Identification of patient attitudes and preferences regarding treatment of depression

Cooper-Patrick, Lisa; Powe, Neil R.; Jenckes, Mollie W.; Gonzales, Junius; Levine, David M.; Ford, Daniel E.

doi:10.1046/j.1525-1497.1997.00075.x

Cited by 321 publications

(258 citation statements)

References 45 publications

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“…Given (1) the desire to avoid the perception of ''cookbook'' medicine; (2) the importance of incorporating patients' past history and treatment preferences to facilitate treatment adherence (Cooper-Patrick et al, 1997;Dwight-Johnson, Sherbourne, Liao, & Wells, 2000); and (3) since every nuance of clinical presentation and decision-making could not possibly be addressed, we recommended that the resulting protocol remain flexible in clinically ambiguous situations (e.g., initial choice of an SSRI). The result outlined an interrelated group of clinically validated and locally relevant protocols as depicted in Table 1 and illustrated in our case studies.…”

Section: Developing a Depression Treatment Guideline For Use In Primamentioning

confidence: 99%

Implementation of Guideline-Based Care for Depression in Primary Care

Rollman

Korsen

Schulberg

2005

Adm Policy Ment Health

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Evidence-based clinical practice guidelines for treating depression in primary care settings were developed, in part, to ensure that health services are provided in a consistent, highquality, and cost-effective manner. Yet for a variety of reasons, guideline-based primary care for depression remains the exception rather than the rule. This work provides a brief review of effective strategies used to customize and then deliver evidence-based treatment for depression in primary care settings; describes two representative case studies that illustrate locally customized collaborative care strategies for treatment delivery; and concludes with principles and implications for policy and practice based on our practical experiences.

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Section: Developing a Depression Treatment Guideline For Use In Primamentioning

confidence: 99%

Implementation of Guideline-Based Care for Depression in Primary Care

Rollman

Korsen

Schulberg

2005

Adm Policy Ment Health

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“…If mental illness carries strong stigma in the African American community, it may adversely affect use of mental health services. Cooper-Patrick et al (1997) noted that in focus group discussions, African American patients raised more concerns regarding stigma than did White patients. Neighbors (1990) noted gender and problem type as issues affecting African Americans' use of mental health services.…”

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confidence: 99%

African Americans' Perceptions of Psychotherapy and Psychotherapists.

Thompson¹,

Bazile²,

Akbar³

2004

Professional Psychology: Research and Practice

341

286

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Do you have a multicultural practice? Do you understand the attitudes and expectations African Americans hold about mental health services? The attitudes and beliefs of 201 African Americans regarding psychotherapists, psychotherapy, and barriers to treatment were explored by means of focus groups. Key barriers to service utilization included stigma, lack of knowledge, lack of affordability, lack of trust, impersonal service, and lack of cultural understanding. Participants reported that race should not matter in therapy, but they often believed that psychologists were insensitive to the African American experience. The implications of participants' reports for meeting African American mental health and therapy needs are considered.Although psychologists are aware of the differential pattern of use and response to mental health services among ethnic clients, the in-depth understanding that would permit development of appropriate responses and programs is limited. Psychologists often struggle with whether, when, and how efforts to address issues of race, ethnicity, and culture will affect mental health attitudes and therapeutic response. The focus group is a qualitative research strategy that uses a semistructured discussion format to elicit a more in-depth understanding of the attitudes, values, and beliefs that affect behavior (Stewart & Shamdasani, 1990). Although this strategy sacrifices the rigor and precision of quantitative studies, it is a useful preliminary strategy that allows members of communities to share their insights on relevant issues and their opinions about how needs and concerns might be addressed. The current study represents a preliminary effort to understand what values and concerns may affect African American mental health attitudes and service use, as well as what efforts by the psychological community may prove beneficial in promoting an image of multicultural sensitivity and competence.African Americans have been identified as a group that uses mental health services inconsistently (Kessler et al., 1994;D. W. Sue & Sue, 1990). Research has documented the overuse of inpatient services and the over-and underuse of outpatient services depending on the setting and problem (Atkinson, Morten, & Sue, 1998). More recently, Snowden (1999) noted a mixed pattern of usage when sociodemographic differences and diagnoses were not controlled. However, controlled analyses indicated that African Americans in a community sample were consistently less likely than White Americans to seek mental health services.The National Survey of Black Mental Health (Jackson, Neighbors, & Gurin, 1986) indicated that African Americans sought services as a result of referrals by physicians, family members, or friends and tended to contact physicians, ministers, and hospitals; only 9% of those surveyed used the services of psychologists, psychiatrists, or community mental health facilities. African Americans have been found to average fewer sessions and to terminate from outpatient mental health services earlier than White ...

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“…While their prevalence of depressive symptoms does increase with the number of sexual partners, the relationship is not as pronounced as in is among other races. This may be because depression, suicide and other signs of poor mental health are considered taboo in the African-American community [32,33]. Subsequently many blacks may not concede to or acknowledge depression or suicide.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Multiple Sexual Partners and Mental Health in Adolescent Females

Oredein¹

2013

J Community Med Health Educ

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Identification of patient attitudes and preferences regarding treatment of depression

Cited by 321 publications

References 45 publications

Implementation of Guideline-Based Care for Depression in Primary Care

Implementation of Guideline-Based Care for Depression in Primary Care

African Americans' Perceptions of Psychotherapy and Psychotherapists.

The Relationship between Multiple Sexual Partners and Mental Health in Adolescent Females

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