Appalachian clients are often ‘invisible’ within the majority culture and possess characteristics unique to the region that must be considered within the counseling relationship (Tang & Russ, 2007). Individuals in Appalachia have higher incidences of certain mental health disorders and substance use as compared to the national average (Appalachian Regional Commission [ARC], 2008). Although the need for mental health services is evident, limited research exists to inform mental health professionals how to deliver culturally competent interventions to build a working alliance with Appalachian clients. The authors will discuss a framework for mental health professionals to develop a strong working alliance through a review of the cultural distinctions of Appalachian individuals, culturally appropriate counseling interventions, and a case illustration.
| Identifer | oai:union.ndltd.org:ETSU/oai:dc.etsu.edu:etsu-works-4254 |
| Date | 13 September 2017 |
| Creators | Protivna, Jake J., Pusateri, Cassandra G., Paylo, Matthew J., Choi, Kyoung Mi |
| Publisher | Digital Commons @ East Tennessee State University |
| Source Sets | East Tennessee State University |
| Detected Language | English |
| Type | text |
| Format | text/html |
| Source | ETSU Faculty Works |
| Rights | http://creativecommons.org/licenses/by/3.0/ |
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