Barriers to Depression Treatment Among Low-Income, Latino Emergency Department Patients
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Low-income and Latinos use the emergency department (ED) as a primary source of care. Also, the depression prevalence in ED patients is high, making the ED a compelling venue for depression screening and intervention. This study examined barriers and facilitators to depression treatment among low-income, predominantly Latino ED patients. We conducted telephone interviews with 24 ED patients (18–62 years of age, 79 % female) who dropped out of a depression treatment intervention. Using grounded theory, we analyzed perceptions of depression and treatment, and barriers and facilitators to mental health treatment. Although most patients acknowledged signs of depression, there was a lack of readiness to seek help. Patients reported negative perceptions about anti-depressant medication, even if they had no previous use. Barriers to treatment included transportation concerns, employment/unemployment, patient-provider issues, and immigrant documentation. Identified facilitators included consistent provider advice and “talking.” This study introduced new misunderstanding and miscommunication barriers.
KeywordsEmergency department Depression Low-income Minority Latino
This project was supported by Robert Wood Johnson Finding Answers Grant, Grant #59743 (PI: Isabel Lagomasino, PhD, MSHS). We would like to thank Sarita Mohonty, PhD, MPH, Alina Molina, MSW, Maria Pallares, Lisa Perez, BA, and Silvia Simenthal, MSW for assistance with data collection and valuable contributions to this work.
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