Community Perceptions of Mental Health Needs in an Underserved Minority Neighborhood

School of Nursing, University of Louisville, University of Louisville Health Sciences Center, Louisville, KY 40292, USA.
Journal of Community Health Nursing (Impact Factor: 0.48). 11/2008; 25(4):203-17. DOI: 10.1080/07370010802421202
Source: PubMed


Accurate information is needed to facilitate health equity in underserved communities. This community-based participatory study asked residents about the meaning of mental health, their perceptions of community mental health needs, barriers to accessing mental health care, and acceptability of mental health services that are integrated in primary health clinics. Forty-five primarily African-American residents from urban communities participated in focus groups. Findings revealed high prevalence of substance abuse, depression, crime, and stigma about mental illness, with multiple access barriers. Participants were receptive to mental health care integrated in primary care, if others did not know they were receiving mental health care.

Download full-text


Available from: Karen M Robinson, Oct 21, 2014
  • Source
    • "African Americans with depressive symptoms also are less likely to discuss emotional or mental health problems with physicians or other health care and helping professionals, such as nurses, social workers, or clergy (Probst, Laditka, Moore, Harun, & Powell, 2007). Reluctance among African Americans to report symptoms of depression to a health care or other helping provider may be due to perceptions of stigma associated with mental illness (Roberts et al., 2008). These findings underscore the need for health and human services providers to ask African Americans about emotional as well as physical well-being. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Social relationships may enhance emotional health in older age. The authors examined associations between social relationships and emotional health using data from the Milwaukee African American sample of the second Midlife Development in the United States (MIDUS II) study, 2005-2006 (n = 592). Self-reports indicated good, very good, or excellent emotional health, distinguished from fair or poor. Social relationships were measured by relationship type (family or friend), contact frequency, and levels of emotional support and strain. Control variables included demographic characteristics, types of lifetime and daily discrimination, neighborhood quality, and other social factors. In adjusted results, each increase on a family emotional support scale was associated with 118% greater odds of reporting better emotional health (odds ratio [OR] = 2.18, 95% confidence interval [CI] [1.43, 3.32]). Friend emotional support also was associated with better emotional health (OR = 1.59, CI [1.07, 2.34]). Daily discrimination substantially reduced reported emotional health; family and friend support buffered this effect.
    Full-text · Article · Aug 2010 · Research on Aging
  • Source
    • "Soliciting the help of promotoras (trained, non-professional health workers from the target community) was mentioned as an important strategy for enhancing the methodological research process. Promotoras were reported to be highly effective in the following areas: (1) advising, creating, and validating culturally appropriate instruments to collect data, (2) recruiting participants (Roberts, et al. 2008), (3) piloting a curriculum tool box before utilizing it with the community (Reinschmidt and Chong 2007), (4) acting as trusted community members who could help with the contextual sources of suffering (e.g., housing problems, inadequate food, unemployment, and violence/trauma) when addressing depression among Latinos (Getrich et al. 2007), and (5) promoting health within the target community (Michael et al. 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: In this review, a synthesis of studies employing community-based participatory research (CBPR) to address mental health problems of minorities, strengths and challenges of the CBPR approach with minority populations are highlighted. Despite the fact that minority community members voiced a need for innovative approaches to address culturally unique issues, findings revealed that most researchers continued to use the traditional methods in which they were trained. Moreover, researchers continued to view mental health treatment from a health service perspective.
    Full-text · Article · May 2010 · Community Mental Health Journal
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To examine the relationship between intimate partner violence (IPV) perpetration, serious mental illness, and substance use and perceived unmet need for mental health treatment in the past year among men in the general population using the behavioral model for health-care use (Aday and Anderson in Health Serv Res 9:208-220, 1974; Andersen in A behavioral model of families' use of health services, 1968; Andersen in Med Care 46:647-653, 2008). Non-Hispanic black, Hispanic, and non-Hispanic white males aged 18-49 years and cohabiting with a spouse/partner were included in this analysis of the 2002 National Survey on Drug Use and Health. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using logistic regression. The proportion of men reporting unmet treatment need was greater among IPV perpetrators than nonperpetrators (12.1 vs. 3.4%, respectively). Hazardous drinking, illicit drug use, alcohol and drug abuse/dependence, and SMI were also more common among perpetrators. Perpetrators were twice as likely to report unmet need for treatment after taking predisposing, enabling, and need factors into account (AOR 2.00, CI 1.13-3.55). Alcohol abuse/dependence (AOR 2.96, CI 1.79-4.90), drug abuse/dependence (AOR, 1.79, CI 1.01-3.17), substance abuse treatment (AOR 3.09, CI 1.18-8.09), and SMI (AOR 8.46, CI 5.53-12.94) were independently associated with perceived unmet need for treatment. These findings suggest that men who perpetrate IPV are at increased risk of perceived unmet need for mental health care. This study also emphasizes the need to identify substance use disorders and mental health problems among IPV perpetrators identified in health, social service, or criminal justice settings. Further research should address barriers to care specific to men who perpetrate IPV beyond economic factors.
    Full-text · Article · Sep 2011 · Social Psychiatry
Show more