Evaluating Patient Acceptability of a Culturally Focused Psychiatric Consultation Intervention for Latino Americans with Depression

被引:11
作者
Trinh, Nhi-Ha T. [1 ]
Hagan, Patrick N. [2 ]
Flaherty, Katherine [3 ]
Traeger, Lara N. [4 ]
Inamori, Aya [1 ]
Brill, Charlotte D. [1 ]
Hails, Katherine [1 ]
Chang, Trina E. [1 ]
Bedoya, C. Andres [4 ]
Fava, Maurizio [1 ]
Yeung, Albert [1 ]
机构
[1] Massachusetts Gen Hosp, Depress Clin & Res Program, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Ctr Community Hlth Improvement, Boston, MA 02114 USA
[3] Abt Associates Inc, Cambridge, MA 02138 USA
[4] Massachusetts Gen Hosp, Behav Med Serv, Boston, MA 02114 USA
关键词
Depression; Latino Americans; Primary care; Culturally appropriate care; MENTAL-HEALTH-SERVICES; CARE; DISPARITIES; COMPETENCE; FRAMEWORK; SYMPTOMS;
D O I
10.1007/s10903-013-9924-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Significant disparities exist in both access to and quality of mental health care for Latino Americans with depression compared to Caucasians, resulting in a greater burden of disability in this underserved population. Our aim is to evaluate participant acceptability of a Culturally Focused Psychiatric (CFP) consultation program for depressed Latino Americans. Latino American adult primary care patients endorsing depressive symptoms on a screening questionnaire were targeted in their primary care clinic. The intervention addressed participants' depressive symptoms using culturally adapted clinical assessments and toolkits. Acceptability was evaluated using a treatment satisfaction scale and in-depth semi-structured interviews. Overall, 85 % of participants responded positively to all questions of the satisfaction scale. In in-depth interviews, the vast majority of participants reported the program met expectations, all stated providers were culturally sensitive, and most stated recommendations were culturally sensitive. The CFP program was found to be acceptable to a group of depressed Latino American primary care patients. Further research is needed to evaluate if the CFP intervention can improve depressive symptoms and outcomes.
引用
收藏
页码:1271 / 1277
页数:7
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