When Being “Essential” Illuminates Disparities: Counseling Clients Affected by COVID-19
Corresponding Author
Stacey Diane Arañez Litam
Counseling, Educational Leadership, and Adult Learning, Cleveland State University
Correspondence concerning this article should be addressed to Stacey Diane Arañez Litam, Counseling, Educational Leadership, and Adult Learning, Cleveland State University, 2121 Euclid Avenue, Julka Hall 275, Cleveland, OH 44115 (email: s.litam@csuohio.edu).Search for more papers by this authorCarlos P. Hipolito-Delgado
Department of Counseling, University of Colorado Denver
Search for more papers by this authorCorresponding Author
Stacey Diane Arañez Litam
Counseling, Educational Leadership, and Adult Learning, Cleveland State University
Correspondence concerning this article should be addressed to Stacey Diane Arañez Litam, Counseling, Educational Leadership, and Adult Learning, Cleveland State University, 2121 Euclid Avenue, Julka Hall 275, Cleveland, OH 44115 (email: s.litam@csuohio.edu).Search for more papers by this authorCarlos P. Hipolito-Delgado
Department of Counseling, University of Colorado Denver
Search for more papers by this authorAbstract
The 2019 novel coronavirus (COVID-19) has highlighted social disparities in the United States. This article examines how preexisting racial and ethnic disparities, exacerbated by COVID-19, have negatively affected communities of color that tend to be overrepresented in lower socioeconomic groups, have limited access to health care and education, have an undocumented status, and work in jobs considered “essential.” Counselors are encouraged to use creative strategies to design and facilitate telecounseling and reduced- or no-cost workshops in which attendees can participate safely. Specific cultural considerations, aspects of crisis management, and creative interventions that can be used with clients of color at an appropriate social distance are discussed. Counselors can also instill hope in their clients by promoting sociopolitical development. As the impact of COVID-19 will be felt for years, it is crucial that counselors be prepared to address the needs of those disproportionately affected.
References
- American Counseling Association. (2014). ACA code of ethics. https://www.counseling.org/resources/aca-code-of-ethics.pdf
- Anandavalli, S., Harrichand, J. S., & Litam, S. D. A. (2020). Counseling international students in times of uncertainty: A critical feminist and bioecological approach. The Professional Counselor, 10(3), 365–375. https://doi.org/10.15241/sa.10.3.365
10.15241/sa.10.3.365 Google Scholar
- Bartel, A. P., Kim, S., Nam, J., Rossin-Slater, M., Ruhm, C., & Waldfogel, J. (2019, January). Racial and ethnic disparities in access to and use of paid family and medical leave: Evidence from four nationally representative datasets. Monthly Labor Review. https://doi.org/10.21916/mlr.2019.2
- Bauer, A. (2001). Responding to a community crisis: Frontline counseling. In E. R. Welfel & R. E. Ingersoll (Eds.), The mental health desk reference (pp. 239–245). Wiley.
- Centers for Disease Control and Prevention. (2020). COVID-19 in racial and ethnic minority groups. https://stacks.cdc.gov/view/cdc/89820/cdc_89820_DS1.pdf
- Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 1(8), 139–167.
- Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299.
10.2307/1229039 Google Scholar
- Devakumar, D., Shannon, G., Bhopal, S. S., & Abubakar, I. (2020). Racism and discrimination in COVID-19 responses. The Lancet, 395, 1194. https://doi.org/10.1016/S0140-6736(20)30792-3
- Drake, R. E., Mueser, K. T., Brunette, M. F., & McHugo, G. J. (2004). A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric Rehabilitation Journal, 27(4), 360–374.
- Durso, L. E., & Gates, G. J. (2012). Serving our youth: Findings from a national survey of service providers working with lesbian, gay, bisexual, and transgender youth who are homeless or at risk of becoming homeless. The Williams Institute. https://escholarship.org/uc/item/80x75033
- Finch, B. K., & Vega, W. A. (2003). Acculturation stress, social support, and self-rated health among Latinos in California. Journal of Immigration Health, 5(3), 109–117. https://doi.org/10.1023/a:1023987717921
- Germer, C. K., & Neff, K. D. (2015). Cultivating self-compassion in trauma survivors. In V. M. Follette, J. Briere, D. Rozelle, J. W. Hopper, & D. I. Rome (Eds.), Mindfulness-oriented interventions for trauma: Integrating contemplative practices (pp. 43–58). Guilford Press.
