The test question asked what cultural factors prevented people from getting services. The right answer was supposed to be 'fear of providers'. I disagree. I thought it might be "tribal politics", since a person might not get along with the family of the director or staff of the program, so not go to that program for services. People who have the right connections might get services and others be on the waiting list.
Is there really a correct answer? I encountered two situations where people didn't know that services existed. A man I encountered did not know how to find services for his father who had a stroke. It wasn't fear. It was a lack of knowledge of services that were available. This particular man told me he and his brother had moved his dad's bed into the living room so he could visit with family. He had no clue that he could apply to have a hospital bed, commode, etc. brought to the home.
I thought it was 'extended family support'. Sometimes people have enough support from their own extended families that they don't need to go to some service for transportation, or in-home care. Often elders and others who need assistance prefer to get it from their own families.
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