Research Questions and Hypotheses

1. What are the outcomes for Hispanic adults that receive outpatient mental health services via King County Mental Health, Chemical Abuse and Dependency Services Division (reduction in psychiatric symptomology, increased level of functioning, increased employment, and increased age appropriate activity levels) by the end of the one-year benefits period?

2. How do the mental health outcomes of Hispanic adult outpatients compare to those of Caucasian adult outpatients?

3. How do biopsychosocial, cultural formulation and/or culturally sensitive service integration impact outpatient mental health outcomes?

H1. Pre-service psychiatric symptoms of Hispanic adults will be significantly different from post-service psychiatric symptoms. (One-way ANOVA)

H2. Pre-service levels of functioning (GAF and Tier level scores) of Hispanic adults will be significantly different from post-service levels of functioning. (One-way ANOVA)

H3. Pre-service levels of employment of Hispanics adults will be significantly different from post-service levels of employment. (One-way ANOVA)

H4. Pre-service levels of age appropriate activities of Hispanics adults will be significantly different from post-service levels of age appropriate activities. (One-way ANOVA)

H5. Hispanic adults use of outpatient mental health services will be significantly less than use by Caucasian adults. (One-

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status is defined as level of employment (zero = 1; part-time = 2; full-time = 3). Age appropriate activity levels are defined as: zero = 1; school attendance = 2, etc. (be specific and use ordinal numerical classifications). PROBLEMS WITH YOUR DESIGN: The assumption is that your Hispanic and Caucasian samples are from these clinics (King . . .), and that patient records will be available with information regarding each of the dependent variables and use or nonuse of cultural services. If this is not the case you cannot compare Hispanics and Caucasians (H5-H6) and you cannot use the Hispanic population for H7-H11. It is unclear what the purpose of your survey is û is it to further understand the use of biopsychosocial, cultural formulation and/or culturally sensitive service integration at King . . .? Is it to compare responses of therapists and directors of clinics (not recommended since it brings a new focus to the study and provides descriptive rather than inferential information). You need to decide what you want to do and state this clearly in your purpose and title (check consent form): Are you evaluating services at King? Showing director/therapist views of services (qualitative) and showing outcomes of Hispanics
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Some common words found in the essay are:
SERVICES DIRECTIONS, Procedure Archival, Services Division, H5-H6 Hispanic, GAF Tier, Anxiety Inventory, H1-H4 ANOVA, Hispanics Caucasians, ___yes ___no, Outcomes Purpose, ___no ___other ___donÆt, ___other ___donÆt, ___yes ___no ___other, ___no ___other, DEMOGRAPHICS DIRECTIONS, cultural formulation, biopsychosocial cultural formulation, biopsychosocial cultural, hispanic adults, service integration, mental health, age appropriate, culturally sensitive, cultural formulation integration, formulation and/or culturally,
Approximate Word count = 1580
Approximate Pages = 6 (250 words per page)

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