Disparities in Mental Health Treatment in U.S. Racial and Ethnic Minority Groups: Implications for Psychiatrists

2005 ◽  
Vol 56 (12) ◽  
pp. 1600-1602 ◽  
Author(s):  
Sylvia Atdjian ◽  
William A. Vega
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Mental Health Treatment ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Health Treatment ◽  
Racial And Ethnic Minority

scholarly journals Community-centred interventions for improving public mental health among adults from ethnic minority populations in the UK: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041102
Author(s):  
Cleo Baskin ◽  
Geiske Zijlstra ◽  
Mike McGrath ◽  
Caroline Lee ◽  
Fiona Helen Duncan ◽  
...  
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Public Mental Health ◽  
Risk Of Bias ◽  
Minority Populations ◽  
Ethnic Minority Groups ◽  
Ethnic Minority Populations ◽  
The Uk ◽  
Intervention Description

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.

Disparities in Service Use and Expenditures for People With Intellectual and Developmental Disabilities in California in 2005 and 2013

2016 ◽  
Vol 54 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Charlene Harrington ◽  
Taewoon Kang
Keyword(s):  
Developmental Disabilities ◽  
Ethnic Minority ◽  
Service Use ◽  
Minority Groups ◽  
Age Groups ◽  
Intellectual And Developmental Disabilities ◽  
Ethnic Minority Groups ◽  
Geographic Variations ◽  
To Receive ◽  
Racial And Ethnic Minority

Abstract This study examined service use and expenditures for people with intellectual and developmental disabilities (IDD) living at home and in the community in California in 2005 and 2013. The number of people assessed for IDD services increased, along with the percentage of individuals who did not receive any services between 2005 and 2013. Controlling for client needs, children age 3–21 were less likely than other age groups to receive any services using logistic regressions. All racial and ethnic minority groups were less likely to receive any services than were white populations. Females, younger people, and all racial and ethnic minority groups who received services had significantly lower expenditures, with wide geographic variations. The disparities by age, gender, race/ethnicity, and geography have persisted over time in California.

scholarly journals Mental well-being of patients from ethnic minority groups during critical care: a qualitative ethnographic study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014075 ◽  
Author(s):  
Rose Lima Van Keer ◽  
Reginald Deschepper ◽  
Luc Huyghens ◽  
Johan Bilsen
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Critical Care ◽  
Ethnic Minority ◽  
Healthcare Professionals ◽  
Minority Groups ◽  
Mental Health Problems ◽  
Well Being ◽  
Ethnic Minority Groups ◽  
Mental Well Being

ObjectivesTo investigate the state of the mental well-being of patients from ethnic minority groups and possible related risk factors for the development of mental health problems among these patients during critical medical situations in hospital.DesignQualitative ethnographic design.SettingOneintensive care unit (ICU) of a multiethnic urban hospital in Belgium.Participants84 ICU staff members, 10 patients from ethnic-minority groups and their visiting family members.ResultsPatients had several human basic needs for which they could not sufficiently turn to anybody, neither to their healthcare professionals, nor to their relatives nor to other patients. These needs included the need for social contact, the need to increase comfort and alleviate pain, the need to express desperation and participate in end-of-life decision making. Three interrelated risk factors for the development of mental health problems among the patients included were identified: First, healthcare professionals’ mainly biomedical care approach (eg, focus on curing the patient, limited psychosocial support), second, the ICU context (eg, time pressure, uncertainty, regulatory frameworks) and third, patients’ different ethnocultural background (eg, religious and phenotypical differences).ConclusionsThe mental state of patients from ethnic minority groups during critical care is characterised by extreme emotional loneliness. It is important that staff should identify and meet patients’ unique basic needs in good time with regard to their mental well-being, taking into account important threats related to their own mainly biomedical approach to care, the ICU’s structural context as well as the patients’ different ethnocultural background.

