MétaCan
Menu
Back to cohort
Record W4413019955 · doi:10.33043/r23873x5

Barriers to Mental Health Care for Low-Income Clients As Perceived By Counsellors

2025· article· en· W4413019955 on OpenAlexaff
Riley Keast, Marguerite Lengyell, Charlotte Finnigan, Jason Brown, Melissa Jay

Bibliographic record

VenueJournal for Social Action in Counseling & Psychology · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsAthabasca UniversityWestern University
Fundersnot available
KeywordsMental healthLow incomeMental health carePsychologyNursingMedicinePsychiatrySocioeconomicsSociology

Abstract

fetched live from OpenAlex

This study aimed to answer the question, “What have [counselors] found to be the least helpful aspects of counseling with clients facing low income?” One hundred thirteen counselors were recruited via mass email, completed an online survey, and participated in individual interviews. Using a group concept mapping procedure, participants grouped the data into seven concepts, including barriers due to low income and employment, systemic barriers for clients, obstacles due to trauma, competing needs and priorities, biased approaches, limits to real-world helpfulness of counseling, and negative impacts of systems on and for counselors. The results highlight the importance of identifying and addressing inequities faced by clients living with a low income to increase the accessibility and availability of mental health services for all.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.052
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0050.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.041
GPT teacher head0.531
Teacher spread0.490 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueJournal for Social Action in Counseling & PsychologySame topicGlobal Health Workforce IssuesFrench-language works237,207