Research Issues for Improving Treatment of U.S. Hispanics With Persistent Mental Disorders

Department of Psychiatry, Columbia University, New York, New York, United States
Psychiatric Services (Impact Factor: 1.99). 04/2007; 58(3):385-94. DOI: 10.1176/
Source: PubMed

ABSTRACT This article reports on the outcome of an expert consensus meeting in August 2005 sponsored by the National Institute of Mental Health, which assembled 15 senior researchers with a background in treatment and services research with the Hispanic population. The purpose of the workshop was to identify research issues most pertinent for improving quality and effectiveness of treatment for Hispanics experiencing persistent mental disorders, defined as psychiatric syndromes that are of sufficient severity and duration to cause long-term impairment in social and occupational functioning and significant disability. The spectrum of ideas and recommendations advanced at the one-day meeting was wide and overlapping; therefore, the rich body of material was subsequently organized into five topics: diagnosis, quality of care and culturally appropriate services, psychosocial intervention development, psychopharmacologic interventions, and access to care. Although the authors recognize that the review was broad and the agenda presented is ambitious and in many instances generalizes to priority areas in overall mental health services and treatment research, the recommendations are intended to stimulate research for addressing the unique problems and research deficits that affect Hispanics with persistent mental disorders.

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Available from: Guillermo Bernal, Aug 08, 2015
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    • "Research has indicated that incorporating cultural components into existing treatment can be beneficial for ethnic minority and underserved populations (Shea & Leong, 2012; Vega et al., 2007). Resnicow, Soler, Braithwaite, Ahluwalia, and Butler (2000) suggested that cultural sensitivity and adaptation can occur on two levels. "
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    • "minorities suffer health care disparities in access to and quality of treatment (Atdjian & Vega, 2005; Schraufnagel, Wagner, Miranda, & Roy-Byrne, 2006). Recent studies have begun to examine the unmet need for mental health services in African Americans (Jackson et al., 2007; Neighbors et al. 2007) and Latinos (Alegria et al., 2007b; Vega et al., 2007). Breslau et al. (2005) suggest that although there are assumptions that ethnic disadvantage in treatment received may be a source of the increased persistence of mood and anxiety disorders, this issue suffers from a lack of empirical data. "
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