A Systematic Review of Interventions to Improve Initiation of Mental Health Care Among Racial-Ethnic Minority Groups

Lee‐Tauler, Su Yeon; Eun, John; Corbett, Dawn; Collins, Pamela Y.

doi:10.1176/appi.ps.201700382

Cited by 60 publications

(40 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Integration of mental health treatment and primary care within these clinics may be an effective way to improve utilization (51). Unfortunately, many intervention studies examining the mental health treatment of racial-ethnic minority groups have few Asian participants, and results show less improvement in Asian engagement in mental health treatment compared with members of other races (52). Innovative interventions are thus needed.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Mental Health Care Utilization and Perceived Need Among Asian Americans: 2012–2016

Yang

Rodgers

Lee

et al. 2020

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Disparities in Mental Health Care Utilization and Perceived Need Among Asian Americans: 2012–2016

Yang

Rodgers

Lee

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Addressing mental health issues in primary care settings not only improves access to mental health care but, for some patients, also reduces the stigma associated with seeking care in mental health clinics. 26 In addition, integrated behavioral and primary care models have shown to be effective in delivery of high-quality mental health care and in treating physical and mental health problems in primary care settings, particularly during the COVID-19 crisis. 25 …”

Section: Discussionmentioning

confidence: 99%

Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey

Jetty

Petterson

Westfall

et al. 2021

J Prim Care Community Health

View full text Add to dashboard Cite

Objectives To assess primary care contributions to behavioral health in addressing unmet mental healthcare needs due to the COVID-19 pandemic. Methods Secondary data analysis of 2016 to 2018 Medical Expenditure Panel Survey of non-institutionalized US adults. We performed bivariate analysis to estimate the number and percentage of office-based visits and prescription medications for depression and anxiety disorders, any mental illness (AMI), and severe mental illness (AMI) by physician specialty (primary care, psychiatry, and subspecialty) and medical complexity. We ran summary statistics to compare the differences in sociodemographic factors between patients with AMI by seeing a primary care physician versus those seeing a psychiatrist. Binary logistic regression models were estimated to examine the likelihood of having a primary care visit versus psychiatrist visit for a given mental illness. Results There were 394 023 office-based visits in the analysis sample. AMI patients seeing primary care physician were thrice as likely to report 1 or more chronic conditions compared to those seeing psychiatrist. Among patients with a diagnosis of depression or anxiety and AMI the proportion of primary care visits ([38% vs 32%, P < .001], [39% vs 34%, P < .001] respectively), and prescriptions ([50% vs 40%, P < .001], [47% vs 44%, P < .05] respectively) were higher compared to those for psychiatric care. Patients diagnosed with SMI had a more significant percentage of prescriptions and visits to a psychiatrist than primary care physicians. Conclusion Primary care physicians provided most of the care for depression, anxiety, and AMI. Almost a third of the care for SMI and a quarter of the SMI prescriptions occurred in primary care settings. Our study underscores the importance of supporting access to primary care given primary care physicians’ critical role in combating the COVID-19 related rise in mental health burden.

show abstract

“…Greater levels of treatment engagement may prevent or improve comorbid conditions [13]. Overall patients engaged psychotropic medications more than any other form of treatment, but adolescents and persons of color may engage treatment at higher rates if brief therapy is offered at expanded hours, or in more accessible spaces [14].…”

Section: Discussionmentioning

confidence: 99%

Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake

Thompson

Faig

Gupta

et al. 2019

View full text Add to dashboard Cite

Objective: This study analyzes effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago.Methods: Patients were screened with the PHQ-2/9 based on an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients and referred and treated patients.Results: From November 2016 -December 2017, 25,369 patients were eligible for screening, and rates rose to 79%, versus 7% in the prior year. Screenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate PHQ-9 screenings and with treatment disengagement. Conclusion:The intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.

show abstract

A Systematic Review of Interventions to Improve Initiation of Mental Health Care Among Racial-Ethnic Minority Groups

Abstract: Interventions that used a model of integrated care reduced racial-ethnic disparities in the initiation of mental health care.

Cited by 60 publications

References 58 publications

Disparities in Mental Health Care Utilization and Perceived Need Among Asian Americans: 2012–2016

Disparities in Mental Health Care Utilization and Perceived Need Among Asian Americans: 2012–2016

Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey

Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake

Contact Info

Product

Resources

About