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
  • Betsy Vourlekis
  • Jan Nissly
  • Deborah Padgett
  • Diana Pineda
  • Olga Sarabia
  • Virginia Walther
  • Susan Blumenfield
  • Pey-Jiuan Lee


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.

anxiety depression mental health screening primary care 


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Copyright information

© Human Sciences Press, Inc. 2002

Authors and Affiliations

  • Kathleen Ell
    • 1
  • Betsy Vourlekis
    • 2
  • Jan Nissly
    • 3
  • Deborah Padgett
    • 4
  • Diana Pineda
    • 5
  • Olga Sarabia
    • 5
  • Virginia Walther
    • 6
  • Susan Blumenfield
    • 6
  • Pey-Jiuan Lee
    • 3
  1. 1.USC School of Social WorkLos Angeles
  2. 2.University of Maryland Baltimore CountyUSA
  3. 3.University of Southern CaliforniaUSA
  4. 4.New York UniversityUSA
  5. 5.USC Medical CenterLos Angeles County +USA
  6. 6.Mt. Sinai Medical CenterNew York

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