Eliminating Mental Health Disparities in Racial and Ethnic Minority Populations Through the Integration of Behavioral and Primary Healthcare: Recommendations and Strategies

2009 ◽  
Author(s):  
Teresa Chapa
Author(s):  
Cindy Y. Huang ◽  
Nolan Zane

Mental health disparities exist for ethnic minority populations due to inaccessible and ineffective interventions for these clients. Research findings indicate that ethnic minority clients were often assigned therapists or administered psychological interventions that were incompatible with their cultural backgrounds or life circumstances. Decades of research have identified cultural factors, such as racial/ethnic match, face concern, and social validity, as important contributors to mental health outcomes for ethnic minority populations. This chapter summarizes a research program dedicated to examining the disparities in psychological interventions and mental health outcomes for ethnic minority groups. This work also identified critical cultural factors related to treatment processes and outcomes for these groups. The chapter reviews the current efforts to translate this research program into culturally adapted and community-centered interventions as a way of reducing mental health disparities. Research challenges and future directions in the field of culture and psychological interventions are discussed.


2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Ann W Nguyen

Abstract Religion has been an important source of resiliency for many racial and ethnic minority populations. Given the salience, sociohistorical context, and importance of religion in the lives of black and Latino Americans, this literature review focuses on the mental health and well-being outcomes of religion among black and Latino Americans across the adult life course and specifically in later life. This review provides an overview of religious participation and religiosity levels and an in-depth discussion of extant research on the relationship between the multiple dimensions of religiosity and mental health in these 2 populations. Racial differences between blacks, Latinos, and non-Latino whites are also examined. Suggestions for limitations of the current literature and future directions for research on religion and mental health in racial/ethnic minority populations, especially older minorities, are proposed.


2004 ◽  
Vol 22 (1) ◽  
pp. 285-313 ◽  
Author(s):  
ROXANNE STRUTHERS ◽  
LEE ANNE NICHOLS

This chapter provides a review of research literature and describes the use of complementary and alternative medicine (CAM) among racial and ethnic minority populations. The relevance of CAM to health disparities is also discussed. Complementary and alternative medicines are terms used to describe methods of health care beyond the usual Western biomedical model. These treatments are prevalent and increasing in the United States. Many CAM therapies are ancient therapies among certain racial and ethnic minorities. Thus, it seems that complementary and alternative medicine is being used and/or could be used to decrease health disparities among these populations. A review of 26 research articles shows that we are at the beginning stages of examining this phenomenon and that CAM use by any population is only now being described. Of the reviewed studies, 19 studies documented use of CAM among racial and ethnic minorities; 7 revealed that CAM is not used more among ethnic groups than among White (non-Hispanic) populations. Although it is known that racial and ethnic people utilize CAM, the vast array of research questions and aims, CAM definitions, CAM practitioners, and diverse research methodologies result in mixed research findings and conclusions. In some instances, utilization of CAM modalities is stated to be a result of culture among particular groups. Even so, there is currently no evidence that scientifically supports the notion that CAM can be used to reduce health disparities within racial and ethnic minority populations.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041102
Author(s):  
Cleo Baskin ◽  
Geiske Zijlstra ◽  
Mike McGrath ◽  
Caroline Lee ◽  
Fiona Helen Duncan ◽  
...  

ObjectivesUndertake a scoping review to determine the effectiveness of community-centred interventions designed to improve the mental health and well-being of adults from ethnic minority groups in the UK.MethodsWe searched six electronic academic databases for studies published between January 1990 and September 2019: Medline, Embase, PsychINFO, Scopus, CINAHL and Cochrane. For intervention description and data extraction we used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist and Template for Intervention Description and Replication guide. Quality was assessed using Cochrane risk of bias tools. Grey literature results were deemed beyond the scope of this review due to the large number of interventions and lack of available outcomes data.ResultsOf 4501 studies, 7 met the eligibility criteria of UK-based community interventions targeting mental health in adults from ethnic minority populations: four randomised controlled trials, one pre/post-pilot study, one cross-sectional study and one ethnographic study. Interventions included therapy-style sessions, peer-support groups, educational materials, gym access and a family services programme. Common components included a focus on tackling social isolation, using lay health workers from within the community, signposting and overcoming structural barriers to access. Four studies reported a statistically significant positive effect on mental health outcomes and six were appraised as having a high risk of bias. Study populations were ethnically heterogeneous and targeted people mainly from South Asia. No studies examined interventions targeting men.ConclusionsThere is a paucity of high-quality evidence regarding community-centred interventions focused on improving public mental health among ethnic minority groups. Decision makers need scientific evidence to inform effective approaches to mitigating health disparities. Our next steps are to map promising community activities and interventions that are currently being provided to help identify emerging evidence.


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