scholarly journals Mental health services in Nicaragua: Ten years of revolution

1990 ◽  
Vol 14 (6) ◽  
pp. 346-350 ◽  
Author(s):  
Alison Harris ◽  
Tammy Shefer

Nicaragua is celebrating ten years of revolution since the overthrow of the 45 year long Somoza dictatorship∗. In this time, the Sandinista government has attempted to construct a more democratic society with considerable achievements in the area of health, welfare and education. Indeed, health care has been a priority in spite of severe economic difficulties caused by the United States economic blockade and by the need for defence against the war waged by the counter-revolutionaries (the Contra).

2015 ◽  
Vol 66 (6) ◽  
pp. 578-584 ◽  
Author(s):  
Elizabeth Reisinger Walker ◽  
Janet R. Cummings ◽  
Jason M. Hockenberry ◽  
Benjamin G. Druss

1984 ◽  
Vol 39 (12) ◽  
pp. 1424-1434 ◽  
Author(s):  
David J. Knesper ◽  
John R. Wheeler ◽  
David J. Pagnucco

2009 ◽  
Vol 31 (4) ◽  
pp. 309-322 ◽  
Author(s):  
Catherine Tucker ◽  
Andrea Dixon

African-American males living in poverty are among the least likely children and adolescents to receive mental health services in the United States, even though they are the most likely to be referred to mental health agencies for services. In this article the authors explore current problems facing impoverished African American male youth who exhibit symptoms of attention deficit hyperactivity disorder (ADHD), their need for mental health services, and the barriers to services that they face, and offer recommendations for mental health counselors.


1995 ◽  
Vol 25 (6) ◽  
pp. 1149-1160 ◽  
Author(s):  
J. J. Gallo ◽  
S. Marino ◽  
D. Ford ◽  
J. C. Anthony

SynopsisThis study uses the prospectively gathered data of the Epidemiologic Catchment Area Program, a multi-site interview survey of mental disturbances among adult household residents in the United States, to compare health services use by individuals with different sociodemographic characteristics, accounting for the first-time occurrence of psychiatric disorder, over the course of a 1-year follow-up interval. Case ascertainment was by means of a standardized interview method, the Diagnostic Interview Schedule. In the present investigation, 13400 continuing participants in the household sample who reported no contact with mental health services in the 6 months prior to the initial interview were studied with regard to health services use and sociodemographic characteristics. Separately, and before the mental health assessments were made, respondents were asked about their use of health and mental health services. African-Americans were significantly less likely than whites to have consulted with a specialist in mental health (estimated relative odds, 0·22, 95% confidence interval 0·10 to 0·52), even accounting for coincident psychiatric disorder, gender, and other covariates known to be associated with differential use of health care services. Hispanics and other minorities were also less likely to have consulted a specialist in mental health (estimated relative odds, 0·37 and 0·26, respectively). This large community study extends previous work on mental health services and ethnicity.


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