Evaluating Patient Acceptability of a Culturally Focused Psychiatric Consultation Intervention for Latino Americans with Depression
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.
KeywordsDepression Latino Americans Primary care Culturally appropriate care
- 1.Mental Health: Culture, Race, and Ethnicity. US Department of Health and Human Services. 2001. Available at http://www.ncbi.nlm.nih.gov/books/NBK44243/.
- 2.Smedley BD, Stith AY, Nelson AR. Unequal treatment: confronting racial and ethical disparities in health care. Washington, DC: Institute of Medicine; 2002.Google Scholar
- 8.Hansen MC, Cabassa LJ. Pathways to depression care: help-seeking experiences of low-income Latinos with diabetes and depression. J Immigr Minor Health. 2012. Available at http://www.springerlink.com/content/g8n07820k4vxmv56/.
- 14.Barrett JE, Dietrich AJ, Eisenberg L, et al. Depression management toolkit. The MacArthur initiative on depression and primary care. 2009. Available at http://www.depression-primarycare.org/images/pdf/macarthur_toolkit.pdf.
- 16.SPSS Inc. SPSS statistics for windows, version 17.0. Chicago: SPSS Inc.; 2008.Google Scholar
- 17.Neuendorf KA. The content analysis guidebook. Thousand Oaks: Sage Publications; 2002.Google Scholar
- 19.Bartels SJ, Coakley EH, Zubritsky C, et al. Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. Am J Psychiatry. 2004;161:1455–62.PubMedCrossRefGoogle Scholar
- 26.Serrano N, Monden K. The effect of behavioral health consultation on the care of depression by primary care clinicians. WMJ. 2011;10(3):113–8.Google Scholar
- 27.Lewin SA, Dick J, Pond P, et al. Lay health workers in primary and community healthcare. Cochrane Database Syst Rev. 2005;(1):CD004015. Google Scholar