Article

Access to Mental Health Treatment by English Language Proficiency and Race/Ethnicity

University of California, Berkeley, Berkeley, California, United States
Journal of General Internal Medicine (Impact Factor: 3.42). 12/2007; 22 Suppl 2(S2):289-93. DOI: 10.1007/s11606-007-0345-7
Source: PubMed

ABSTRACT Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited.
To quantify the language barriers to mental health care by race/ethnicity using a direct measure of LEP is the objective of the study.
Cross-sectional analysis of the 2001 California Health Interview Survey is the study's design.
Adults aged 18 to 64 who provided language data (n = 41,984) were the participants of the study.
Participants were categorized into three groups by self-reported English proficiency and language spoken at home: (1) English-speaking only, (2) Bilingual, and (3) Non-English speaking. Mental health treatment was measured by self-reported use of mental health services by those reporting a mental health need.
Non-English speaking individuals had lower odds of receiving needed services (OR: 0.28; 95% CI: 0.17-0.48) than those who only spoke English, when other factors were controlled. The relationship was even more dramatic within racial/ethnic groups: non-English speaking Asian/PIs (OR = 0.15; 95% CI: 0.30-0.81) and non-English speaking Latinos (OR: 0.19; 95% CI: 0.09-0.39) had significantly lower odds of receiving services compared to Asian/PIs and Latinos who spoke only English.
LEP is associated with lower use of mental health care. Since LEP is concentrated among Asian/PIs and Latinos, it appears to contribute to racial/ethnic disparities in mental health care. Heightened attention to LEP is warranted in both mental health practice and policy.

0 Followers
 · 
142 Views
  • Source
    • "Barrier theory suggests that institutional barriers relating to characteristics of the mental health system (Kouyoumdjian, Zamboanga, & Hansen, 2003; Woodward, Dwinell, & Arons, 1992) and cultural barriers concerning cultural values and norms deter Latinos from using formal mental health services (Cabassa, Lester, & Zayas, 2007; Ramos-Sánchez & Atkinson, 2009). For example, insufficiencies in language of services within mental health facilities (e.g., lack of interpreters or lack of available information in the language of preference) are of concern for Latinos with limited English language proficiency trying to access mental health services (Alegría, Mulvaney-Day, Woo et al., 2007; Barrio et al., 2008; Sentell et al., 2007). Other barriers to mental health care include lack of insurance coverage, immigrant status, and poor economic resources (Alegría, Mulvaney-Day, Woo et al., 2007; Vega, Kolody, Aguilar-Gaxiola, & Catalano, 1999). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Considering the central role of familismo in Latino culture, it is important to assess the extent to which familismo affects mental health help-seeking. This study examined the role of behavioral familismo, the level of perceived family support, in the use of mental health services of Latinos in the United States. Data come from the National Latino and Asian American Study (NLAAS), a representative household survey examining the prevalence of mental disorders and services utilization among Latinos and Asian Americans. Analyses were limited to Latino adults with a clinical need for mental health services, indexed by meeting DSM-IV diagnostic criteria for any mood, anxiety, or substance use disorder during the past 12 months (N = 527). One-third of Latinos with a clinical need used any type of service in the past year, including specialty mental health, general medical, and informal or religious services. High behavioral familismo was significantly associated with increased odds of using informal or religious services, but not specialty or medical services. Self-perceived need and social perceptions of need for care within close networks (i.e., told by family/friends to seek professional help) also were significant predictors of service use. These results carry important implications toward expansions of the mental health workforce in the informal and religious services settings. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
    American Journal of Orthopsychiatry 07/2014; 84(4):353-363. DOI:10.1037/h0099844 · 1.50 Impact Factor
  • Source
    • "Previous studies with Latinos have documented a positive association between level of acculturation, or the degree of assimilation to the US mainstream culture and self-reported health status and use of some preventive services (Lara et al., 2005). Similarly, the level of English proficiency and primary language spoken at home, both commonly used proxy measures of acculturation, have also been found to be positively related to healthcare utilisation among immigrant populations in the USA (Sentell et al., 2007; Cheng et al., 2007). For Mexican migrants engaging in circular migration, regular exposure to both the USA and Mexico, length of time in the USA and language barriers are likely to result in lower rates of assimilation into the US mainstream culture compared to more established immigrant populations. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Temporary and unauthorized migrants may face unique obstacles to access health care services in the U.S.
    01/2014; 1(1):57-108. DOI:10.1504/IJMBS.2014.065069
  • Source
    • "). Some Asian American families may lack the English proficiency required for a thorough assessment of the child and identification of important contributors to the process of care, diagnosis, and treatment (Sentell et al., 2007). In addition , limited English proficiency is associated with lower adherence to treatment among Asian Americans with schizophrenia (Gilmer et al., 2009). "
    [Show abstract] [Hide abstract]
    ABSTRACT: The idea of a clinical high risk (CHR) for psychosis has focused attention on early intervention to prevent or attenuate psychosis. However, many clinicians may still not be very familiar with the concept of CHR. Current studies have not allowed for an in-depth examination of the challenges and the strategies of working with youth from the range of racial/ethnic minority families, Asian American families in particular. The purpose of this article was three-fold. First, we critically review Asian cultural values and beliefs about mental illness, psychosis in particular, while highlighting specific challenges that Asian American families encounter. Second, we provide a clinical case to illustrate these challenges and inform clinical practice when working with Asian youth at risk for psychosis and their families. Third, practical and easy-to-follow clinical strategies are provided. Implications for clinical practice and directions for future research are presented.
    The Journal of nervous and mental disease 05/2013; 201(6). DOI:10.1097/NMD.0b013e3182948084 · 1.81 Impact Factor
Show more

Preview (2 Sources)

Download
2 Downloads
Available from