New evidence regarding racial and ethnic disparities in mental health: Policy implications

Department of Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA.
Health Affairs (Impact Factor: 4.64). 03/2008; 27(2):393-403. DOI: 10.1377/hlthaff.27.2.393
Source: PubMed

ABSTRACT Minorities have, in general, equal or better mental health than white Americans, yet they suffer from disparities in mental health care. This paper reviews the evidence for mental health and mental health care disparities, comparing them to patterns in health. Strategies for addressing disparities in health care, such as improving access to and quality of care, should also work to eliminate mental health care disparities. In addition, a diverse mental health workforce, as well as provider and patient education, are important to eliminating mental health care disparities.

  • [Show abstract] [Hide abstract]
    ABSTRACT: The productivity of the clinical psychologist has received inadequate attention and, more importantly, has not significantly improved over the past century. We define productivity, discuss potential benefits to consumers (e.g., potentially driving price down, increasing access), and ways productivity benefits those associated with the delivery of psychotherapy. We briefly describe precedents of productivity increases from other economic sectors that can serve as exemplars. We then describe 14 major ways that psychotherapists may improve their productivity. We believe that productivity increases should be a parameter that should receive increased attention and become associated with increased innovation.
    Professional Psychology Research and Practice 10/2014; 45(5). DOI:10.1037/a0037741 · 1.34 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Minorities comprise more than one third of the U.S., and research on the correlates and causes of depression, anxiety, and other mental illnesses have yielded mixed results in minority groups necessitating an understanding of causes and correlates of health. Thus, the aim of this paper is to evaluate the relationship between minority status, contextual factors, and lifetime Generalized Anxiety Disorder. Methods: Logistic regression models were implemented, comparing immigrants to their American-born counterparts as well as to American-born Whites. Results: Foreign-born Afro-Caribbeans exhibited lower rates of lifetime GAD. A lower percentage of foreign-born minorities met the criteria for GAD as compared to their American-born counterparts, and all racial and ethnic groups met the criteria for lifetime GAD at a lower rate as compared to American-born Whites. Discussion: By using theory proactively and including contextual factors, this multi-faceted approach to health disparities research yielded findings which both supported historic beliefs but created opportu-nities for supplemental research looking at immigrants and GAD. Key findings were that health lifestyle choices and exposure to discrimination significantly affected the chance of having GAD. Nativity was protective; however, its effect was ameliorated by exposure to discrimination or engagement in alcohol abuse. Thus, this study offers practical insight into environmental factors for clinicians caring for racial and ethnic minorities diagnosed with GAD. &
    Journal of Affective Disorders 01/2015; 35294(35294). DOI:10.1016/j.jad.2015.01.035 · 3.71 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article reports South Texas Rio Grande Valley Mexican-American perspectives on the causes of mental distress. Very little has been published about Mexican-American perspectives on this topic. Mexican Americans as a population exhibit strong mental health care disparities in the United States; therefore their perspective on the causes of mental distress is an important area to investigate. An exploratory descriptive design with 82 interviews resulted in three overarching themes: Individual Causes of Mental Distress; External Aspects; and How Mental Distress Develops. The results of this study have implications for mental health practitioners regarding family problems, experiences of loss, and money problems of clients, as well as for employers regarding stress experienced by employees at work. They also highlight the importance of using a collaborative interdisciplinary approach in treating Mexican-American clients and supporting clients in their perceptions while providing clients with important skills such as problem solving, self-awareness, and coping. Mexican Americans living in different geographical locations within the United States may have different perceptions of causes of mental distress. This is important for mental health professionals to understand when working with Mexican-American clients.
    Social Work in Mental Health 05/2013; 11(3):223-248. DOI:10.1080/15332985.2013.774922

Full-text (2 Sources)

Available from
May 20, 2014