Research Issues for Improving Treatment of U.S. Hispanics With Persistent Mental Disorders
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.
Full-textDOI: · Available from: Guillermo Bernal, Aug 08, 2015
- SourceAvailable from: Munyi Shea
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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. "
ABSTRACT: Data on the compatibility of evidence-based treatment in ethnic minority groups are limited. This study utilized focus group interviews to elicit Mexican American women's (N = 12) feedback on a cognitive behavior therapy guided self-help program for binge eating disorders. Findings revealed 6 themes to be considered during the cultural adaptation process and highlighted the importance of balancing the fidelity and cultural relevance of evidence-based treatment when disseminating it across diverse racial/ethnic groups.Journal of counseling and development: JCD 07/2012; 90(3):308-318. DOI:10.1002/j.1556-6676.2012.00039.x · 0.62 Impact Factor
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- "In addition, low-income levels may also pose a barrier to treatment for Latinos, as Latinos are disproportionately financially disadvantaged, and, thus, less able to access specialty care compared to Caucasians (Alegria et al., 2002). As only 1% of licensed US psychologists are Hispanic, language continues to be another barrier to treatment, illustrating an urgent need for more Hispanic and Spanish-speaking professionals (Vega et al., 2007). "
ABSTRACT: Previous research has documented that ethnic minorities, particularly Latinos, obtain fewer mental health services than Caucasians (Kearney, Draper, & Baron 2005; Sue, Fujino, Hu, Takeuchi, & Zane, 1991). Conceivably, this may be due to a wide array of cultural issues (e.g., negative stigma attached to mental health, and language, socio-economic, and acculturation barriers), symptom disparities across Caucasian and Latino groups, or lack of effective outreach methods by clinicians and researchers. However, research is limited. As a result, Latinos may be insufficiently represented in clinical studies for OCD, making it unclear whether evidence-based treatments demonstrate the same efficacy and effectiveness for Latinos as has been demonstrated for Caucasians. The current study takes an in-depth analysis of 98 efficacy and effectiveness studies for OCD from across the Western hemisphere and reports the rates of Latino inclusion from each sample. Ninety clinical studies in the US and Canada, as well as eight clinical studies in Mexico and Central America were reviewed. Findings showed that only 11 (24%) US and Canadian studies included Latino participants, illustrating an overwhelming underrepresentation of Latinos in clinical studies for OCD. Further explanation of the results and their implications are discussed, along with suggestions for effectively improving access to mental health research and appropriate treatments.Journal of Obsessive-Compulsive and Related Disorders 04/2012; 1(4):85-97. DOI:10.1016/j.jocrd.2011.12.001 · 0.81 Impact Factor
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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. "
ABSTRACT: We describe the rationale, method, and intake demographic and clinical findings of the Harvard/Brown Anxiety Research Project-Phase II (HARP-II). HARP-II is the first prospective, observational, longitudinal study to describe the characteristics and course of anxiety in African American, Latino, and Non-Latino White individuals. Participants met criteria for at least one of the following disorders: Generalized Anxiety Disorder, Social Phobia, Panic Disorder with or without Agoraphobia, Agoraphobia without history of Panic Disorder, Post-traumatic Stress Disorder. Initial intake data, collected between 2004 and 2011, are presented for 165 African American, 150 Latino, and 172 Non-Latino White participants. Participants evidenced substantial psychiatric comorbidity (mean number of Axis I disorders=3.4), and moderate to severe symptoms and functional impairment. HARP-II will examine clinical course, in the context of potential socio-cultural and individual moderators (e.g., discrimination, acculturation, negative affect). Results should lead to improved understanding, prognostics, and treatment of anxiety in diverse populations.Journal of anxiety disorders 02/2012; 26(4):532-43. DOI:10.1016/j.janxdis.2012.02.007 · 2.68 Impact Factor