Differences in employment outcomes 10 years after traumatic brain injury among racial and ethnic minority groups

2010 ◽  
Vol 33 (1) ◽  
pp. 65-75 ◽  
Author(s):  
Kelli W. Gary ◽  
Jessica M. Ketchum ◽  
Juan Carlos Arango-Lasprilla ◽  
Jeffrey S. Kreutzer ◽  
Thomas Novack ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Employment Outcomes ◽  
Ethnic Minority Groups ◽  
Racial And Ethnic Minority

Ethnic minority groups, learning disability and mental health

Psychiatry ◽  
2009 ◽  
Vol 8 (10) ◽  
pp. 405-407 ◽  
Author(s):  
Iqbal Singh ◽  
Adedamola Orimalade
Keyword(s):  
Mental Health ◽  
Ethnic Minority ◽  
Learning Disability ◽  
Minority Groups ◽  
Ethnic Minority Groups

scholarly journals PARTNER-MH, a Peer-Led Patient Navigation Intervention for Racial and Ethnic Minority Veterans in Veterans Health Administration (VHA) Mental Health Services: A Mixed-Methods Randomized Controlled Feasibility Trial Study Protocol

2021 ◽  
Author(s):  
Johanne Eliacin ◽  
Diana J. Burgess ◽  
Angela L. Rollins ◽  
Scott Patterson ◽  
Teresa Damush ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Engagement ◽  
Mental Health Treatment ◽  
Healthcare Disparities ◽  
Patient Navigation ◽  
Minority Groups ◽  
Mental Healthcare ◽  
Randomized Controlled ◽  
Patient Provider Communication ◽  
Racial And Ethnic Minority

Abstract Background: Mental healthcare disparities are persistent and have increased in recent years. Compared to their White counterparts, racial and ethnic minority groups have less access to mental healthcare. Minority groups also have lower engagement in mental health treatment and are more likely to experience ineffective patient-provider communication, which contribute to negative mental healthcare experiences and poor mental health outcomes. Interventions that embrace recovery-oriented practices to support patient engagement and empower patients to participate in their mental healthcare and treatment decisions may help to reduce mental healthcare disparities. Designed to achieve this goal, PARTNER-MH is a peer-led, patient navigation intervention that aims to engage minority patients in mental health treatment, support them to take a greater role in their care, and facilitate their participation in treatment shared decision-making. Methods: This pilot study evaluates the feasibility and acceptability of PARTNER-MH in a VHA mental health setting using a mixed-methods, randomized controlled trial study design. PARTNER-MH is tested under real-world conditions, using certified VHA peer support specialists (peers), selected via usual VHA hiring practices and assigned to the mental health service. The peers provide PARTNER-MH and usual peer support services. The study compares the impact of PARTNER-MH versus a wait-list control group on patient activation, patient engagement, and shared decision-making, as well as other patient-level outcomes. PARTNER-MH also examines organizational factors that could impact its future implementation in VHA settings. Results: Participants (N=50) were veterans who were mostly male (62%), self-identified as non-Hispanic Black (70%), with a median age in the 45-54 group. Most had at least some college education, and 32% completed 4 or more years of college. Randomization produced comparable groups in terms of characteristics and outcome measures at baseline, except for gender. Discussion and Conclusion: Rather than simply documenting health disparities among vulnerable populations, PARTNER-MH offers opportunities to evaluate a tailored, culturally-sensitive system-based intervention to improve patient engagement and patient-provider communication in mental healthcare for racial and ethnic minorities. IRB Protocol #1708628270Trial registration: ClinicalTrials.gov, NCT04515771. Registered 14 August 2020, https://clinicaltrials.gov/ct2/show/NCT04515771

scholarly journals SARS-CoV-2 Positivity Rates Among Children of Racial and Ethnic Minority Groups in Mississippi

PEDIATRICS ◽  
2020 ◽  
Vol 147 (1) ◽  
pp. e2020024349 ◽  
Author(s):  
Kengo Inagaki ◽  
Padma Garg ◽  
Charlotte V. Hobbs
Keyword(s):  
Ethnic Minority ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Racial And Ethnic Minority
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