required to securely maintain and have access to raw data/records for a minimum of three years. If asked by a committee member, IRB reviewer, peer reviewer or CDS representative, learner must provide all evidence of data including source data, Excel files, interview recordings and transcripts, evidence of coding or data analysis, or survey results, etc. No dissertation will be allowed to move forward in the review process if data are not produced upon request.
Includes copy of site authorization letter (if appropriate), IRB Informed Consent (Proposal) and IRB Approval letter (Dissertation) in appropriate Appendices.
All approvals, consent forms, recruitment, and data collection materials are mentioned in the Data Collection section and included in appropriate appendices (with appropriate in-text references).
Section is written in a way that is well structured, has a logical flow, uses correct paragraph structure, uses correct sentence structure, uses correct punctuation, and uses correct 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:
Assumptions, and Delimitations
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