Retention of hispanics in public sector mental health services

Dworkin, Rosalind J.; Adams, George L.

doi:10.1007/bf00754432

Cited by 25 publications

(8 citation statements)

References 18 publications

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“…Our observations that Puerto Rican veterans are prescribed psychotropic medications more frequently than other groups and have more sustained involvement in treatment are also in keeping with findings of other researchers that Puerto Ricans are more likely to remain in treatment when they are prescribed medications (Dworkin & Adams, 1987) and that they have a greater affinity for medical services than Mexican Hispanics (Schur, Bernstein, & Berk, 1987).…”

Section: Some Possible Explanations Of Differencessupporting

confidence: 91%

Ethnocultural variations in service use among veterans suffering from PTSD.

Rosenheck

Fontana²

1996

Ethnocultural Aspects of Posttraumatic Stress Disorder: Issues, Research, and Clinical Applications.

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Note. VA = Department of Veterans Affairs. PTSD = posttraurnatic stress disorder. Statistical comparisons are based on ANCOVAs with Tukey multiple-range tests @<.05), controlling for the influence of age, combat exposure, marital status, current employment, medical problems, PTSD symptoms, psychiatric problems, alcohol abuse, drug abuse, income, and site specific practice patterns. a df = 67.5176 * p<.lO. ** pi.05. *** pi.01. **** pi.001. ***** p<.OOOI.

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Section: Some Possible Explanations Of Differencessupporting

confidence: 91%

Ethnocultural variations in service use among veterans suffering from PTSD.

Rosenheck

Fontana²

1996

Ethnocultural Aspects of Posttraumatic Stress Disorder: Issues, Research, and Clinical Applications.

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“…The presence of amphetamine use disorder and more severe alcohol use disorder among clients predicted lower rates of engagement, suggesting that the severity of the client’s substance abuse may interfere with the ability of the family to convene for the purposes of treatment or make members feel less hopeful about change, and thus less likely to commit to ongoing treatment. Latino ethnicity was also related to lower levels engagement in treatment, consistent with their lower rates of health and mental health service utilization in the U.S. (Hough et al, 1987; Padgett, Patrick, Burns, & Schlesinger, 1994; Samnaliev, McGovern, Clark, 2009), and lower retention in mental health treatment (Dworkin & Adams, 1987). The ethnic differences between the two sites may also explain the higher rates of engagement of families in Boston compared to Los Angeles.…”

Section: Discussionmentioning

confidence: 65%

Family intervention for co-occurring substance use and severe psychiatric disorders: Participant characteristics and correlates of initial engagement and more extended exposure in a randomized controlled trial

Mueser

Glynn

Cather

et al. 2009

Addictive Behaviors

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Clients with severe mental illness and substance use disorder (i.e., dual disorders) frequently have contact with family members, who may provide valuable emotional and material support, but have limited skills and knowledge to promote recovery. Furthermore, high levels of family conflict and stress are related to higher rates of relapse. The present study was a two-site randomized controlled trial comparing a comprehensive, behaviorally-based family intervention for dual disorders program (FIDD) to a shorter-term family psychoeducational program (FPE). The modal family was a single male son in his early 30s diagnosed with both alcohol and drug problems and a schizophrenia-spectrum disorder participating with his middle-aged mother, with whom he lived. Initial engagement rates following consent to participate in the study and the family intervention programs were moderately high for both programs (88% and 84%, respectively), but rates of longer term retention and exposure to the core elements of each treatment model were lower (61% and 55%, respectively). Characteristics of the relatives were the strongest predictors of successful initial engagement in the family programs with the most important predictor being relatives who report higher levels of benefit related to the relationship with the client. Subsequent successful exposure to the family treatment model was more strongly associated with client factors, including less severity of drug abuse and male client gender. The results suggest that attention to issues of Address correspondence to: Kim T. Mueser, Ph.D., Dartmouth Psychiatric Research Center, Main Building, 105 Pleasant St., Concord, NH 03301, FAX (603) 271-5265, Email: kim.t.Mueser@dartmouth.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. People with severe mental illnesses (SMI) such as schizophrenia and bipolar disorder have a high prevalence of co-occurring substance use disorders or dual disorders (Mueser et al., 2000;Regier et al., 1990). Clients with dual disorders have a worse course of psychiatric illness than persons with SMI alone, including more frequent relapses and rehospitalizations, homelessness, poor health, legal problems, and increased depression, hopelessness, and suicide (Drake, O'Neal, & Wallach, 2008;Kavanagh et al., 2004). While progress has been made on development and validation of integrated treatment models for co-occurring disorders in this population (Drake et al., 2008;Kavanagh & Mueser, 2007), the results from different controlled studies are inconsistent and improvements are often modest at best (Cleary, Hunt, Mat...

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“…Cohort Differences Snowden, 1990;Dworkin & Adams, 1987;Snowden, 1999;Vega, Kolody, Aguilar-Gaxiola, & There were three significant differences between the two cohorts of children who participated in this research program. First, the racial-ethnic composition was significantly different at the two schools in the study: 77.2% of the students at School 1 were Latino and 98.9% of the students at School 2 were African American.…”

Section: Participantsmentioning

confidence: 99%

The prevention of depressive symptoms in low-income minority middle school students.

Cardemil¹,

Reivich²,

Seligman³

2002

Prevention & Treatment

130

164

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We present data on the efficacy of the Penn Resiliency Program (PRP) with lowincome minority children. This school-based depression prevention program teaches cognitive and social problem-solving skills to groups of middle-school students who might be at-risk for developing depressive symptoms by virtue of their low-income status. Our previous research had established the effectiveness of the original PRP with predominately middle-income Caucasian children. We administered the PRP to 2 cohorts of low-income minority children: African American and Latino 5th and 6th graders. We found a clearly beneficial effect for the Latino children up to 6 months after the conclusion of the depression prevention program, but no clear effect for the African American children.

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Retention of hispanics in public sector mental health services

Cited by 25 publications

References 18 publications

Ethnocultural variations in service use among veterans suffering from PTSD.

Ethnocultural variations in service use among veterans suffering from PTSD.

Family intervention for co-occurring substance use and severe psychiatric disorders: Participant characteristics and correlates of initial engagement and more extended exposure in a randomized controlled trial

The prevention of depressive symptoms in low-income minority middle school students.

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