Psychological Practice for People with Low-Income and Economic Marginalization

Publication Date: August 6, 2019
Last Updated: March 14, 2022

Guidelines

TRAINING AND EDUCATION

Guideline 1: Psychologists strive to gain awareness of how their biases related to social class may impact the training and education they provide.

Guideline 2: Psychologists are encouraged to increase their knowledge and understanding of social class issues, including poverty and wealth, through continuing education, training, supervision, and consultation.

LIEM AND HEALTH DISPARITIES

Guideline 3: Psychologists strive to understand the contribution of economic and social marginalization to the substantial health disparities in our society.

Guideline 4: Psychologists strive to promote equity in the access to, and the quality of, healthcare available for people from LIEM backgrounds.

TREATMENT CONSIDERATIONS

Guideline 5: Psychologists acknowledge the presence of social class as a variable that is present in mental health treatment settings. Psychologists are encouraged to seek to:
a) understand how social class influences psychotherapists’ ability to effectively engage clients in treatment, and
b) attend to ways that social class differences manifest and impact the experience of mental health treatment for clients.
Guideline 6: Psychologists aim to understand the barriers that prevent persons with low SES from better accessing mental health care and make efforts to alleviate these barriers when providing psychological interventions and/or creating mental health care delivery systems.

Guideline 7: Psychologists strive to understand the common clinical presentations that may be more likely to occur among persons who are from LIEM populations and how best to address these in treatment settings.

INTERSECTION OF LIEM WITH CAREER CONCERNS AND UNEMPLOYMENT

Guideline 8: Psychologists seek to understand the impact of social class on academic success, career aspirations, and career development throughout the lifespan.

Guideline 9: Psychologists seek to understand the interaction among economic insecurity, unemployment, and underemployment and attempt to contribute to re-employment processes for individuals.
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Recommendation Grading

Overview

Title

Psychological Practice for People with Low-Income and Economic Marginalization

Authoring Organizations

Publication Month/Year

August 6, 2019

Last Updated Month/Year

January 31, 2024

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

Assist psychologists in the provision of culturally competent care for those whose economic position has negatively impacted or constrained their health and well-being

Inclusion Criteria

Female, Male, Adolescent, Adult, Child

Health Care Settings

Ambulatory

Intended Users

Social worker, psychologist, counselor, nurse, nurse practitioner, physician, physician assistant

Scope

Counseling, Assessment and screening

Diseases/Conditions (MeSH)

D008603 - Mental Health, D000079225 - Psychological Distress

Keywords

psychological evaluations, Low-Income, Economic Marginalization