Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study

Green, Jennifer; McLaughlin, Katie A.; Fillbrunn, Mirko; Fukuda, Marie; Jackson, James S.; Kessler, Ronald C.; Sadikova, Ekaterina; Sampson, Nancy A.; Vilsaint, Corrie L.; Williams, David R.; Cruz-Gonzalez, Mario; Alegrı́a, Margarita

doi:10.1007/s10488-020-01021-6

Cited by 80 publications

(60 citation statements)

References 47 publications

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“…Recognizing the ethnic/racial differences of child needs is essential in developing and implementing early childhood intervention programs. Specifically, to address the ethnic/racial disparities in terms of access to services, program implementation should target the barriers that contribute to the disparities, which include time, location, cost, difficulties in engaging families, and lack of perceived needs (Bornheimer et al, 2018 ; Green et al, 2020 ; Haine-Schlagel & Walsh, 2015 ). Family-centered practices of early intervention have been promoted by childcare researchers and practitioners.…”

Section: Discussionmentioning

confidence: 99%

Identifying the Needs of Prekindergarten Children: A Focus on Health, Wellbeing, and Family Environment

Fan

Linder

D’Amico

et al. 2021

Early Childhood Educ J

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The impact of children's health, wellbeing, and family environment on their learning and development is evident. Identifying the needs of children and their families is the first step to effectively developing and implementing programs that promote child development. This research employed a convergent mixed methods design and incorporated multiple data collection and analysis techniques to explore the needs of prekindergarten children related to their health, wellbeing, and family environment. A large-scale survey, regional meetings, and focus groups were conducted among a total of 4615 parents/caregivers, organizational representatives, and community members in the state of South Carolina, in the United States. Understanding child development, getting services for children and families, making childcare accessible and affordable, having enough family time, building strong relationships with children, and community support for families were identified as priorities. Parents/caregivers of different socio-demographic backgrounds prioritized different needs.

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Section: Discussionmentioning

confidence: 99%

Identifying the Needs of Prekindergarten Children: A Focus on Health, Wellbeing, and Family Environment

Fan

Linder

D’Amico

et al. 2021

Early Childhood Educ J

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“…For example, prevalence of depression was higher among Mexicans, Puerto Ricans, Cubans, including other Hispanics or Latinos, compared to non-Hispanic whites (12). These differences might be due to differing perceptions of need for mental health service among ethnicities (13). Big data analysis of electronic medical records a rms that physical health may differ ethnically (14).…”

Section: Poverty Ethnicity and Health Outcomementioning

confidence: 99%

The Intersectional Effects of Ethnicity/Race and Poverty on Health Among Community-Dwelling Older Adults Within Multi-Ethnic Asian Populace: A Population-Based Study

Foong

Hamid

Ibrahim

et al. 2021

Preprint

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Background: Ethnicity/race and poverty are among determinants of health in older persons. However, studies involving intersectional effects of ethnicity/race and poverty on health of older adults within multi-ethnic Asian populace is limited. Hence, this study aimed to examine the intersectional effects of ethnicity/race and poverty on cognitive function, depressive symptoms, and multimorbidity among community-dwelling older adults in Malaysia.Methods: Data were obtained from the first wave of a Peninsular Malaysia national survey - “Identifying Psychosocial and Identifying Economic Risk Factor of Cognitive Impairment among Elderly”. Multivariate logistic regression was used to identify intersectional effects and associations between control variables and health outcomes. A comparison between Malay and non-Malay older adults within the same poverty group, as well as hardcore poor and non-hardcore poor older people within the same ethnicity groups, were conducted to understand the intersectional effects of ethnicity/race and poverty on health. Results: Prevalence of cognitive impairment was highest among the hardcore poor group while risk of depression and multimorbidity were highest among non-Malays. Malay older adults were more prone to developing cognitive impairment regardless of their poverty status whereas non-Malay from the hardcore poor group had higher tendency for risk of depression and multimorbidity. Hardcore poor older adults residing alone were associated with higher depressive symptoms. But fewer older adults currently working reported multimorbidity. Conclusions: Health outcomes of Malaysian older adults differ according to ethnicity and socioeconomic status. Given the importance of demographic characteristics on health outcomes, design of interventions targeting older adults within multi-ethnic settings must address specific characteristics, especially that of ethnicity and sociodemographic status so as to fulfil their needs. Several implications for future practice were discussed.

