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Eliminating Disparities Through Integrated Behavioral and Primary Care: Special Considerations for Working with Puerto Ricans

  • Nanet M. López-CórdovaEmail author
  • José J. Cabiya
Chapter

Abstract

According to the latest US census estimate, Hispanics represent the largest minority, with 17.1 % of the total estimated population for 2013. Recognizing the diversity within the Hispanic population of the United States in modern times is an important step when integrated behavioral and primary care services are provided. Thus, one important aspect is the recognition of the within-group differences in the Hispanic population and other minority groups. One example is the Puerto Rican population, which has a very particular sociopolitical and biopsychosocial background that should be taken into consideration when quality health services are provided. It is important to recognize these differences because knowledge of the history and worldview of the Puerto Rican population regarding issues of health, disease, health-seeking behaviors, and interaction with health providers among other topics will make it easier for the teams of health professionals to bring better services to the patients being served. This aspect includes the importance of prevention, assessment, and treatment of disease and the development of a professional relationship between the interprofessional/interdisciplinary teams and this population.

Keywords

Cultural sensitivity Puerto Ricans Latinos 

References

  1. Altarriba, J., & Santiago-Rivera, A. L. (1994). Current perspectives on using linguistic and cultural factors in counseling the Hispanic client. Professional Psychology, Research and Practice, 4, 388.CrossRefGoogle Scholar
  2. Andrés-Hyman, R. C., Ortiz, J., Añez, L. M., Paris, M., & Davidson, L. (2006). Culture and clinical practice: recommendations for working with Puerto Ricans and other Latinas(os) in the United States. Professional Psychology, Research and Practice, 37(6), 694–701.CrossRefGoogle Scholar
  3. Baig, A. A., Benitez, A., Locklin, C. A., Campbell, A., Schaefer, C. T., Heuer, L. J., … Chin, M. H. (2014). Community health center provider and staff’s Spanish language ability and cultural awareness. Journal of Health Care for the Poor & Underserved, 25(2), 527–545.Google Scholar
  4. Berthold, M. S. (1989). Spiritism as a form of psychotherapy: implications for social work practice. Social Casework, 90, 89–91.Google Scholar
  5. Brown, A., & Patten, E. (2013). Hispanics of Puerto Rican origin in the United States, 2011. Pew Research Center Report. Retrieved from http://www.pewhispanic.org/2013/06/19/hispanics-of-puerto-rican-origin-in-the-united-states-2011/.
  6. Comas-Diaz, L. (1988). Mainland Puerto Rican women: a sociocultural approach. Journal of Community Psychology, 16(1), 21–31.CrossRefGoogle Scholar
  7. Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services, 63, 963–973. http://dx.doi.org/ 10.1176/appi.ps.201100529.CrossRefPubMedGoogle Scholar
  8. Corrigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (2008). Principles and practice of psychiatric rehabilitation. New York, NY: Guilford Press.Google Scholar
  9. De La Cancela, V. (1986). A critical analysis of Puerto Rican machismo: implications for clinical practice. Psychotherapy: Theory, Research, Practice, Training, 23, 291–296.CrossRefGoogle Scholar
  10. Deegan, P. (2004). Mentalism, micro-aggression and the peer practitioner. Retrieved from https://www.patdeegan.com/blog/posts/mentalism-micro-aggression-and-peer-practitioner.
  11. Deyoung, Y., & Zigler, E. F. (1994). Machismo in two cultures: relation to punitive child-rearing practices. American Journal of Orthopsychiatry, 64, 386–395.CrossRefPubMedGoogle Scholar
  12. Doyle, J. A. (1983). The male experience. Dubuque, IA: William C. Brown.Google Scholar
  13. Falicov, C. (2005). Emotional transnationalism and family identities. Family Process, 44(4), 399–406.CrossRefPubMedGoogle Scholar
  14. Gil, R. M., & Vasquez, C. A. (1996). The Maria paradox: how Latina women can merge Old World traditions with New World self-esteem. New York, NY: Putnam.Google Scholar
  15. Guarnaccia, P. J., Martinez, I., & Acosta, H. (2005). Mental health in the Hispanic immigrant community. An overview. Journal of Immigrant & Refugee Services, 3(1/2), 21.CrossRefGoogle Scholar
