Community Mental Health Journal

, Volume 38, Issue 4, pp 311–325

Integrating Mental Health Screening and Abnormal Cancer Screening Follow-Up: An Intervention to Reach Low-Income Women


  • Kathleen Ell
    • USC School of Social Work
  • Betsy Vourlekis
    • University of Maryland Baltimore County
  • Jan Nissly
    • University of Southern California
  • Deborah Padgett
    • New York University
  • Diana Pineda
    • USC Medical CenterLos Angeles County +
  • Olga Sarabia
    • USC Medical CenterLos Angeles County +
  • Virginia Walther
    • Mt. Sinai Medical Center
  • Susan Blumenfield
    • Mt. Sinai Medical Center
  • Pey-Jiuan Lee
    • University of Southern California

DOI: 10.1023/A:1015901409211

Cite this article as:
Ell, K., Vourlekis, B., Nissly, J. et al. Community Ment Health J (2002) 38: 311. doi:10.1023/A:1015901409211


The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.

anxietydepressionmental health screeningprimary care

Copyright information

© Human Sciences Press, Inc. 2002