- Golden, S. H. (2020). Coronavirus in African Americans and other people of color. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/coronavirus/covid19-racial-disparities
- Gramlich, J. (2020). Black imprisonment rate in the US has fallen by a third since 2006. Pew Research Center. https://www.pewresearch.org/fact-tank/2020/05/06/black-imprisonment-rate-in-the-u-s-has-fallen-by-a-third-since-2006/
- Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104–191.
- Hipolito-Delgado, C. P., & Diaz, J. M. (2013). A conceptual approach to counseling with Latina/o culture in mind. In C. C. Lee (Ed.), Multicultural counseling: New approaches to diversity ( 4th ed., pp. 67–86). American Counseling Association.
- Hipolito-Delgado, C. P., & Mann, J. (2012). Illuminating the shadows: Sociopolitical and counseling needs of undocumented Mexican immigrants. Interamerican Journal of Psychology, 3, 395–402.
- Hoffman, S. G., Grossman, P., & Hinton, D. E. (2011). Loving-kindness and compassion meditation: Potential for psychological interventions. Clinical Psychology Review, 31, 1126–1132.
- Hope, E. C., & Jagers, R. J. (2014). The role of sociopolitical attitudes and civic education in the civic engagement of Black youth. Journal of Research on Adolescence, 24, 460–470. https://doi.org/10.1111/jora.12117
- Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in homelessness services settings. The Open Health Services and Policy Journal, 3, 80–100.
10.2174/1874924001003020080 Google Scholar
- Keuroghlian, A. S., Shtasel, D., & Bassuk, E. L. (2014). Out on the streets: A public health and policy agenda for lesbian, gay, bisexual, and transgender youth who are homeless. American Journal of Orthopsychiatry, 84(1), 66–72. https://doi.org/10.1037/h00098852
- Lewis-Coles, M. L., & Constantine, M. G. (2006). Racism-related stress, Africultural coping, and religious problem-solving among African Americans. Cultural Diversity and Ethnic Minority Psychology, 12(3), 433–443. https://doi.org/10.1037/1099-9809.12.3.433
- Litam, S. D. A. (2017). Sex trafficking in America: What counselors need to know. The Professional Counselor, 7(1), 45–61. https://doi.org/10.15241/sdal.7.1.45
10.15241/sdal.7.1.45 Google Scholar
- Litam, S. D. A. (2020). “Take your kung flu back to Wuhan”: Counseling Asians, Asian Americans, and Pacific Islanders with race-based trauma related to COVID-19. The Professional Counselor, 10(2), 144–156. https://doi.org/10.15241/sdal.10.2.144
10.15241/sdal.10.2.144 Google Scholar
- Litam, S. D. A., & King-White, D. (in press). Child survivors of natural disasters. In Handbook of research on the impact of trauma on children in high-poverty communities. Cognella Academic Publishing.
- Litam, S. D. A., & Oh, S. (2020). Ethnic identity and coping strategies as moderators of COVID-19 racial discrimination experiences among Chinese Americans. Counseling Outcome Research and Evaluation. Advance online publication. https://doi.org/10.1080/21501378.2020.1814138
- Lopez, J. D. (2005). Race-related stress and sociocultural orientation among Latino students during their transition into a predominately White, highly selective institution. Journal of Hispanic Higher Education, 4(4), 354–365. https://doi.org/10.1177/1538192705279594
10.1177/1538192705279594 Google Scholar
- Lopez, M. H., Rainie, L., & Budiman, A. (2020). Financial and health impacts of COVID-19 vary widely by race and ethnicity. Pew Research Center. https://www.pewresearch.org/fact-tank/2020/05/05/financial-and-health-impacts-of-covid-19-vary-widely-by-race-and-ethnicity/
- Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
- Maslow, A. H. (1970). Motivation and personality. Harper & Row.
