Social Networks and Patterns of Use Among the Poor with Mental Health Problems in Puerto Rico

Pescosolido, Bernice A.; Wright, Eric R.; Alegrı́a, Margarita; Vera, Mildred

doi:10.1097/00005650-199807000-00012

Cited by 275 publications

(146 citation statements)

References 31 publications

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“…The articles present findings from the seven epidemiological studies: the ECA Wells, Hough, Golding, Burnam, & Karno, 1987;Wells, Hough, Golding, Burnam, & Karno, 1989), NCS , MAPSS (Peifer, Hu, & Vega, 2000;Vega, Kolody, & Aguilar-Gaxiola, 2001;Vega et al, 1999), the Puerto Rico Mental Health Utilization Study (PRMHUS; AlbizuGarcia, Alegría, Freeman, & Vera, 2001;Alegría et al, 1991;Pescosolido, Wright, Alegría, & Vera, 1998;Vera, Alegría, Freeman, Robles, Pescosolido, & Pena, 1998), South Florida Refugee Study (Portes et al, 1992), National Surveys on Drug Use and Health (NSDUH; Harris et al, 2005), and the Robert Wood Johnson Foundation's Healthcare for Communities Study (RWJF HCS; Wells et al, 2001;Young, Klap, Sherbourne, & Wells, 2001). The 16 publications are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

313

177

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Since the early 1980s, epidemiological studies using state-of-the-art methodologies have documented the unmet mental health needs of Latinos adults in the U.S. and Puerto Rico. This paper reviews 16 articles based on seven epidemiological studies, examines studies methodologies, and summarizes findings about how Latino adults access mental health services. Studies consistently report that, compared to non-Latino Whites, Latinos underutilize mental health services, are less likely to receive guideline congruent care, and rely more often on primary care for services. Structural, economic, psychiatric, and cultural factors influence Latinos' service access. In spite of the valuable information these studies provide, methodological limitations (e.g., reliance on cross-sectional designs, scarcity of mixed Latino group samples) constrict knowledge about Latinos access to mental health services. Areas for future research and development needed to improve Latinos' access and quality of mental health care are discussed.

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Section: Resultsmentioning

confidence: 99%

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

313

177

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“…Other studies have found either no such association [Sherbourne, 1988;Golding et al, 1990;Phillips and Murrell, 1994] or an increasing use of mental health services but not primary health services [Ten Have et al, 2002]. It has also been suggested that both the amount of and the satisfaction with the social support received may have a protective effect against service use [Pescosolido et al, 1998;Ten Have et al, 2002]. The low impact of sociodemographic factors (income, education, etc.)…”

Section: Sociodemographic Factorsmentioning

confidence: 98%

Use of health services for major depressive and anxiety disorders in Finland

et al. 2008

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Factors associated with people suffering from major depressive disorder (MDD) or anxiety disorders seeking or receiving treatment are not well known. In the Health 2000 Study, a representative sample (n=6005) of Finland's general adult (≥30 years) population was interviewed with the M‐CIDI for mental disorders and health service use for mental problems during the last 12 months. Predictors for service use among those with DSM‐IV MDD (n=298) or anxiety disorders (n=242) were assessed. Of subjects with MDD, anxiety disorders, or both, 34%, 36%, and 59% used health services, respectively. Greater severity and perceived disability, psychiatric comorbidity, and living alone predicted health care use for MDD subjects, and greater perceived disability, psychiatric comorbidity, younger age, and parent's psychiatric problems for anxiety disorder subjects. The use of specialist‐level mental health services was predicted by psychiatric comorbidity, but not characteristics of the disorders per se. Perceived disability and comorbidity are factors influencing the use of mental health services by both anxiety disorder and MDD subjects. However, still only approximately one‐half of those suffering from even severe and comorbid disorders use health services for them. Depression and Anxiety 0:1–11, 2007. © 2007 Wiley‐Liss, Inc.

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“…In particular, they tend to interact within organized settings that exhibit their own collective norms and sets of routines and policies, whether conventional health services or other types of organizations, such as schools, churches, or social service agencies. Outside of these settings, consumers are also embedded in networks of social relationships and systems of support (e.g., family, friends, and various relations) that influence health behavior, decisions, and the seeking out of healthcare (Pescosolido et al 1998;Cohen and Syme 1985). Similarly, care providers often have ties to networks of professionals and "communities of practice" that promote identification with common goals and sharing of knowledge (Bate and Robert 2002;Brown and Duguid 1991).…”

Section: Studying Interventions In Context: Research Questions and Apmentioning

confidence: 99%

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

Mendel

Meredith

Schoenbaum

et al. 2007

Adm Policy Ment Health

309

355

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The effective dissemination and implementation of evidence-based health interventions within community settings is an important cornerstone to expanding the availability of quality health and mental health services. Yet it has proven a challenging task for both research and community stakeholders. This paper presents the current framework developed by the UCLA/RAND NIMH Center to address this research-to-practice gap by: 1) providing a theoretically-grounded understanding of the multi-layered nature of community and healthcare contexts and the mechanisms by which new practices and programs diffuse within these settings; 2) distinguishing among key components of the diffusion process-including contextual factors, adoption, implementation, and sustainment of interventions-showing how evaluation of each is necessary to explain the course of dissemination and outcomes for individual and organizational stakeholders; 3) facilitating the identification of new strategies for adapting, disseminating, and implementing relatively complex, evidence-based healthcare and improvement interventions, particularly using a community-based, participatory approach; and 4) enhancing the ability to meaningfully generalize findings across varied interventions and settings to build an evidence base on successful dissemination and implementation strategies.

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Social Networks and Patterns of Use Among the Poor with Mental Health Problems in Puerto Rico

Cited by 275 publications

References 31 publications

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Use of health services for major depressive and anxiety disorders in Finland

Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research

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