Mental Health Treatment Barriers Among Racial/Ethnic Minority Versus White Young Adults 6 Months After Intake at a College Counseling Center

Miranda, Regina; Soffer, Ariella; Polanco-Roman, Lillian; Wheeler, Alyssa; Moore, Alyssa

doi:10.1080/07448481.2015.1015024

Cited by 65 publications

(64 citation statements)

References 17 publications

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“…Higher mental illness stigma in racial minorities is in line with the growing literature highlighting the variations in mental illness stigma based on ethnicity and/or race (11-14-16-20-24-56). This finding could be explained in relation to the social identity theory (57). In collectivistic cultures, group harmony and cohesion are of central importance (13).…”

Section: Discussionmentioning

confidence: 92%

Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

Eylem

Wit

Straten

et al. 2020

Preprint

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Background There is a strong stigma attached to mental disorders preventing those affected from getting psychological help. The consequences of stigma are worse for racial and/or ethnic minorities who often experience other social adversities such as poverty and discrimination within policies and institutions. This is the first systematic review and meta-analysis summarizing the evidence on the impact of differences in mental illness stigma between racial minorities and majorities.Methods This systematic review and meta-analysis included cross-sectional studies comparing mental illness stigma between racial minorities and majorities. Systematic searches were conducted in the bibliographic databases of PubMed, PsycINFO and EMBASE until 20th December 2018. Outcomes were extracted from published reports, meta-analyses and meta-regression analyses were conducted in CMA software.Results After screening 2,787 abstracts, 29 studies with 193,418 participants (N=35,836 in racial minorities) were eligible for analyses. Racial minorities showed more stigma than racial majorities (g=0.20 (95% CI: 0.12~0.27) for common mental disorders. Sensitivity analyses showed robustness of these results. Multivariate meta-regression analyses pointed to the possible moderating role of the number of studies with high risk of bias on the effect size. Racial minorities have more stigma for common mental disorders when compared with majorities. Limitations included moderate to high risk of bias, high heterogeneity, few studies in most comparisons, and the use of non-standardized outcome measures.Conclusions An important clinical implication of these findings would be to tailor anti-stigma strategies according to specific racial and/or ethnic backgrounds with the intention to improve mental health outreach. These limitations suggest a need for more high quality research on stigma.

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Section: Discussionmentioning

confidence: 92%

Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

Eylem

Wit

Straten

et al. 2020

Preprint

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“…These barriers were associated with not following through with counseling center recommendations and with more severe depressive symptoms. Campus strategies focusing on improving access to affordable options, providing flexible scheduling or time-limited options, and decreasing stigma could improve ethnic minority access to mental health services (Miranda et al, 2015). Understanding the current climate of one's institution can help identify strategies to reduce stress among these students.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Mental Health and Academic Success of First-Year College Students

Wyatt

Oswalt

Ochoa

2017

IJHE

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The prevalence and severity of mental health issues are increasing among college students, and such issues pose a threat to health and academic performance. Purpose:The primary purpose of the study is to examine differences in mental health diagnoses and their related academic impact with a special focus on classification year in college. Subjects and Methods:This study is a secondary data analysis. Responses from 66,159 U.S. undergraduate students about mental health and academics from the American College Health Association-National College Health Assessment II were examined using regression analyses.Results: Differences in mental health diagnoses were found by classification with first-year students reporting higher rates of self-injury and seriously considering suicide. Upperclassmen reported higher rates of academic impact from mental health factors. Conclusions and Recommendations:Findings indicate one's first-year of college as the prime time to promote awareness of and strategies to prevent mental health issues or negative academic effects; implications for first-year experience programs are discussed.

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“…There is some support for practices that involves social connection, suggesting one's social networks may protect students from the onset of mental illness and influence from these networks may increase the likelihood that a student will seek treatment (Downs & Eisenberg, 2012;Mason, Zaharakis, & Benotsch, 2014). In addition, have direct, personal assistance seems to have an effect on treatment maintenance (Miranda, Soffer, Polanco-Roman, Wheeler, & Moore, 2015). Social connection appears to have some effect on increasing mentally healthy behaviors on campuses.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…However, much of the literature agrees that these increased risks may stem from tense campus climates and/or from IHE structures that have historically catered to the majority population of white students and do not account for marginalized experiences nor cultural differences, which may contribute to stress, anxiety, and depression. Miranda et al (2015) studied the differences of depressive symptoms, suicide attempts, and suicide ideation between "racial/ethnic" students and "white" students.…”

Section: Prevalence Of Mental Illness In Specific Populationsmentioning

confidence: 99%

“…They found no significant differences in depressive symptoms, suicide attempts, nor suicide ideation, neither in the initial nor in the follow up survey. However, as the sample only included 124 students, Miranda et al (2015) did not disaggregate race and ethnicity data and thus were unable to make any conclusions regarding differences between specific races and ethnicities.…”

Section: Prevalence Of Mental Illness In Specific Populationsmentioning

confidence: 99%

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Campus Mental Health Practices and the Stigma of Mental Illness: A Quantitative Analysis of Student Affairs Professionals

Krone¹

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Mental Health Treatment Barriers Among Racial/Ethnic Minority Versus White Young Adults 6 Months After Intake at a College Counseling Center

Abstract: Improving mental health treatment seeking among racial/ethnic minority college students should involve decreasing treatment barriers, improving access to affordable options, providing flexible scheduling or time-limited options, and decreasing stigma.

Cited by 65 publications

References 17 publications

Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

Stigma for Common Mental Disorders in Racial Minorities and Majorities A Systematic Review and Meta-Analysis

Mental Health and Academic Success of First-Year College Students

Campus Mental Health Practices and the Stigma of Mental Illness: A Quantitative Analysis of Student Affairs Professionals

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