Racial and Ethnic Differences in the Mental Health Problems and Use of Mental Health Care

Harris, Katherine M.; Edlund, Mark J.; Larson, Sharon

doi:10.1097/01.mlr.0000170405.66264.23

Cited by 181 publications

(134 citation statements)

References 31 publications

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“…The articles present findings from the seven epidemiological studies: the ECA Wells, Hough, Golding, Burnam, & Karno, 1987;Wells, Hough, Golding, Burnam, & Karno, 1989), NCS , MAPSS (Peifer, Hu, & Vega, 2000;Vega, Kolody, & Aguilar-Gaxiola, 2001;Vega et al, 1999), the Puerto Rico Mental Health Utilization Study (PRMHUS; AlbizuGarcia, Alegría, Freeman, & Vera, 2001;Alegría et al, 1991;Pescosolido, Wright, Alegría, & Vera, 1998;Vera, Alegría, Freeman, Robles, Pescosolido, & Pena, 1998), South Florida Refugee Study (Portes et al, 1992), National Surveys on Drug Use and Health (NSDUH; Harris et al, 2005), and the Robert Wood Johnson Foundation's Healthcare for Communities Study (RWJF HCS; Wells et al, 2001;Young, Klap, Sherbourne, & Wells, 2001). The 16 publications are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Seven Harris et al, 2005;Hough et al, 1987;Portes et al, 1992;Wells et al, 1987;Wells et al, 2001;Young et al, 2001) articles compared service use rates of Latinos with other racial and/or ethnic groups. For instance, Alegría et al (2002) used NCS data to compare the use of outpatient mental health services between Latinos (i.e., Mexican Americans, Cubans, Puerto Ricans and other Latinos), non-Latino Whites, and African Americans in a national representative sample of the non-institutionalized U.S. population.…”

Section: Study Designsmentioning

confidence: 99%

“…Eight articles did not specify a theoretical model or framework to guide research questions and/or data analysis (Alegría et al, 1991;Harris et al, 2005;Hough et al, 1987;Peifer et al, 2000;Vega et al, 1999;Wells et al, 1987Wells et al, , 2001Young et al, 2001). All of these articles were descriptive in nature reporting service use rates and examining factors associated with accessing mental health care.…”

Section: Theoretical Models or Frameworkmentioning

confidence: 99%

See 2 more Smart Citations

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

318

177

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Since the early 1980s, epidemiological studies using state-of-the-art methodologies have documented the unmet mental health needs of Latinos adults in the U.S. and Puerto Rico. This paper reviews 16 articles based on seven epidemiological studies, examines studies methodologies, and summarizes findings about how Latino adults access mental health services. Studies consistently report that, compared to non-Latino Whites, Latinos underutilize mental health services, are less likely to receive guideline congruent care, and rely more often on primary care for services. Structural, economic, psychiatric, and cultural factors influence Latinos' service access. In spite of the valuable information these studies provide, methodological limitations (e.g., reliance on cross-sectional designs, scarcity of mixed Latino group samples) constrict knowledge about Latinos access to mental health services. Areas for future research and development needed to improve Latinos' access and quality of mental health care are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Study Designsmentioning

confidence: 99%

Section: Theoretical Models or Frameworkmentioning

confidence: 99%

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Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Cabassa

Zayas

Hansen

2006

Adm Policy Ment Health

318

177

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“…Additionally, we found that Hispanic children were at higher risk for positive modifiers, although previous studies have found Hispanic individuals as a group to underreport BH symptoms compared with other ethnic groups. 22,34,35 One previous study even suggested that a lower cutpoint on the PSC would be needed to identify Mexican American children. 35 Although other studies report a relationship between race/ethnicity and positive scores on the PSC, 15,34,36 there has been no attempt to separate the impact of socioeconomic status.…”

Section: Figurementioning

confidence: 99%

“…22,34,35 One previous study even suggested that a lower cutpoint on the PSC would be needed to identify Mexican American children. 35 Although other studies report a relationship between race/ethnicity and positive scores on the PSC, 15,34,36 there has been no attempt to separate the impact of socioeconomic status. In this study of children insured by Medicaid (ie, controlling for socioeconomic status), race/ethnicity predicted positive modifiers, and minority children were more likely to be among those newly identified by BH screens.…”

Section: Figurementioning

confidence: 99%

Screening for Behavioral Health Issues in Children Enrolled in Massachusetts Medicaid

2013

PEDIATRICS

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WHAT'S KNOWN ON THIS SUBJECT: Use of behavioral health (BH) screens in pediatrics have increased identification of children with BH issues. Screening rates increased in Massachusetts after it was mandated, as did the volume of some mental health services. WHAT THIS STUDY ADDS:This is the first study of children after Massachusetts mandated behavioral screening began. Almost 40% of children who screened positive were newly identified. Being male, having a BH history, and being in foster care predicted a positive screen. abstract OBJECTIVES: To understand mandated behavioral health (BH) screening in Massachusetts Medicaid including characteristics of screened children, predictors of positive screens, and whether screening identifies children without a previous BH history. METHODS:Massachusetts mandated BH screening in particularly among underidentified groups. 2008. Providers used a billing code and modifier to indicate a completed screen and whether a BH need was identified. Using MassHealth claims data, children with $300 days of eligibility in fiscal year (FY) 2009 were identified and categorized into groups based on first use of the modifier, screening code, or claim. Bivariate analyses were conducted to determine differences among groups. BH history was examined by limiting the sample to those continuously enrolled in FY 2008 and 2009. Multivariate logistic regression was used to determine predictors of positive screens. RESULTS:Of 355 490 eligible children, 46% had evidence of screening. Of those with modifiers, 12% were positive. Among continuously enrolled children (FY 2008 and FY 2009) with evidence of screening, 43% with positive modifiers had no BH history. This "newly identified" group were more likely to be female, younger, minority, and from rural residences (P , .0001). Among children with modifiers; gender (male), age (5-7), being in foster care, recent BH history, and Hispanic ethnicity predicted having a positive modifier. CONCLUSIONS:The high rate of newly identified Medicaid children with a BH need suggests that screening is performing well, particularly among underidentified groups. To better assess screening value, future work on cost-effectiveness and the impact on subsequent mental health treatment is needed. Pediatrics 2014;133:46-54

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Thirty-Day Prevalence ofDSM-IVMental Disorders Among Nondeployed Soldiers in the US Army

et al. 2014

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Racial and Ethnic Differences in the Mental Health Problems and Use of Mental Health Care

Abstract: Overall, our study shows wide variation in mental health morbidity and use of mental health care across racial and ethnic groups in the United States. These results can help to focus efforts aimed at understanding the underlying causes of the differences we observe.

Cited by 181 publications

References 31 publications

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies

Screening for Behavioral Health Issues in Children Enrolled in Massachusetts Medicaid

Thirty-Day Prevalence ofDSM-IVMental Disorders Among Nondeployed Soldiers in the US Army

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