The Role Of Public Policies In Reducing Mental Health Status Disparities For People Of Color

Alegrı́a, Margarita; Pérez, Debra Joy; Williams, Sandra

doi:10.1377/hlthaff.22.5.51

Cited by 61 publications

(36 citation statements)

References 43 publications

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“…Alegría et al [39] argue that as "social inputs" (p. 53) underlie many mental health conditions, policies that target social disparities and social vulnerabilities are of fundamental importance. Given the high association between income and belonging to the higher-exposure group, social policy aimed at reducing poverty (e.g., the Earned Income Tax Credit), promoting employment, and improving education quality and attainment for urban African American women of low SES will be effective in reducing their rates of WCV, and witnessing lethal violence in particular.…”

Section: Discussionmentioning

confidence: 99%

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

Ronzio

Mitchell

Wang

2011

Urban Studies Research

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The prevalence of witnessed community violence (WCV) amongst urban populations in the USA is striking. WCV can be harmful to one's psychological health, and for mothers, the consequences may be more far-reaching as their mental health affects parenting and child development. This study used telephone interviews (n = 209) to explore the patterns and covariates of WCV amongst a sample of urban, African American mothers of infants. Mothers reported whether they had witnessed 11 different forms of violence in their current neighborhoods. A latent class analysis revealed two distinct groups of mothers, those with higher versus lower-exposure to WCV. Mothers in the higher-exposure group were more likely to be low-income, to have a high school education or less, and to have higher anxiety scores than those in the lower-exposure group. Depression was not associated with higher exposure to WCV. Distinguishing between higher- and lower-exposure samples can inform the development of targeted prevention and intervention strategies for metropolitan areas.

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Section: Discussionmentioning

confidence: 99%

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

Ronzio

Mitchell

Wang

2011

Urban Studies Research

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“…I n s u m , o u r r e v i e w o f t h e e v i d e n c e leads us to conclude that eliminating social disparities is essential for reducing general health disparities; in mental health, this would likely contribute to reducing the higher symptom levels found in ethnic minorities than in whites. 49 The absence of disparity in mental health is remarkable and not easy to interpret, but we can at least say that reduction of social inequalities is not necessary for achieving parity in mental health status. Improving access to and quality of care would likely improve the mental health of ethnic Americans.…”

Section: Issues For Policy Considerationmentioning

confidence: 99%

New Evidence Regarding Racial And Ethnic Disparities In Mental Health: Policy Implications

McGuire¹,

2008

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“…Practices of stigma that include devaluation of client or family input into treatment planning, or policies that limit choice of treatment and/or support alternatives, should be recognized and addressed. Intervention at the public policy level can be a powerful tool in addressing disparities and discrimination (Alegria et al 2003).…”

Section: Interventionmentioning

confidence: 99%

Stigma in Child and Adolescent Mental Health Services Research: Understanding Professional and Institutional Stigmatization of Youth with Mental Health Problems and their Families

Heflinger

Hinshaw

2010

Adm Policy Ment Health

132

102

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To understand the low utilization rates of child and adolescent mental health services, it is necessary to recognize the kinds of professional and institutional stigma that may produce barriers to care. We address the large literature on the stigmatization of mental illness, linkages between such literature and children's mental health services use, and the kinds of professional and institutional attitudes and practices that communicate shame and low expectations to youth and their families. It will take recognition of such stigmatizing practices-including overcoming resistance to the messages presented herein-to make real progress in the effort to increase utilization of evidence-based practices. Multi-faceted, multi-level, and multi-disciplinary approaches to both research and intervention are recommended.

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The Role Of Public Policies In Reducing Mental Health Status Disparities For People Of Color

Cited by 61 publications

References 43 publications

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

The Structure of Witnessed Community Violence amongst Urban African American Mothers: Latent Class Analysis of a Community Sample

New Evidence Regarding Racial And Ethnic Disparities In Mental Health: Policy Implications

Stigma in Child and Adolescent Mental Health Services Research: Understanding Professional and Institutional Stigmatization of Youth with Mental Health Problems and their Families

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