Barriers and Facilitators of Treatment for Depression in a Latino Community: A Focus Group Study

被引:0
作者
Lisa A. Uebelacker
Beth A. Marootian
Paul A. Pirraglia
Jennifer Primack
Patrick M. Tigue
Ryan Haggarty
Lavinia Velazquez
Jennifer J. Bowdoin
Zornitsa Kalibatseva
Ivan W. Miller
机构
[1] Alpert Medical School of Brown University and Butler Hospital,Division of Biology and Medicine
[2] Neighborhood Health Plan of RI,Department of Psychology
[3] Alpert Medical School of Brown University,undefined
[4] New England Alliance for Children’s Health of Community Catalyst,undefined
[5] Plaza Psychology and Psychiatry,undefined
[6] MAP-Behavioral Health Services,undefined
[7] Inc/Progreso Latino,undefined
[8] Inc.,undefined
[9] School of Public Health and Health Sciences,undefined
[10] Michigan State University,undefined
来源
Community Mental Health Journal | 2012年 / 48卷
关键词
Telephone; Depression; Care management; Primary care;
D O I
暂无
中图分类号
学科分类号
摘要
We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy. We conducted qualitative analyses of four focus groups (n = 30 participants) composed of Latinos who endorsed having been depressed themselves or having had a close friend or family member with depression, stress, nervios, or worries. Within the area of barriers and facilitators of receiving care for depression, we identified the following themes: vulnerability, social connection and engagement, language, culture, insurance/money, stigma, disengagement, information, and family. Participants discussed attitudes toward: importance of seeking help for depression, specific types of treatments, healthcare providers, continuity and coordination of care, and phone calls. Improved understanding of barriers and facilitators of depression treatment in general and depression care management in particular for Latinos enrolled in Medicaid should lead to interventions better able to meet the needs of this particular group.
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页码:114 / 126
页数:12
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