The Latino Mental Health Project: A Local Mental Health Needs Assessment

Cardemil, Esteban V.; Adams, Sara; Calista, Joanne; Connell, Joy; Encarnación, José Antonio Miranda; Esparza, Nancy; Frohock, Jeanne; Hicks, Ellen; Kim, Saeromi; Kokernak, Gerald; McGrenra, Michael; Mestre, Ray; Pérez, María; Pinedo, Tatiana M.; Quagan, Rosemary; Rivera, C L; Taucer, Patsy; Wang, Ed

doi:10.1007/s10488-007-0113-3

Cited by 30 publications

(25 citation statements)

References 26 publications

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“…As hypothesized, perceived barriers to treatment among the sample did differ by ethnicity. In particular, a higher number of Latinos with BDD symptoms were found to endorse barriers to treatment than Caucasians in all three barriers categories, a finding that concurs with past research on barriers to treatment for Latinos with mental illness [39]. A distinct pattern also emerged in which fewer Asian participants than Caucasian participants reported concerns about stigma, shame, and discrimination as well as concerns about treatment not working.…”

Section: Discussionsupporting

confidence: 83%

Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms

Marques

Weingarden

LeBlanc

et al. 2011

Journal of Psychosomatic Research

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Section: Discussionsupporting

confidence: 83%

Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms

Marques

Weingarden

LeBlanc

et al. 2011

Journal of Psychosomatic Research

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“…Consistent with previous research, fear of medications, self-reliant attitudes, and denial of illness severity were culturally mediated barriers to treatment engagement for depression (Alvidrez, 1999;Cardemil et al, 2007;Interian et al, 2007;Sajatovic et al, 2011). Stigma about treatment (per se) was not found to be a barrier to treatment engagement.…”

Section: Discussionsupporting

confidence: 81%

Barriers to Treatment Engagement for Depression among Latinas

Caplan

Whittemore

2013

Issues in Mental Health Nursing

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In spite of successful treatment options for depression, the majority of Americans with severe depression do not receive treatment. Latinos are even less likely to engage in treatment than non-Hispanic Whites. The purpose of this study is to explore barriers to treatment engagement and, more specifically, how childhood adversity and gender-based violence (GBV) contribute to a lack of perceived support for treatment engagement. Experiences of GBV and childhood adversity can call into question deeply held family, cultural, and religious values, and affect the perceived quality of the therapeutic relationship and attitudes about depression treatment. A qualitative descriptive methodology was used to understand the experiences of a sample of 12 Latinas who were part of a diabetes prevention study (n = 67) and had been referred for treatment because of elevated symptoms of depression. Results indicate that the often-cited barriers to mental health care (i.e., language barriers, economic considerations, and lack of illness recognition) did not serve as deterrents for Latinas in this study. Participants recognized that they were depressed and agreed with the assessment of depression. However, none of the women followed up on the recommendation to seek care. What has emerged from this study is how cultural values, such as familismo and marianismo, and the lack of responsiveness from family and religious leaders in the context of exposure to GBV and childhood adversity created significant barriers to treatment engagement. This study highlights the need for nurses to screen for these exposures and to engage in shared decision making about treatment.

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“…This information was gathered from a measure that was constructed for the current study. It was based on the survey instrument from the Latino Mental Health Program (Cardemil et al,, 2007), Focus groups composed of Latino and Brazilian community residents reviewed the assessment instrument in English, Spanish, and Portuguese, During the focus groups, participants assessed the instrument in terms of accuracy of language, appropriate use of culturally relevant terminology, and inclusion of community-relevant questions. The feedback gathered from the focus groups was incorporated into the final version of the survey tool.…”

Section: Methodsmentioning

confidence: 99%

Brave new world: Mental health experiences of Puerto Ricans, immigrant Latinos, and Brazilians in Massachusetts.

Sánchez¹,

Cardemil²,

Adams³

et al. 2014

Cultural Diversity & Ethnic Minority Psychology

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Depression and anxiety are of the most commonly occurring mental health disorders in the United States. Despite a variety of efficacious interventions for depression and anxiety, it is clear that ethnic minorities experience mental health care disparities in their access to mental health services and the quality of treatment they receive. Research indicates that Latino heterogeneity impacts access to depression and anxiety treatment. In addition, Brazilians are becoming an increasingly visible minority within the United States and are often depicted as Latinos. The current study sought to understand the role of acculturation and stigma in mental health symptom endorsement and treatment seeking among Puerto Ricans, immigrant Latinos, and Brazilians. A total of 250 self-identified Latinos and Brazilians were interviewed about their mental health symptom and treatment experience, acculturation, and stigma toward mental illness. Results indicated considerable variability across the three groups, with Puerto Ricans endorsing higher rates of depression and anxiety, as well as higher rates of treatment seeking, than either the immigrant Latinos or the Brazilians. Acculturation played a differential role in the endorsement of anxiety treatment seeking for Brazilians. Finally, although the three groups differed in the extent to which they experienced stigma about mental health issues, stigma did not predict symptom endorsement or treatment-seeking behavior for any of the three groups. These findings underscore the importance of attending to both between-groups and within-group differences in the mental health and mental health treatment experiences of different ethnic groups.

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The Latino Mental Health Project: A Local Mental Health Needs Assessment

Cited by 30 publications

References 26 publications

Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms

Treatment utilization and barriers to treatment engagement among people with body dysmorphic symptoms

Barriers to Treatment Engagement for Depression among Latinas

Brave new world: Mental health experiences of Puerto Ricans, immigrant Latinos, and Brazilians in Massachusetts.

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