Eliminating Behavioral Health Disparities and Improving Outcomes for Racial and Ethnic Minority Populations

Sanchez, Katherine; Ybarra, Rick; Chapa, Teresa; Martinez, Octavio N.

doi:10.1176/appi.ps.201400581

Cited by 66 publications

(47 citation statements)

References 10 publications

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“…42,[55][56][57] A 2016 literature review concluded that "Evidence is lacking about the effectiveness of integrated care offered in a culturally and linguistically competent, patient-centered framework that adequately addresses key concerns and barriers that affect populations at great risk for marginal health." 58 To address this evidence gap, Project THRIVE (Towards Health Recovery and Vital Engagement) offers a promising approach. Project THRIVE is a health disparity research project designed to develop, implement, and evaluate a culturally centered model of integrated care in a predominantly African American population.…”

Section: Integrated Care Models In Culturally Diverse Populationsmentioning

confidence: 99%

Factors Influencing Helmet Use, Head Injury, and Hospitalization Among Children Involved in Skateboarding and Snowboarding Accidents

Sadeghian

Nguyen

Huynh

et al. 2017

TPJ

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Section: Integrated Care Models In Culturally Diverse Populationsmentioning

confidence: 99%

Factors Influencing Helmet Use, Head Injury, and Hospitalization Among Children Involved in Skateboarding and Snowboarding Accidents

Sadeghian

Nguyen

Huynh

et al. 2017

TPJ

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“…It is important to examine the IBHC model with diverse and underserved samples (Sanchez, Chapa, Ybarra, & Martinez, 2012). For instance, although Hispanic patients generally receive less quality mental health care (Young, Klap, Sher-bourne, & Wells, 2001), seek services less often (U.S.…”

Section: The Current Study: Three Questions and An Extensionmentioning

confidence: 99%

Diagnoses, intervention strategies, and rates of functional improvement in integrated behavioral health care patients.

Bridges¹,

Gregus²,

Rodríguez³

et al. 2015

Journal of Consulting and Clinical Psychology

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Objective Compared with more traditional mental health care, integrated behavioral health care (IBHC) offers greater access to services and earlier identification and intervention of behavioral and mental health difficulties. The current study examined demographic, diagnostic, and intervention factors that predict positive changes for IBHC patients. Method Participants were 1,150 consecutive patients (mean age = 30.10 years, 66.6% female, 60.1% Hispanic, 47.9% uninsured) seen for IBHC services at 2 primary care clinics over a 34-month period. Patients presented with depressive (23.2%), anxiety (18.6%), adjustment (11.3%), and childhood externalizing (7.6%) disorders, with 25.7% of patients receiving no diagnosis. Results The most commonly delivered interventions included behavioral activation (26.1%), behavioral medicine-specific consultation (14.6%), relaxation training (10.3%), and parent-management training (8.5%). There was high concordance between diagnoses and evidence-based intervention selection. We used latent growth curve modeling to explore predictors of baseline global assessment of functioning (GAF) and improvements in GAF across sessions, utilizing data from a subset of 117 patients who attended at least 3 behavioral health visits. Hispanic ethnicity and being insured predicted higher baseline GAF, while patients with an anxiety disorder had lower baseline GAF than patients with other diagnoses. Controlling for primary diagnosis, patients receiving behavioral activation or exposure therapy improved at faster rates than patients receiving other interventions. Demographic variables did not relate to rates of improvement. Conclusion Results suggest even brief IBHC interventions can be focused, targeting specific patient concerns with evidence-based treatment components.

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“…In light of recent research which suggests Blacks may be at particular risk for poor treatment outcomes, largely due to early drop out, novel strategies to increase patient engagement are necessary (Saloner & Le Cook, 2013). Such strategies may help reduce barriers to treatment, which include socioeconomic stressors, a general mistrust of medical providers and mistreatment based on race (Sanchez, Ybarra, Chapa, & Martinez, 2016). Findings of lower probability of use in the exercise group were similar for Whites, though not significant.…”

Section: Discussionmentioning

confidence: 99%

Racial and ethnic differences in treatment outcomes among adults with stimulant use disorders after a dosed exercise intervention

Sanchez

Greer

Walker

et al. 2017

Journal of Ethnicity in Substance Abuse

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The current study examined differences in substance abuse treatment outcomes among racial and ethnic groups enrolled in the Stimulant Reduction Intervention using Dosed Exercise (STRIDE) trial, a multisite randomized clinical trial implemented through the National Institute on Drug Abuse’s (NIDA’s) Clinical Trials Network (CTN). STRIDE aimed to test vigorous exercise as a novel approach to the treatment of stimulant abuse compared to a health education intervention. A hurdle model with a complier average causal effects (CACE) adjustment was used to provide an unbiased estimate of the exercise effect had all participants been adherent to exercise. Among 214 exercise adherent participants, we found significantly lower probability of use for Blacks (z= −2.45, p=.014) and significantly lower number of days of use for Whites compared to Hispanics (z=−54.87, p=<.001) and for Whites compared to Blacks (z=−28.54, p=<.001), which suggests that vigorous, regular exercise might improve treatment outcomes given adequate levels of adherence.

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Eliminating Behavioral Health Disparities and Improving Outcomes for Racial and Ethnic Minority Populations

Cited by 66 publications

References 10 publications

Factors Influencing Helmet Use, Head Injury, and Hospitalization Among Children Involved in Skateboarding and Snowboarding Accidents

Factors Influencing Helmet Use, Head Injury, and Hospitalization Among Children Involved in Skateboarding and Snowboarding Accidents

Diagnoses, intervention strategies, and rates of functional improvement in integrated behavioral health care patients.

Racial and ethnic differences in treatment outcomes among adults with stimulant use disorders after a dosed exercise intervention

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