Minority mental health patients face many health inequities and inequalities that may stem from implicit bias and a lack of cultural awareness from their healthcare providers. I analyzed the current literature evaluating implicit bias among healthcare providers and culturally specific life traumas that Latinos and African Americans face that can impact their mental health. Additionally, I researched a current mental health assessments tool, the Child and Adolescent Trauma Survey (CATS), and evaluated it for the use on Latino and African American patients. Face-to-face interviews with two healthcare providers were also used to analyze the CATS for its’ applicability to Latino and African American patients. Results showed that these assessments were not sufficient in capturing culturally specific life traumas of minority patients. Based on the literature review and analysis of the interviews with healthcare providers, a novel assessment tool, the Culturally Traumatic Events Questionnaire (CTEQ), was created to address the gaps that currently make up other mental health assessment tools used on minority patients.

This thesis address the disparities seen in access to quality healthcare between rural and urban Namibian mothers. This thesis design also delves into the effectiveness of recent initiatives, such as mobile clinics, and their ability to diminish these barriers and overall impact childhood mortality rates. The methods of this research included a literature review that identified and analyzed the socioeconomic barriers these mothers face, interviews with health care professionals in Namibia, and an application of the H.M. Becker Health Belief Model. This design determined that barriers to care included, income, education, transportation, and employment attainability. Through the analysis of the Health Belief Model, it was determined that the benefits of receiving care outweigh the barriers to quality care and mobile clinics do accurately identify and diminish these barriers.