The objective of this dissertation is to describe a systematic approach to effectively treat common mental health disorders, which involves integrating care managers and mental health specialists into the primary care treatment team. Despite an extensive body of evidence demonstrating the effectiveness of collaborative care, implementation in various “real world” settings presents a number of barriers. Successful clinical trials have failed to result in widespread changes in practice. Gaps in the literature persist as to what the clinical, organizational and financial barriers to integration are. As a result, dissemination of the model lags far behind. This dissertation sought to contribute new information to the literature on integrated health care by examining various elements of dissemination efforts. The first article examined the experience among a group of health care providers in Texas who were attempting to integrate physical and behavioral health care. This article identified the barriers that they have encountered in addition to the strategies they have used to integrate mental and physical health services, and to determine whether the strategies reflect an evidence-based model of care delivery. In addition, the perceived clinical, organizational and financial barriers to integration were evaluated. The second article for this dissertation examined quantitative clinical outcomes of an integrated health care program in a community-based clinic with a low-income, uninsured population of Hispanics, a portion of which were Spanish-speaking. A socio-culturally adapted model for the provision of comprehensive health services may have a significant impact on the health and mental health outcomes of minority, non-English speaking populations. The third article offers an in-depth case study of an interdisciplinary collaborative care treatment team. Understanding the details of program implementation and the elements of the model that community based providers found useful, and those they found challenging, has implications for widespread implementation efforts. This qualitative article offered an analysis of how the treatment team organized itself to perform as a coordinated, high functioning effort that fit well with the needs of patients, and had each professional doing what they do best. / text

This thesis focuses on the rhetorical formations of identities of people of color through news media coverage. Specifically, I investigate news media coverage of the Arizona immigration legislation, Senate Bill 1070. Major commercial media and Spanish-language media systems associate the immigrant identity to the U.S. Latina/o identity and position U.S. Latina/os as second-class citizens in American society. The language of the legislation, in addition to media coverage of it, works to reinforce race relations and the ideologies of meritocracy and cultural difference in the United States. Chapter one presents up-to-date demographic data, stressing the continuing growth of a diverse American people. Specifically, I use data on the U.S. Latina/o population as a way to establish this reality given that the data are recent. This chapter also presents the argument that current norms and standards in political opinions, such as those considered by policy makers, excludes opinions deriving from people with distinct cultural backgrounds. I present this argument in order to define and exemplify contemporary U.S. culture. The next chapter is a comparative close-textual analysis of news media coverage of Arizona SB 1070. Chapter two also outlines a theoretical framework in order to understand the functions of the media in society in relation to the rhetorical forms of reinforcing dominant ideological values. Chapter three utilizes survey data that speaks to the identity of U.S. Latina/o college students. As part of the questionnaire, I pose questions regarding language preference, generational status, media consumption and political knowledge. The results exemplify the prevailing bicultural component of U.S. Latinas/os and suggest that this ethnic group draws from different and contrasting ideologies. When comparing the identities presented by the media to the results of the questionnaire, discourse analysis suggests the notion that bicultural Americans are not acknowledged fully as citizens. / text

This report examines the role of Latino consumers, specifically looking at Mexican-Americans and their first generation experiences. It looks at how these experiences influence their consumption patterns. While observing the idea that first generation Latinos are much like ‘adolescent consumers’, a concept stemming from the idea that much like teenagers Latino immigrants are in a sense coming of age in this country. They are under a whole different set of social norms, cultural expectations and values different from their country of origin. This report proposes a reconsideration of the heuristics that marketers hold for Latino consumer spending habits. It maintains the idea that Latino consumer behaviors should be attributed and conceptualized as a process of maturation, not just based on culture and class. Lastly it re-examines the Customer Based Brand Equity model and places it in the context of the Latino consumer while keeping in mind the above framework about Latinos as adolescent consumers. / text

Thesis (M.S.)--University of South Florida, 2006. / Title from PDF of title page. Document formatted into pages; contains 58 pages. Includes bibliographical references.

Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1999. / A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

Thesis (Ph. D.)--University of Oregon, 2007. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 118-122). Also available for download via the World Wide Web; free to University of Oregon users.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

Thesis (D. Min.)--Northern Baptist Theological Seminary, 2007. / Abstract. Includes bibliographical references (leaves 146-154).

Thesis (M.A.)--University of Texas at El Paso, 2008. / Title from title screen. Vita. CD-ROM. Includes bibliographical references. Also available online.

Thesis (Ph. D.)--University of Texas at Austin, 2002. / Vita. Includes bibliographical references. Available also from UMI Company.