Examining Racial/Ethnic Minority Treatment Experiences with Specialty Behavioral Health Service Providers

Original Paper

Abstract

This study investigated whether satisfaction and helpfulness of treatment by mental health service provider is related to race/ethnicity and psychosocial factors. Data from the National Co morbidity Survey-Replication study, which administered mental health service use questions for the past 12-months (1332), was analyzed. Data were stratified by service provider and analyzed with multiple logistic regressions. Racial/ethnic minorities were generally more likely to be satisfied with services provided by specialty mental health providers compared to white respondents. Racial/ethnic minorities generally perceived the services provided by specialty mental health providers as more helpful than did other racial/ethnic groups. Those who reported high cultural identity were more likely to find their treatment experience less satisfying and less helpful. Greater attention to specialty referrals for racial/ethnic minority groups may fruitfully contribute to improve help-seeking for these groups. The role culture plays in shaping the mental health treatment experience needs to be further investigated.

Keywords

Race Ethnicity Mental health Help-seeking Disparities Treatment barriers 

References

  1. Abe-Kim, J., Takeuchi, D. T., Hong, S., Zane, N., Sue, S., Spencer, M. S., et al. (2007). Use of mental-related services among immigrant and U.S. born Asian American: Results from the National Latino and Asian American Study. American Journal of Public Health, 97(1), 91–98. doi:10.2105/AJPH.2006.098541.PubMedCrossRefGoogle Scholar
  2. Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., et al. (2002). Inequalities in use of specialty mental health services among Latino, African Americans, and non-Latino Whites. Psychiatric Services Washington DC, 53, 1547–1555. doi:10.1176/appi.ps.53.12.1547.Google Scholar
  3. Alegria, M., Mulvaney-Day, N., Woo, M., Torres, M., Gao, S., & Oddo, V. (2007). Correlates of past-year mental health service use among Latinos: Results from the National Latino and Asian American Study. American Journal of Public Health, 97(1), 76–83. doi:10.2105/AJPH.2006.087197.PubMedCrossRefGoogle Scholar
  4. Alegria, M., Takeuchi, D., Canino, G., et al. (2004). Considering context, place and culture: The national Latino and Asian American study. International Journal of Methods in Psychiatric Research, 13(4), 208–220. doi:10.1002/mpr.178.PubMedCrossRefGoogle Scholar
  5. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington DC: American Psychiatric Association.Google Scholar
  6. Atdjian, S., & Vega, W. (2005). Disparities in mental health treatment in U.S. racial and ethnic minority groups: Implications for psychiatrists. Psychiatric Services Washington, DC, 56(12), 1600–1602.Google Scholar
  7. Blenkiron, P., & Hammill, C. A. (2003). What determines patient’s satisfaction with their mental health and quality of life? Postgraduate Medical Journal, 79, 337–340. doi:10.1136/pmj.79.932.337.PubMedCrossRefGoogle Scholar
  8. Breslau, J., Kendler, K. S., Su, M., Aguilar-Gaxiola, S., & Kessler, R. C. (2005). Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States. Psychological Medicine, 35, 317–327. doi:10.1017/S0033291704003514.PubMedCrossRefGoogle Scholar
  9. Chow, C. J., Jaffee, K., & Snowden, L. (2003). Racial and ethnic disparities in the use of mental health services in poverty areas. American Journal of Public Health, 93, 792–797.PubMedCrossRefGoogle Scholar
  10. Constantine, M. G. (2002). Predictors of satisfaction with counseling: Racial and ethnic minority client’s attitudes toward counseling and ratings of their counselors’ general and multicultural counseling competence. Journal of Counseling Psychology, 49(2), 255–263. doi:10.1037/0022-0167.49.2.255.CrossRefGoogle Scholar
  11. Diala, C. C., Muntaner, C., Walrath, C., Nickerson, K., LaVeist, T., & Leaf, P. (2000). Racial differences in attitudes toward professional mental health care and in the use of services. The American Journal of Orthopsychiatry, 70, 455–464. doi:10.1037/h0087736.PubMedCrossRefGoogle Scholar
  12. Dancy, B. L., Wilbur, J., Talashek, M., Bonner, G., & Barnes-Boyd, C. (2005). Community based research: Barriers to recruitment of African Americans. Nursing Outlook, 52(5), 234–240.Google Scholar
  13. Jackson, J. S., Torres, M., Caldwell, C. H., Neighbors, H. W., Nesse, R. M., Taylor, R. J., et al. (2004). National Survey of American life: A study of racial, ethnic and cultural influences on mental disorders and mental health. International Journal of Methods in Psychiatric Research, 13(4), 196–207. doi:10.1002/mpr.177.PubMedCrossRefGoogle Scholar
