Pathways to Mental Health Services among Inhabitants of a Mexican Village

Pathways to Depression Care: Help-Seeking Experiences of Low-Income Latinos with Diabetes and Depression

“…These participants experienced a less direct path to treatment that required them to expand help-seeking efforts outside intimate social networks. The new contacts acted as informational bridges in helping identify their need for care and initiate treatment [21]. Reported findings reflect how for many low-income Latinos the cultural and social milieu play an important role on help-seeking decisions and illustrate how help-seeking begins within family unit and expands out when the situation deteriorates or care within this intimate network is exhausted or not provided [22, 35].…”

A Program to Improve Access to Health Care Among Mexican Immigrants in Rural Colorado

“…12 In addition, because Mexican immigrants tend to come from small towns in Mexico, where formal health services are often not available, they tend not to access formal health services in the United States either. 13 For most of these immigrants, there are many other barriers related to their cultural background, including lack of knowledge of the US health system, lack of familiarity of the role of medical providers and treatments available, and different beliefs about health and illness. 14 These barriers tend to be more pronounced in rural areas than in urban areas.…”

Global Politics and Multinational Health-care Encounters: Assessing the Role of Transnational Competence

“…Based on this connection, they manage emotions in ways that offer support and ''compassion with equanimity,'' are tailored to individual needs, experiences, and decisions (DiMatteo, 1997, p 7;Salovey et al, 2001;Deber et al, 1996;King, 2002), prove successful in reducing anxiety levels and in motivating health improvements in a sociophysiologic mutual-feedback-loop process (Adler, 2002). Furthermore, they respect rather than dismiss nonstandard (ethnocultural and alternative) health beliefs (including beliefs regarding the mediating effect of ''luck, chance, randomness and personal destiny'' on healthy lifestyles [Davison et al, 1992, pp 679-684]) and practices that affect recommendation/acceptance of, and compliance with, treatment protocols and, therefore, influence outcomes (see Oster et al, 2000;Fishman et al, 1993;Salgado de Snyder et al, 1998;AMA, 1999;Goode, 2001). Indeed, skilled participants appreciate that every medical encounter is a multidimensional interaction among the cultures of the patient, the physician, the support professional(s), and the health-care contexts/systems that surround them (see Nunez, 2000;Pachter, 2000;Barnes et al, 2000).…”

“…For many migrants, transculturally sustainable agreements necessitate involvement by (extended) family and/or (migrant)-community support networks (Silverman, 2000;Novack, 1995;Salgado de Snyder et al, 1998;Weine et al, 2001;Dye and DiMatteo, 1995;Downs et al, 1997;Makoul, 2001;Stewart et al, 1999;Flores, 2000;Kleinman et al, 1978;Andrews and Herberg, 1999;Boyle, 1999;House and Williams, 2000;Brach and Fraser, 2000). In addition, in the interest of equitable health care for migrant patients, transnational functional adroitness often necessitates advocacy competence; that is, recommendations/actions that advance changes in certain local and international economic, social, institutional, and policy conditions (Farmer, 1999;Pappas, 1990;Smedley and Syme, 2000;.…”