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“…Patient-Barriers to Youth Receiving EBPs DTC initiatives may be important given patient-barriers to youth receiving treatment. Patient barriers include lack of recognition that treatment is needed, lack of knowledge of how seek effective treatment, and associated stigma [25][26][27][28][29]. Research suggests that attitudinal barriers (e.g., not perceiving a need for therapy) have a greater impact on treatment utilization than structural barriers (e.g., cost) [30].…”

Section: Direct-to-consumer Approachesmentioning

confidence: 99%

“…Prior research has shown that DTC marketing effectiveness, mental health stigma, and barriers to treatment, vary as a function of demographic factors (education, income, race/ethnicity), youth psychopathology religion, and history of mental health service use [29,54,58,[62][63][64][65][66][67][68]. Although individual experiences and demographic factors may impact the e cacy of DTC efforts, the majority of DTC efforts involve researchers or therapists spreading knowledge about EBPs without tailoring messaging to local contexts [24,56].…”

Section: Direct-to-consumer Approachesmentioning

confidence: 99%

“…The Barriers to Seeking Treatment questionnaire asks participants to indicate whether they agree with 21 potential barriers to treatment (yes/no). This questionnaire is adapted from the Collaborative Psychiatric Epidemiology Studies [103], and includes items relating to attitudinal barriers (e.g., wanted to handle on their own, stigma) and structural barriers (e.g., cost, transportation) [29]. Items were adapted to describe potential barriers caregivers may face (e.g., rather than saying "I need therapy", the questionnaire was modi ed to read "my child needs therapy").…”

Section: Barriers To Seeking Treatmentmentioning

confidence: 99%

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The Effect of Caregiver Key Opinion Leaders on Increasing Caregiver Demand for Evidence-Based Practices to Treat Youth Anxiety: Protocol for A Randomized Control Trial

Crane

Atkins

Becker

et al. 2021

Preprint

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Background: Research has identified cognitive behavioral therapy with exposures (CBT) as an effective treatment for youth anxiety. However, despite implementation efforts, few anxious youth receive CBT. Direct-to-consumer marketing offers a different approach to address unmet need for effective. Involving a local caregiver key opinion leader to direct-to-consumer initiatives may be an effective strategy to increase caregiver demand for CBT. Research indicates that key opinion leaders improve health promotion campaigns, but key opinion leaders have not been studied in the context of increasing caregiver demand for evidence-based treatments.Method: Project CHAT (Caregivers Hearing about Anxiety Treatments) will test the role of key opinion leader participation in conducting outreach presentations to increase caregiver desire to seek EBPs for their youth’s anxiety. Caregiver attendees (N = 180) will be cluster-randomized by school to receive one of two different approaches for presentations on EBPs for youth anxiety. Both approaches will involve community outreach presentations providing information about (a) youth anxiety, (b) effective treatments for youth anxiety, and (c) seeking CBT for youth anxiety. The researcher-only condition will be co-facilitated by two researchers. In the key opinion leader condition, a caregiver key opinion leader from each local community will be involved in tailoring the content of the presentation to the context of the community, co-facilitating the presentation with a researcher, and endorsing strategies in the presentation that they have found to be helpful. In line with the theory of planned behavior, caregiver attendees will complete measures assessing their knowledge of, attitudes towards, perceived subjective norms about, and intention to seek CBT pre- and post-presentation; they will indicate whether they sought CBT for their youth at a three-month follow-up. Results will be analyzed using a mixed method approach to assess the effectiveness of a key opinion leader to increase caregiver demand for CBT.Discussion: This study will be the first to examine the potential of key opinion leaders to increase caregiver demand for CBT. If proven effective, the use of key opinion leaders could serve as a scalable dissemination strategy to increase the reach of evidence-based treatments. Trial registration: This trial was registered on clinicaltrials.gov (NCT04929262) on June 18, 2021. At the time of trial registration, pre/post presentation data had been collected from 17 participants; thus, it was retrospectively registered.

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Barriers to Mental Health Service Use and Predictors of Treatment Drop Out: Racial/Ethnic Variation in a Population-Based Study

Cited by 80 publications

References 47 publications

Identifying the Needs of Prekindergarten Children: A Focus on Health, Wellbeing, and Family Environment

Identifying the Needs of Prekindergarten Children: A Focus on Health, Wellbeing, and Family Environment

The Intersectional Effects of Ethnicity/Race and Poverty on Health Among Community-Dwelling Older Adults Within Multi-Ethnic Asian Populace: A Population-Based Study

The Effect of Caregiver Key Opinion Leaders on Increasing Caregiver Demand for Evidence-Based Practices to Treat Youth Anxiety: Protocol for A Randomized Control Trial

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