Community Mental Health Journal

, Volume 37, Issue 4, pp 335–346 | Cite as

Perceived Needs and Service Use of Spanish Speaking Monolingual Patients Followed at a Hispanic Clinic

  • Esperanza Diaz
  • Holly Prigerson
  • Rani Desai
  • Robert Rosenheck


This study compared Spanish speaking monolingual patients at a Hispanic Clinic, with Hispanics and non-Hispanics at a conventional mental health center. A questionnaire in English and Spanish surveyed sociodemographic characteristics and subjectively reported health needs. The monolingual Hispanic Clinic patients perceived a significantly greater need for help with health and benefits, and better access to physical health care providers. Hispanics seen at the Hispanic Clinic report more difficulties managing medications than the other groups suggesting that this problem is not adequately addressed by receiving services in a culturally sensitive clinic, possibly due to the persistent effect of language barriers and low level of education. Additional interventions may be needed to address this problem.

Hispanics mental health access to care 


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  1. Carrillo, J. E., & De la Cancela, V. (1991). The Cambridge Hospital Latino Health Clinic: A model for interagency integration of health services for Latinos at the provider level. J Nat Medical Association, 84(6), 513–517.Google Scholar
  2. Census, U. S. (1990). Statistical Abstracts of the United States. Washington, DC: US Government Printing Office.Google Scholar
  3. Census, U. S. (1997). Statistical Abstract of the United States. Washington, DC: US Government Printing Office.Google Scholar
  4. Del Castillo, J. C. (1970). The influence of language upon symptomatology in foreign-born patients. Amer. J. Psychiatry, 127(2), 160.Google Scholar
  5. Fischman, G., Fraticelli, B., Newman, D. E., & Sampson, L. M. (1982). Day treatment programs for the Spanish speaking: a response to underutilization. International Journal of Social Psychiatry, 29, 215–219.Google Scholar
  6. Guarnaccia, P. J., Canino, G., Rubio-Stipec, M., & Bravo, M. (1993). The prevalence of ataques de nervios in the Puerto Rico disaster study. The role of culture in psychiatric epidemiology. J Nerv Ment Dis, 181(3), 157–65.Google Scholar
  7. Hough, R. L., Landsverk, J. A., Karno, M., Burnam, M. A., Timbers, D. M., Escobar, J. I., & Regier, D. A. (1987). Utilization of health and mental health services by Los Angeles Mexican Americans and non-Hispanic whites. Arch Gen Psychiatry, 44(8), 702–9.Google Scholar
  8. Karno, M. (1966). The enigma of ethnicity. Arch of Gen Psychiatry, 14(5), 516–20.Google Scholar
  9. Lang, J. G., Munoz, R. F., Bernal, G., & Sorensen, J. L. (1982). Quality of life and psychological well-being in a bicultural Latino community. Hispanic Journal of Behavioral Sciences, 4, 433–450.Google Scholar
  10. Lawson, H. H., Kahn, M. W., & Heiman, E. M. (1982). Psychopathology, treatment outcome and attitude toward mental illness in Mexican-American and European patients. Int. J of Psychiatry, 28, 20–26.Google Scholar
  11. Lefley, H. P., & Bestman, E. W. (1991). Public-academic linkages for culturally sensitive community mental health. Comm Mental Health Journal, 27(6), 473–488.Google Scholar
  12. Lewis-Fernandez, R., & Kleinman, A. (1995). Cultural psychiatry. Theoretical, clinical, and research issues. [Review]. Psychiatr Clin North Am, 18(3), 433–48.Google Scholar
  13. Marcos, L. R., Urcuyo, L., Kesselman, M., & Alpert, M. (1973). The language barrier in evaluating Spanish-American patients. Arch Gen Psychiatry, 29, 655–659.Google Scholar
  14. Ortega, A. N., Rosenheck, R., Alegria, M., & Desai, R. A. (2000). Acculturation and the lifetime risk of psychiatric and substance use disorders among Hispanics. Psychiatric Services, 188(11), 728–735.Google Scholar
  15. Rodriguez, O., & Mahard, R. (1988). Handbook on ethnicity, aging and mental health. Westport, CT: Fordham.Google Scholar
  16. Rogler, L. H. (1989). Themeaning of culturally sensitive research in mental health. AmJ Psychiatry, 146(3), 296–303.Google Scholar
  17. Rogler, L. H. (1996). Research on mental health services for Hispanics: targets of convergence. [Review] [60 refs]. Cult Divers Ment Health, 2(3), 145–56.Google Scholar
  18. Rogler, L. H., & Cortes, D. E. (1993). Help-seeking pathways: a unifying concept in mental health care. [Review] [63 refs]. Am J Psychiatry, 150(4), 554–61.Google Scholar
  19. Rogler, L. H., Cortes, D. E., & Malgady, R. G. (1991). Acculturation and mental health status among Hispanics. Convergence and new directions for research. [Review] [71 refs]. AmPsychol, 46(6), 585–97.Google Scholar
  20. Rosenheck, R., Fontana, A., & Cottrol, C. (1995). Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. Am J Psychiatry, 152(4), 555–563.Google Scholar
  21. Ruiz, P. (1979). The fiscal crisis in New York City: effects on the mental health care of minority populations. Am J Psychiatry, 136(1), 93–6.Google Scholar
  22. Schensul, S. L., & Schensul, J. J. (1982). Helping Resource Use in a Puerto Rican Community. Urban Anthropology, 11(1), 59–79.Google Scholar
  23. Sue, S. (1977). Community mental health services to minority groups. Some optimism, some pessimism. Am Psychol, 32(8), 616–24.Google Scholar
  24. Sue, S., Fujino, D. C., Hu, L. T., Takeuchi, D. T., & Zane, N. W. (1991). Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. J Consult Clin Psychol, 59(4), 533–40.Google Scholar
  25. Vega, W., Warheit, G. J., & Palacio, R. (1985). Psychiatric symptomatology among Mexican American farm workers. Soc. Sci. Med., 20, 39–45.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2001

Authors and Affiliations

  • Esperanza Diaz
    • 1
  • Holly Prigerson
    • 2
  • Rani Desai
    • 3
  • Robert Rosenheck
    • 4
  1. 1.Yale University Medical SchoolUSA
  2. 2.Yale University Medical SchoolUSA
  3. 3.Northeast Program Evaluation Center. Mental Illness Research Education and Clinical CenterYale University Medical SchoolUSA
  4. 4.Northeast Program Evaluation Center. VISN 1 Mental Illness Research Education and Clinical CenterYale University Medical SchoolUSA

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