- Mottet, L., & Ohle, J. (2006). Transitioning our shelters: Making homeless shelters safe for transgender people. Journal of Poverty, 10(2), 77–101. https://doi.org/10.1300/J134v10n02_05
10.1300/J134v10n02_05 Google Scholar
- National Organization for Victim Assistance. (2016). NOVA training. https://www.trynova.org/training/
- Peters, M. (2017). Womyn, wimmin, and other folx. The Boston Globe. https://www3.bostonglobe.com/ideas/2017/05/09/womyn-wimmin-and-other-folx/vjhPn82ITGgCCbE12iNn1N/story.html?arc404=true
- Pueleo, S., & McGlothlin, J. (2014). Overview of crisis intervention. In L. R. Jackson-Cherry & B. T. Erford (Eds.), Crisis assessment, intervention, and prevention (pp. 1–25). Pearson.
- Quintana, S. N., Rosenthal, J., & Kehely, J. (2010). On the streets: The federal response to gay and transgender homeless youth. Center for American Progress. http://www.americanprogress.org/issues/lgbt/report/2010/06/21/7983/on-the-streets/
- Ratts, M. J., Singh, A. A., Nassar-McMillan, S., Butler, S. K., & McCullough, J. R. (2015). Multicultural and social justice counseling competencies. Association for Multicultural Counseling and Development. http://www.counseling.org/docs/default-source/competencies/multicultural-and-social-justice-counseling-competencies.pdf?sfvrsn=20
- Rew, L., Whittaker, T. A., Taylor-Seehafer, M. A., & Smith, L. R. (2005). Sexual health risks and protective resources in gay, lesbian, bisexual, and heterosexual homeless youth. Journal for Specialists in Pediatric Nursing, 10(1), 11–19. https://doi.org/10.1111/j.1088-145x.2005.00003.x
- Roberts, A. L., Rosario, M., Corliss, H. L., Koenen, K. C., & Austin, S. B. (2012). Elevated risk of posttraumatic stress in sexual minority youths: Mediation by childhood abuse and gender nonconformity. American Journal of Public Health, 102(8), 1587–1593.
- Shear, M. K. (2012). Getting straight about grief. Depression and Anxiety, 29, 461–464. https://doi.org/10.1002/da.21963
- Shonin, E., Van Gordon, W., Compare, A., Zangeneh, M., & Griffiths, M. D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: A systematic review. Mindfulness, 6(5), 1161–1180. https://www.doi.org/10.1007/s12671-014-0368-1
- Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice ( 7th ed.). John Wiley & Sons.
- Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.
- Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.
- U.S. Census Bureau. (2019a). Current population survey: 2019 annual social and economic supplement. https://www.census.gov/data/tables/2018/demo/education-attainment/cps-detailed-tables.html
- U.S. Census Bureau. (2019b). Income and poverty in the United States: 2018–current population reports. https://www.census.gov/library/visualizations/2019/demo/p60-266.html
- Utsey, S. O., Giesbrecht, N., Hook, J., & Stanard, P. M. (2008). Cultural, sociofamilial, and psychological resources that inhibit psychological distress in African Americans exposed to stressful life events and race-related stress. Journal of Counseling Psychology, 55(1), 49–62. https://doi.org/10.1037/0022-0167.55.1.49
- Watts, R. J., Abdul-Adil, J. K., & Pratt, T. (2002). Enhancing critical consciousness in young African American men: A psychoeducational approach. Psychology of Men & Masculinity, 3, 41–50.
10.1037/1524-9220.3.1.41 Google Scholar
- J. Webber, & B. Mascari (Eds.). (2016). Disaster mental health counseling: A guide to preparing and responding ( 4th ed.). American Counseling Association.
- Wei, M., Wang, K. T., Heppner, P. P., & Du, Y. (2012). Ethnic and mainstream social connectedness, perceived racial discrimination, and posttraumatic stress symptoms. Journal of Counseling Psychology, 59(3), 486–493. https://doi.org/10.1037/a0028000
- Yang, D., & Counts, S. (2018). Understanding self-narration of personally experienced racism on Reddit. In Proceedings of the 12th International AAAI Conference on Web and Social Media (pp. 704–707). Association for the Advancement of Artificial Intelligence. https://aaai.org/ocs/index.php/ICWSM/ICWSM18/paper/view/17820/17086
- Zion, S., Allen, C. D., & Jean, C. (2015). Enacting a critical pedagogy, influencing teachers' sociopolitical development. Urban Review, 47, 914–933. https://doi.org/10.1007/s11256-015-0340-y
10.1007/s11256-015-0340-y Google Scholar