The Barriers to Mental Health Treatment in the United States Muslim Community |
Consent Form
Investigators: Annum S. Rentiya
Study Title: Barriers to Mental Health Treatment in the United States Muslim Community
I am a student at The Chicago School of Professional Psychology. This study is being conducted as part of my dissertation requirements for the Clinical Psychology Psy.D. program.
I am asking you to participate in a research study about the potential barriers to mental health treatment in the Muslim community. You will be asked to complete a survey that will take approximately 15 minutes. Answering certain questions about mental health and religion may feel uncomfortable or cause distress. You may, however, choose whether or not to answer the question. You may also exit out of the survey at any time. In the event that you experience severe discomfort or distress please talk to someone or contact a mental health hotline (e.g., NAMI helpline [1-800-950-NAMI (6264)], SAMHSA national helpline [1-800-662-HELP (4357)]). Additionally, if you choose to participate in the raffle by providing your email at the end of the survey, your confidentiality in the study is not guaranteed. Although you may not directly benefit from this study, it will help to understand the challenges the Muslim community experiences when experiencing poor mental health and needing treatment. Furthermore, this study will help providers create and provide culturally sensitive treatments and educational programs to better assist the Muslim community.
Please take your time to read the entire document and feel free to ask any questions before continuing with the survey.
Study Title: Barriers to Mental Health Treatment in the United States Muslim Community
I am a student at The Chicago School of Professional Psychology. This study is being conducted as part of my dissertation requirements for the Clinical Psychology Psy.D. program.
I am asking you to participate in a research study about the potential barriers to mental health treatment in the Muslim community. You will be asked to complete a survey that will take approximately 15 minutes. Answering certain questions about mental health and religion may feel uncomfortable or cause distress. You may, however, choose whether or not to answer the question. You may also exit out of the survey at any time. In the event that you experience severe discomfort or distress please talk to someone or contact a mental health hotline (e.g., NAMI helpline [1-800-950-NAMI (6264)], SAMHSA national helpline [1-800-662-HELP (4357)]). Additionally, if you choose to participate in the raffle by providing your email at the end of the survey, your confidentiality in the study is not guaranteed. Although you may not directly benefit from this study, it will help to understand the challenges the Muslim community experiences when experiencing poor mental health and needing treatment. Furthermore, this study will help providers create and provide culturally sensitive treatments and educational programs to better assist the Muslim community.
Please take your time to read the entire document and feel free to ask any questions before continuing with the survey.