The Referral of Minority Adolescents to Community Mental Health Centers

Takeuchi, David T.; Bui, Khanh-Van T.; Kim, Lauren

doi:10.2307/2137241

Cited by 114 publications

(41 citation statements)

References 20 publications

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“…It has been frequently proposed that individuals from Asian and Latin-American cultures somaticize symptoms such as anxiety and depression because of feelings of embarrassment and shame that are often attached to mental illness [Neal-Barnett and Smith, 1997;Ng, 1997;Takeuchi et al, 1993]. Such perceptions are particularly important when considering diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of obsessive-compulsive disorder in Costa Rica and the United States

et al. 2008

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This study compares the presentation and expression of obsessive-compulsive symptoms between a Latin-American and North American sample. In Costa Rica (CR) and the United States (US), respectively, 26 and 52 affected individuals with early-onset obsessive-compulsive disorder (OCD) were recruited. The Yale Brown Obsessive Compulsive Scale (YBOCS), a semi-structured psychiatric interview, and self-report questionnaires were administered. Age of onset and the distribution of OCD across men and women were similar across groups. Both CR and US participants reported obsessions and compulsions, with similar frequencies of symptoms, and contamination, symmetry, and hoarding as the most common symptom subtypes. The US sample had higher YBOCS total severity scores than the Costa Rican group. Similarly, there were significant ethnicity effects for YBOCS compulsion [F(1, 70)=17.88, P<.001] and obsession severity [F(1, 70)=8.78, P<.001], with Caucasians having higher scores than Costa Ricans on both subscales. Comorbidity rates were higher for US Caucasians than Costa Ricans for all disorders; differences were significant for mood disorders [64.7% versus 34.6%], alcohol use [21.3% versus 3.8%], cannabis use disorders [19.1% versus 0%], and other substance use disorders [39.4% versus 0%]. Regression analyses revealed that ethnicity, trait anxiety, and proband status were the only significant predictors of total YBOCS severity. Findings suggest that the core phenotype of OCD is the same in both CR and the US, and perhaps biologically driven. However some features of OCD, such as impairment, may be culturally influenced, leading to differences in prevalence rates and treatment utilization.

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Section: Discussionmentioning

confidence: 99%

A comparative study of obsessive-compulsive disorder in Costa Rica and the United States

et al. 2008

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“…11 Similarly, a large-scale epidemiologic study of youth reported few differences in rates of specific psychiatric disorders among African American and NHW youth. 12 On the other hand, studies have indicated that biases may exist in the assignment of diagnoses to ethnic minority individuals,13.14 and cultural and racial/ethnic differences have been found in symptom expression) 5 Little is yet known about whether any of these factors noted in the adult literature affect children as well, A beginning point to understanding the interplay of culture, diagnosis, and mental health service use is to document whether clinician-assigned diagnostic prevalence varies by race/ethnicity among children in mental health services.…”

Section: Introductionmentioning

confidence: 99%

Referral sources, diagnoses, and service types of youth in public outpatient mental health care: A focus on ethnic minorities

Yeh

McCabe

Hurlburt

et al. 2002

The Journal of Behavioral Health Services & Research

110

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Racial/ethnic variations in clinical and service delivery characteristics among youth in public outpatient mental health services were examined using data from San Diego County mental health service programs for fiscal year 1996 to 1997 (N = 3,962). Differences in referral sources, primary diagnoses, and service types were investigated for three racial/ethnic groups (African Americans, Asian/Pacific Islander Americans, and Latinos) compared to non-Hispanic whites. Controlling for age, gender, functional impairment, and prior service use, significant differences by race/ethnicity were found for all three variables studied. Possible explanations for these variations and future directions for research are discussed.

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“…Of additional concern is a growing body of research by mental health specialists that supports the differential application of labeling to behavioral problems according to ethnic and social characteristics. [5][6][7][8] In these studies, it has been noted that African-American and other minority groups and/or any persons with greater social distance from clinicians are more likely than are European-Americans to receive certain psychiatric diagnoses. Extending this scenario to primary care, one might postulate that clinicians would be more likely to label those youth from poorly functioning families, of lowincome, and with minority race or ethnicity as having AHPs, independent of parent-reported symptoms.…”

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confidence: 99%

Identification of Attentional and Hyperactivity Problems in Primary Care: A Report From Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network

et al. 1999

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ABSTRACT. Objectives. To 1) determine the frequency of identification of attentional and hyperactivity problems (AHPs) by clinicians, and 2) examine whether minority children or children from less well-educated, lower-income, or lower-functioning families would be more likely to be identified as having AHPs.Design. Prospective cohort study of 22 059 consecutive children 4 to 15 years of age being seen for acute, chronic, and health supervision visits.Setting. Practices of 401 pediatric and family practice clinicians in 44 states, Puerto Rico, and 4 Canadian provinces. Methods. Parent questionnaires included demographic information and the Pediatric Symptom Checklist. Clinician questionnaires categorized psychosocial problems and addressed how assessment of problems was made. Analyses compared children with newly identified AHPs with those with other newly identified psychosocial problems.Results. Clinicians identified behavior problems in 18.7% of children, with 9.2% of the entire sample identified as having AHPs. Among those with newly assessed AHPs, clinicians identified minority children and those from low-income or poorly functioning families as having AHPs at the same rate as other children. However, even after controlling for symptoms, males were more likely than females (odds ratio, 2.81) to be identified as having AHPs. Older clinicians were significantly more likely to identify children as having AHPs (odds ratio, 2.09). In assessing AHPs, clinicians used standardized tools such as behavioral questionnaires for only 36.9% of children, and Diagnostic and Statistical Manual criteria for 38.3% of children.Conclusions. AHPs are highly prevalent in primary care practice. Clinicians do not appear predisposed to label children from disadvantaged backgrounds as having AHPs. Primary care assessment of AHPs lacks standardization. Pediatrics 1999;103(3). URL: http://www. pediatrics.org/cgi/content/full/103/3/e38; primary care, child mental health, behavior problems, attention deficit hyperactivity disorder, attentional problems, hyperactivity.ABBREVIATIONS. ADHD, attention deficit hyperactivity disorder; AHP(s), attentional and hyperactivity problem(s); PROS, Pediatric Research in Office

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The Referral of Minority Adolescents to Community Mental Health Centers

Cited by 114 publications

References 20 publications

A comparative study of obsessive-compulsive disorder in Costa Rica and the United States

A comparative study of obsessive-compulsive disorder in Costa Rica and the United States

Referral sources, diagnoses, and service types of youth in public outpatient mental health care: A focus on ethnic minorities

Identification of Attentional and Hyperactivity Problems in Primary Care: A Report From Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network

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