  16. Guttfreund, D. G. (1990). Effects of language usage on the emotional experience of Spanish-English and English-Spanish bilinguals. Journal of Consulting and Clinical Psychology, 5, 604.CrossRefGoogle Scholar
  17. Ho, G., Qian, H., Kim, M., Melnik, T., Tucker, K., Jimenez-Velazquez, I., … Rohan, T. (2006). Health disparities between island and mainland Puerto Ricans. Revista Panamericana De Salud Publica, 19(5), 331–339.Google Scholar
  18. Institute of Medicine. (2002). Unequal treatment: confronting racial and ethnic disparities. Washington, DC: The National Academies Press.Google Scholar
  19. Juckett, G. (2005). Cross-cultural medicine. American Family Physician, 72(11), 2267.PubMedGoogle Scholar
  20. Juckett, G. (2013). Caring for Latino patients. American Family Physician, 87(1), 48–54.PubMedGoogle Scholar
  21. La Roche, M. J. (2002). Psychotherapeutic considerations in treating Latinos. Harvard Review of Psychiatry, 10(2), 115.CrossRefPubMedGoogle Scholar
  22. Levensky, E. R., & O’Donohue, W. T. (2006). Promoting treatment adherence: a practical handbook for health care providers. Thousand Oaks, CA: SAGE Publications.Google Scholar
  23. Martinez, I., Interian, A., & Guarnaccia, P. (2013). Antidepressant adherence among Latinos: the role of the family. Qualitative Research in Psychology, 10(1), 63–85. doi: 10.1080/14780887.2011.586102.CrossRefGoogle Scholar
  24. Nemec, P. B., Swarbrick, M., & Legere, L. (2015). Prejudice and discrimination from mental health service providers. Psychiatric Rehabilitation Journal, 38(2), 203–206.CrossRefPubMedGoogle Scholar
  25. O’Malley, A. S., Gonzalez, R. M., Sheppard, V. B., Huerta, E., & Mandelblatt, J. (2003). Review and special article: primary care cancer control interventions including Latinos. A review. American Journal of Preventive Medicine, 25, 264–271.CrossRefPubMedGoogle Scholar
  26. Ramos, B. M. (2005). Acculturation and depression among Puerto Ricans in the mainland. Social Work Research, 29(2), 95.CrossRefGoogle Scholar
  27. Reidy, D. E. (1993). “Stigma is social death”: mental health consumers/survivors talk about stigma in their lives. Holyoke, MA: Education for Community Initiatives.Google Scholar
  28. Rivera, F., López, I., Guarnaccia, P., Ramirez, R., Canino, G., & Bird, H. (2011). Perceived discrimination and antisocial behaviors in Puerto Rican children. Journal of Immigrant & Minority Health, 13(3), 453–461.CrossRefGoogle Scholar
  29. Rodriguez-Gomez, J. (2006). Adherence in ethnic minorities. In W. T. O’Donohoue & E. Levensky (Eds.), Promoting treatment adherence: a practical handbook for health care (pp. 415–420). Thousand Oaks, CA: SAGE Publications.Google Scholar
  30. Schenker, Y., Karter, A. J., Schillinger, D., Margaret Warton, E., Adler, N. E., Moffet, H. H., … Fernandez, A. (2010). The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study. Patient Education and Counseling 81(2): 222–228.
  31. Schwartz, A., Rodríguez, M. D., Santiago-Rivera, A. L., Arredondo, P., & Field, L. D. (2010). Cultural and linguistic competence: welcome challenges from successful diversification. Professional Psychology, Research and Practice, 41(3), 210–220.CrossRefGoogle Scholar
  32. Sue, S. (2003). In defense of cultural competency in psychotherapy and treatment. The American Psychologist, 58(11), 964–970.CrossRefPubMedGoogle Scholar
  33. Sue, D. W. (2013). Counseling the culturally diverse: Theory and practice. [serial online]. Retrieved May 20, 2015, from Bibliotheksverbund Bayern, Ipswich, MA.Google Scholar
  34. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: implications for clinical practice. American Psychologist, 62, 271–286.Google Scholar
  35. Torres, J. B. (1998). Masculinity and gender roles among Puerto Rican men: a dilemma for Puerto Rican men’s personal identity. American Journal of Orthopsychiatry, 68, 16–26.CrossRefPubMedGoogle Scholar
  36. Torres, J. B., Solberg, V. H., & Carlstrom, A. H. (2002). The myth of sameness among Latino men and their machismo. American Journal of Orthopsychiatry, 72(2), 163–181.CrossRefPubMedGoogle Scholar
  37. Tseng, W., & Streltzer, J. (2008). Cultural competence in health care. New York, NY: Springer.CrossRefGoogle Scholar
  38. Urciuoli, B. (1996). Exposing prejudice: Puerto Rican experiences of language, race, and class. Long Grove, IL: Waveland Press.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Albizu UniversitySan JuanUSA

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