Ethnic Disparities in Use of Public Mental Health Case Management Services Among Patients With Schizophrenia

Barrio, Concepción; Yamada, Ann-Marie; Hough, Richard L.; Hawthorne, William; Garcia, Piedad; Jeste, Dilip V.

doi:10.1176/appi.ps.54.9.1264

Cited by 121 publications

(96 citation statements)

References 28 publications

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“…Given that Mexican Americans are among the ethnic groups least likely to receive quality mental health care, 41 and that Spanish-speaking individuals with schizophrenia receive fewer mental health services than Englishspeaking people with schizophrenia, 42 our findings contribute to the study of disparities in mental health care for Latinos. Steps can be taken to improve the generally poor quality of mental health care for Spanish-speaking persons.…”

Section: Culturally Adapted Mfg Treatment For Spanish-speaking Mexicamentioning

confidence: 74%

The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

Kopelowicz

Zárate

Wallace

et al. 2012

Arch Gen Psychiatry

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Section: Culturally Adapted Mfg Treatment For Spanish-speaking Mexicamentioning

confidence: 74%

The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

Kopelowicz

Zárate

Wallace

et al. 2012

Arch Gen Psychiatry

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“…Since our focus was only on epidemiological studies examining how Latino adults residing in the community accessed mental health services, we excluded studies that used client data and/or clinical samples from particular mental health service agencies or systems of care (e.g., Barrio, Yamada, Hough, Hawthorne, Garcia, & Jeste, 2003;O'Sullivan, Peterson, Cox, & Kirkeby, 1989;Snowden, Hu, & Jerrel, 1995;Takeuchi, Sue, & Yeh, 1995).…”

Section: Selection Of Studiesmentioning

confidence: 99%

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

315

177

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Since the early 1980s, epidemiological studies using state-of-the-art methodologies have documented the unmet mental health needs of Latinos adults in the U.S. and Puerto Rico. This paper reviews 16 articles based on seven epidemiological studies, examines studies methodologies, and summarizes findings about how Latino adults access mental health services. Studies consistently report that, compared to non-Latino Whites, Latinos underutilize mental health services, are less likely to receive guideline congruent care, and rely more often on primary care for services. Structural, economic, psychiatric, and cultural factors influence Latinos' service access. In spite of the valuable information these studies provide, methodological limitations (e.g., reliance on cross-sectional designs, scarcity of mixed Latino group samples) constrict knowledge about Latinos access to mental health services. Areas for future research and development needed to improve Latinos' access and quality of mental health care are discussed.

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“…Even when assessed in Spanish, older Spanish-speaking Latinos have a high prevalence of inadequate or marginal health literacy, which is associated with less illness knowledge and poorer physical and mental health (Gazmararian, Baker, Williams, Parker, Scott, Green, Fehrenbach, Ren, and Koplan, 1999;Wolf, Gazmararian, and Baker, 2005). Limited English proficiency among Latinos is associated with lower use of services (Barrio, Yamada, Hough, Hawthorne, Garcia, and Jeste, 2003) and increased risk of lower quality of care and worse health outcomes. Findings from a large population-based study indicate that the prevalence and risk for depression was higher for older Mexican immigrants than for U.S.-born Mexican Americans (Gonzalez, Haan, and Hinton, 2001).…”

Section: Introductionmentioning

confidence: 99%

Unmet Needs for Mental Health Services for Latino Older Adults: Perspectives from Consumers, Family Members, Advocates, and Service Providers

Barrio

Palinkas

Yamada

et al. 2007

Community Ment Health J

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This study qualitatively assessed the need for mental health services among Latino older adults in San Diego, California. The primary mental health issue was depression. Primary organizational barriers to accessing services were language and cultural barriers secondary to a lack of translators, dearth of information on available services, and scarcity of providers representative of the Latino community. Other challenges included a lack of transportation and housing, and the need for socialization and social support. Latino older adults experienced their unmet needs in ways associated with their cultural background and minority status. Age-and culturally-appropriate services are needed to overcome these barriers.

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Ethnic Disparities in Use of Public Mental Health Case Management Services Among Patients With Schizophrenia

Abstract: The results of this study underscore the need for continuing concern about the use of case management and other mental health services by persons from ethnic minorities.

Cited by 121 publications

References 28 publications

The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

The Ability of Multifamily Groups to Improve Treatment Adherence in Mexican Americans With Schizophrenia

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Unmet Needs for Mental Health Services for Latino Older Adults: Perspectives from Consumers, Family Members, Advocates, and Service Providers

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