Mental Health Care for Latinos: Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino Whites

Alegrı́a, Margarita; Canino, Glorisa; Ríos, Ruth; Vera, Mildred; Calderón, José Luis Pontijas; Rusch, Dana; Ortega, Alexander N.

doi:10.1176/appi.ps.53.12.1547

Cited by 674 publications

(446 citation statements)

References 43 publications

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“…Efforts such as these help to make mind-body interventions more affordable and accessible to health center patients and help to address disparities in the use of mental health services by ethnic minorities, and in populations with lower socioeconomic status. [19][20][21] The program is now delivered over 8 weeks (1.5 h/wk) and has been renamed "Stress Management and Resiliency Training" (SMART) in an effort to broaden the base of patients served to include those with medical diagnoses such as chronic pain, in addition to depression and anxiety.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Brief Mind-Body Intervention for Treating Depression in Community Health Center Patients

Miller

Chad‐Friedman

Haime

et al. 2015

Glob Adv Health Med

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Brief Mind-Body Intervention for Treating Depression in Community Health Center Patients

Miller

Chad‐Friedman

Haime

et al. 2015

Glob Adv Health Med

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“…These experiences, rather than ethnicity or "race" per se, are among the main vectors through which limited access to health care and unfavorable health outcomes affect members of minority groups. Indeed, ethnicity or "race" as a blanket category is insufficient to explain ethnic or racial inequalities in terms of access to health care (Alegria et al, 2002(Alegria et al, , 1547.…”

Section: Social Explanationsmentioning

confidence: 99%

Ethnic Classification in the New Zealand Health Care System

Rata¹,

Zúbaran²

2016

JMPHIL

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“…access to and quality of mental healthcare exist, 13,14 and under-served communities with low provider availability may rely on alternative settings, such as faith-based 15,16 or substance abuse programs. 17,18 A recent Institute of Medicine report suggests that integrating heath and nonhealth services settings is essential to address chronic health needs.…”

Section: Main Measuresmentioning

confidence: 99%

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

et al. 2013

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BACKGROUND:As medical homes are developing under health reform, little is known regarding depression services need and use by diverse safety-net populations in under-resourced communities. For chronic conditions like depression, primary care services may face new opportunities to partner with diverse community service providers, such as those in social service and substance abuse centers, to support a collaborative care model of treating depression. OBJECTIVE: To understand the distribution of need and current burden of services for depression in underresourced, diverse communities in Los Angeles. DESIGN: Baseline phase of a participatory trial to improve depression services with data from client screening and follow-up surveys. PARTICIPANTS: Of 4,440 clients screened from 93 programs (primary care, mental health, substance abuse, homeless, social and other community services) in 50 agencies, 1,322 were depressed according to an eight-item Patient Health Questionnaire (PHQ-8) and gave contact information; 1,246 enrolled and 981 completed surveys. Ninety-three programs, including 17 primary care/public health, 18 mental health, 20 substance abuse, ten homeless services, and 28 social/other community services, participated. MAIN MEASURES:Comparisons by setting in 6-month retrospective recall of depression services use. KEY RESULTS: Depression prevalence ranged from 51.9 % in mental health to 17.2 % in social-community programs. Depressed clients used two settings on average to receive depression services; 82 % used any setting. More clients preferred counseling over medication for depression treatment. CONCLUSIONS: Need for depression care was high, and a broad range of agencies provide depression care. Although most participants had contact with primary care, most depression services occurred outside of primary care settings, emphasizing the need to coordinate and support the quality of community-based services across diverse community settings.KEY WORDS: depression services; community-partnered; participatory research; CPPR; CBPR; community-based; under-resourced. J Gen Intern Med 28(10):1279-87 DOI: 10.1007/s11606-013-2480-7 © Society of General Internal Medicine 2013 BACKGROUND Current healthcare reforms call for expansions of primary care and integrated medical homes for safety-net populations. 1,2 Primary care is a "de facto" mental health setting, 3 where rates of recognition and treatment for depression are lower than in specialty mental health settings. 4 While collaborative care is effective for primary care depressed patients, [5][6][7] little is known about how to conceptualize depression management in neighborhoods with high rates of poverty and ethnic minority representation. 8 Neighborhood poverty is predictive of depression onset, 9 and while prevalence of depressive disorders is similar for Latinos and African Americans relative to non-Hispanic whites, 10,11 African Americans may have greater severity when depressed. 12 Ethnic and socioeconomic disparities in access to and quality of mental health...

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Mental Health Care for Latinos: Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino Whites

Cited by 674 publications

References 43 publications

The Effectiveness of a Brief Mind-Body Intervention for Treating Depression in Community Health Center Patients

The Effectiveness of a Brief Mind-Body Intervention for Treating Depression in Community Health Center Patients

Ethnic Classification in the New Zealand Health Care System

Community-Partnered Evaluation of Depression Services for Clients of Community-Based Agencies in Under-Resourced Communities in Los Angeles

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