Current Psychiatry Reports

, Volume 14, Issue 4, pp 336–344

Cross-Cultural Aspects of Depression Management in Primary Care

  • Katherine Hails
  • Charlotte D. Brill
  • Trina Chang
  • Albert Yeung
  • Maurizio Fava
  • Nhi-Ha Trinh
Psychiatry in Primary Care (BN Gaynes, Section Editor)

DOI: 10.1007/s11920-012-0276-9

Cite this article as:
Hails, K., Brill, C.D., Chang, T. et al. Curr Psychiatry Rep (2012) 14: 336. doi:10.1007/s11920-012-0276-9

Abstract

Major depressive disorder (MDD) is a prevalent illness in minority populations. Minority patients with MDD are often unrecognized and untreated. This review examines promising interventions to address MDD in primary care settings, where minority groups are more likely to seek care. Since 2010, eleven interventions have been developed to address patient-specific and provider-specific barriers, many of which are adaptations of the collaborative care model. Other promising interventions include cultural tailoring of the collaborative care model, as well as the addition of telepsychiatry, motivational interviewing, cultural consultation, and innovations in interpreting. Overall, collaborative care was found feasible and improved satisfaction and treatment engagement of depressed minority patients in primary care. It remains inconclusive whether these newer intervention models improve MDD treatment outcomes. Future research will be needed to establish the effectiveness of these intervention models in improving the treatment outcomes of minority populations with MDD.

Keywords

Major depressive disorder Cross-cultural psychiatry Primary care Collaborative care Interventions Minority patients 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Katherine Hails
    • 1
  • Charlotte D. Brill
    • 1
  • Trina Chang
    • 1
  • Albert Yeung
    • 1
    • 2
  • Maurizio Fava
    • 1
  • Nhi-Ha Trinh
    • 1
  1. 1.Depression Clinical & Research ProgramMassachusetts General HospitalBostonUSA
  2. 2.South Cove Community Health CenterBostonUSA

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