  14. Jackson, J. S., Neighbors, H. W., Torres, M., Martin, L. A., Williams, D. R., & Baser, R. (2007). Use of mental health services and subjective satisfaction with treatment among Black Caribbean immigrants: Results from the National Survey of American Life. American Journal of Public Health, 97(1), 60–67. doi:10.2105/AJPH.2006.088500.PubMedCrossRefGoogle Scholar
  15. Keefe, S. E. (1982). Help-seeking behavior among foreign-born and native born Mexican Americans. Social Science Medicine, 16, 1467–1472. doi:10.1016/0277-9536(82)90061-2.PubMedCrossRefGoogle Scholar
  16. Kessler, R. C., Berglund, P., Chiu, W. T., DeMlero, O., Heeringa, S., Hiripi, E., et al. (2004). The U.S. National Co morbidity Survey Replication (NCS-R): Design and field procedures. International Journal of Methods in Psychiatric Research, 13(2), 69–92. doi:10.1002/mpr.167.PubMedCrossRefGoogle Scholar
  17. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005a). Prevalence, severity, and co morbidity of 12-month DSM-IV disorders in the National Co morbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. doi:10.1001/archpsyc.62.6.617.PubMedCrossRefGoogle Scholar
  18. Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., et al. (2005b). Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine, 352, 2515–2523.PubMedCrossRefGoogle Scholar
  19. Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Co morbidity Survey. Archives of General Psychiatry, 51(1), 8–19.PubMedGoogle Scholar
  20. Kessler, R. C., & Merikangas, K. R. (2004). The National Comorbidity Survey Replication (NCS-R): Background and aims. International Journal of Methods in Psychiatric Research, 2, 60–68.CrossRefGoogle Scholar
  21. Mitchell, C.G. (1998). Perceptions of empathy and client satisfaction with managed behavioral health care. Social Work, 43(5), 404–411.Google Scholar
  22. National Institute of Mental Health. Health information: Statistics. 2005: Available at http://www.nimh.nih.gov/healthinformation/statisticsmenu.cfm.Accessed November 28, 2006.
  23. Neighbors, H. W., & Jackson, J. S. (1984). The use of informal and formal help: Four patterns of illness behavior in the black community. American Journal of Community Psychology, 12(6), 629–644. doi:10.1007/BF00922616.PubMedCrossRefGoogle Scholar
  24. Neighbors, H. W. (1984). Professional help use among Black Americans: Implications for unmet need. American Journal of Community Psychology, 12, 551–566. doi:10.1007/BF00922616.PubMedCrossRefGoogle Scholar
  25. Peifer, K. L., Hu, T., & Vega, W. (2000). Help seeking by persons of Mexican origin with functional impairments. Psychiatric Services Washington D.C, 51, 1293–1298. doi:10.1176/appi.ps.51.10.1293.Google Scholar
  26. Regier, D. A., Myers, J. K., Krammer, M., Robins, L. N., Blazer, D. G., Hough, R. L., et al. (1984). The NIMH Epidemiologic Catchment Area Program: Historical context, major objectives, and study population characteristics. Archives of General Psychiatry, 41, 934–941.PubMedGoogle Scholar
  27. Ronzio, C. R., Guagliardo, M. F., & Persaud, N. (2006). Disparity in location of urban mental service providers. The American Journal of Orthopsychiatry, 76(1), 37–43. doi:10.1037/0002-9432.76.1.37.PubMedCrossRefGoogle Scholar
  28. SAS Institute Inc.SAS/STAT User’s Guide, Version 9.1. Cary, NC: SAS Institute, Inc., (2005).Google Scholar
  29. Snowden, L. R. (2001). Barriers to effective mental health services for African Americans. Mental Health Services Research, 3, 181–187. doi:10.1023/A:1013172913880.PubMedCrossRefGoogle Scholar
  30. Takeuchi, D. T., Sue, S., & Yeh, M. (1995). Return rates and outcomes from ethnicity-specific mental health programs in Los Angeles. American Journal of Public Health, 85(5), 638–643.PubMedCrossRefGoogle Scholar
  31. US Department of Health Human Services. (1999). Mental health: A report of the surgeon general. Rockville, Md: NIMH.Google Scholar
  32. US Department of Health and Human Services (USDHHS). (2001). Mental health: culture race and ethnicity-a supplement to mental health: A report of the surgeon general. Rockville, Md: US Department of Health and Human Services, Public Health Service, Office of the Surgeon General, 2001.Google Scholar
  33. Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States. Archives of General Psychiatry, 62, 629–640. doi:10.1001/archpsyc.62.6.629.PubMedCrossRefGoogle Scholar
  34. Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93(2), 200–208.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Michelle L. Redmond
    • 1
  • Sandro Galea
    • 2
  • Jorge Delva
    • 3
  1. 1.Substance Abuse Research CenterUniversity of Michigan-Ann ArborAnn ArborUSA
  2. 2.Department of EpidemiologyUniversity of Michigan-Ann ArborAnn ArborUSA
  3. 3.School of Social WorkUniversity of Michigan-Ann ArborAnn ArborUSA

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