Exploring the Impact of Race on Mental Health Service Utilization Among African Americans and Whites With Severe Mental Illness

Hampton, Michelle DeCoux; Chafetz, Linda; White, Mary C.

doi:10.1177/1078390310362264

Cited by 7 publications

(2 citation statements)

References 47 publications

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“…Likewise, language barriers may also hinder minorities from receiving the mental health services they need (Alegría et al, 2002). However, other studies did not find a significant correlation between race/ethnicity and the utilization of mental health services (Banta, James, Haviland, & Andersen, 2013; Decoux Hampton, Chafetz, & White, 2010).…”

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confidence: 76%

The relationship between race/ethnicity and the perceived experience of mental health care.

Cai¹,

Robst²

2016

American Journal of Orthopsychiatry

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Although there is a vast amount of literature on differences in the perceived experiences of general health care among different racial/ethnic groups, few studies have examined the relationship between race/ethnicity and perceptions of mental health care. The purpose of this study was to determine whether non-Hispanic African Americans and Hispanics had more negative (or less positive) perceptions of the mental health treatment they receive compared to non-Hispanic Whites. Data were from the 1998-2006 Florida Health Services Surveys. The findings indicated that African Americans and Hispanics were less likely than Whites to have favorable perceptions of the mental health care services they received, even after adjusting for demographic and health status variables. Interventions should be designed to address disparities in mental health treatment and the perceptions of such treatment. (PsycINFO Database Record

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confidence: 76%

The relationship between race/ethnicity and the perceived experience of mental health care.

Cai¹,

Robst²

2016

American Journal of Orthopsychiatry

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“…However, findings are relatively inconsistent as several other studies have identified no such biases among patients of different ethnicities [5-7]. Research in this area is extensive and the bulk of studies have focused on patients with schizophrenia [8-11].…”

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confidence: 99%

The effect of ethnicity on prescribing practice and treatment outcome in inpatients suffering from schizophrenia in Greece

et al. 2011

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BackgroundNo studies have been conducted in Greece with the aim of investigating the influence of ethnicity on the prescribing and treatment outcome of voluntarily admitted inpatients. Most studies conducted in the UK and the US, both on inpatients and outpatients, focus on the dosage of antipsychotics for schizophrenic patients and many suffer from significant methodological limitations. Using a simple design, we aimed to assess negative ethnic bias in psychotropic medication prescribing by comparing discrepancies in use between native and non-native psychiatric inpatients. We also aimed to compare differences in treatment outcome between the two groups.MethodsIn this retrospective study, the prescribing of medication was compared between 90 Greek and 63 non-Greek inpatients which were consecutively admitted into the emergency department of a hospital covering Athens, the capital of Greece. Participants suferred from schizophrenia and other psychotic disorders. Overall, groups were compared with regard to 12 outcomes, six related to prescribing and six related to treatment outcome as assesed by standardised psychometric tools.ResultsNo difference between the two ethnic groups was found in terms of improvement in treatment as measured by GAF and BPRS-E. Polypharmacy, use of first generation antipsychotics, second generation antipsychotics and use of mood stabilizers were not found to be associated with ethnicity. However, non-Greeks were less likely to receive SSRIs-SNRIs and more likely to receive benzodiazepines.ConclusionsOur study found limited evidence for ethnic bias. The stronger indication for racial bias was found in benzodiazepine prescribing. We discuss alternative explanations and give arguments calling for future research that will focus on disorders other than schizophrenia and studying non-inpatient populations.

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Mental Health Disparities, Treatment Engagement, and Attrition Among Racial/Ethnic Minorities with Severe Mental Illness: A Review

Maura

Mamani

2017

J Clin Psychol Med Settings

208

106

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Mounting evidence indicates that there are mental health disparities in the United States that disadvantage racial/ethnic minorities in medical and mental health settings. Less is known, however, about how these findings apply to a particularly vulnerable population, individuals with severe mental illness (SMI). The aim of this paper is to (1) provide a critical review of the literature on racial/ethnic disparities in mental health care among individuals with SMI; (2) identify factors which may contribute to the observed disparities; and (3) generate recommendations on how best to address these disparities. Specifically, this article provides an in-depth review of sociocultural factors that may contribute to differences in treatment engagement and rates of attrition from treatment among racial/ethnic minorities with SMI who present at medical and mental health facilities. This review is followed by a discussion of specific strategies that may promote engagement in mental health services and therefore reduce racial/ethnic disparities in SMI.

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Exploring the Impact of Race on Mental Health Service Utilization Among African Americans and Whites With Severe Mental Illness

Abstract: It is possible that the geographic location of the study, equal access to services, and equal rates of substance use between racial groups explain the lack of racial differences found in this sample.

Cited by 7 publications

References 47 publications

The relationship between race/ethnicity and the perceived experience of mental health care.

The relationship between race/ethnicity and the perceived experience of mental health care.

The effect of ethnicity on prescribing practice and treatment outcome in inpatients suffering from schizophrenia in Greece

Mental Health Disparities, Treatment Engagement, and Attrition Among Racial/Ethnic Minorities with Severe Mental Illness: A Review

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