Abstract
Latina adolescents are more likely to experience depressive symptoms and less likely to receive mental health treatment than White peers. The purpose of this study is to describe barriers to and facilitators of engagement in depression treatment among Latina adolescents. Twenty-five Latina young women (mean age = 16.7 years) with a history of depressive symptoms during adolescence participated in this qualitative descriptive study. Participants were recruited from clinical and community settings and were interviewed about their experiences with depression treatment. Using qualitative content analysis, we identified barriers to and facilitators of engagement in treatment for depression. Barriers included beliefs about depression and its treatments, negative experiences with treatment, and logistical problems. Facilitators included positive treatment outcomes, meaningful connection with a therapist, and family support of depression treatment. Mental health providers should minimize barriers and maximize facilitators to promote mental health treatment use and engagement among Latina adolescents with depressive symptoms.
Similar content being viewed by others
References
Barrio, C., Palinkas, L. A., Yamada, A.-M., Fuentes, D., Criado, V., Garcia, P., et al. (2008). Unmet needs for mental health services for Latino older adults: Perspectives from consumers, family members, advocates, and service providers. Community Mental Health Journal,44(1), 57–74. https://doi.org/10.1007/s10597-007-9112-9.
Cabassa, L. J., Hansen, M. C., Palinkas, L. A., & Ell, K. (2008). Azucar y nervios: Explanatory models and treatment experiences of Hispanics with diabetes and depression. Social Science & Medicine,66(12), 2413–2424. https://doi.org/10.1016/j.socscimed.2008.01.054.
Centers for Disease Control and Prevention. (2018). Youth Risk Behavior Surveillance—United States, 2017. Retrieved from www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/ss6708.pdf.
Charmaz, K. (2014). Constructing grounded theory (2nd ed.). Thousand Oaks, CA: SAGE Publications.
Cummings, J. R., & Druss, B. G. (2011). Racial/ethnic differences in mental health service use among adolescents with major depression. Journal of the American Academy of Child & Adolescent Psychiatry,50(2), 160–170. https://doi.org/10.1016/j.jaac.2010.11.004.
Davidson, T. M., Soltis, K., Albia, C. M., de Arellano, M., & Ruggiero, K. J. (2015). Providers’ perspectives regarding the development of a web-based depression intervention for Latina/o youth. Psychological Services,12(1), 37–48. https://doi.org/10.1037/a0037686.
Draucker, C. B. (2005). Processes of mental health service use by adolescents with depression. Journal of Nursing Scholarship, 37(2), 155–162. https://doi.org/10.1111/j.1547-5069.2005.00028.x.
Draucker, C. B., Martsolf, D. S., & Poole, C. (2009). Developing distress protocols for research on sensitive topics. Archives of Psychiatric Nursing, 23(5), 343–350. https://doi.org/10.1016/j.apnu.2008.10.008.
Fornos, L. B., Mika, V. S., Bayles, B., Serrano, A. C., Jimenez, R. L., & Villarreal, R. (2005). A qualitative study of Mexican American adolescents and depression. Journal of School Health,75(5), 162–170. https://doi.org/10.1111/j.1746-1561.2005.00017.x.
Garland, A. F., Lau, A. S., Yeh, M., McCabe, K. M., Hough, R. L., & Landsverk, J. A. (2005). Racial and ethnic differences in utilization of mental health services among high-risk youths. American Journal of Psychiatry,162(7), 1336–1343. https://doi.org/10.1176/appi.ajp.162.7.1336.
Green, B. L., Watson, M. R., Kaltman, S. I., Serrano, A., Talisman, N., Kirkpatrick, L., et al. (2017). Knowledge and preferences regarding antidepressant medication among depressed Latino patients in primary care. The Journal of Nervous and Mental Disease,205(12), 952–959. https://doi.org/10.1097/NMD.0000000000000754.
Ijadi-Maghsoodi, R., Bonnet, K., Feller, S., Nagaran, K., Puffer, M., & Kataoka, S. (2018). Voices from minority youth on help-seeking and barriers to mental health services: Partnering with school-based health centers. Ethnicity & Disease,28(Supp), 437–444. https://doi.org/10.18865/ed.28.S2.437
Interian, A., Martinez, I. E., Guarnaccia, P. J., Vega, W. A., & Escobar, J. I. (2007). A qualitative analysis of the perception of stigma among Latinos receiving antidepressants. Psychiatric Services,58(12), 1591–1594. https://doi.org/10.1176/appi.ps.58.12.1591.
Kirby, J. B., Hudson, J., & Miller, G. E. (2010). Explaining racial and ethnic differences in antidepressant use among adolescents. Medical Care Research And Review: MCRR,67(3), 342–363. https://doi.org/10.1177/1077558709350884.
Lindsey, M. A., Brandt, N. E., Becker, K. D., Lee, B. R., Barth, R. P., Daleiden, E. L., et al. (2014). Identifying the common elements of treatment engagement interventions in children’s mental health services. Clinical Child and Family Psychology Review,17(3), 283–298. https://doi.org/10.1007/s10567-013-0163-x.
Martinez, A. R. (2017). Intersectionality, voz, and agency: A culture-centered approach to understanding US-born Mexican Americans’ depression experiences. Southern Communication Journal,82(5), 278–297. https://doi.org/10.1080/1041794X.2017.1347702.
McCord, A. L., Draucker, C. B., & Bigatti, S. (2019). Cultural stressors and depressive symptoms in Latino/a adolescents: An integrative review. Journal of the American Psychiatric Nurses Association, 25(1), 49–65. https://doi.org/10.1177/1078390318778885.
Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook. Thousand Oaks, CA: Sage Publications.
Morse, J. M. (2000). Determining sample size. Qualitative Health Research,10(1), 3–5. https://doi.org/10.1177/104973200129118183.
Pincay, I. E. M., & Guarnaccia, P. J. (2007). “It’s like going through an earthquake”: Anthropological perspectives on depression among Latino immigrants. Journal of Immigrant and Minority Health,9(1), 17–28. https://doi.org/10.1007/s10903-006-9011-0.
Reardon, T., Harvey, K., Baranowska, M., O’Brien, D., Smith, L., & Creswell, C. (2017). What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies. European Child & Adolescent Psychiatry,26(6), 623–647. https://doi.org/10.1007/s00787-016-0930-6.
Sandelowski, M. (2000). Focus on research methods-whatever happened to qualitative description? Research in Nursing and Health,23(4), 334–340.
Schneider, J. S. (2017). African American and Latino adolescent experiences with mental health services. (Doctoral Dissertation), Proquest Dissertations Publishing.
Substance Abuse and Mental Health Services Administration. (2017). Results from the 2016 National Survey on Drug Use and Health: Detailed tables. Retrieved from www.samhsa.gov/data/report/results-2016-national-survey-drug-use-and-health-detailed-tables.
Uebelacker, L. A., Marootian, B. A., Pirraglia, P. A., Primack, J., Tigue, P. M., Haggarty, R., et al. (2012). Barriers and facilitators of treatment for depression in a Latino community: A focus group study. Community Mental Health Journal,48(1), 114–126. https://doi.org/10.1007/s10597-011-9388-7.
Acknowledgements
Research reported in this publication was supported by the National Institute of Nursing Research of the National Institutes of Health under award number T32NR007066, the International Society for Psychiatric-Mental Health Nurses Foundation, and the American Psychiatric Nurses Association. The content is solely the responsibility of the authors and does not necessarily represent the official views of these organizations.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Stafford, A.M., Draucker, C.B. Barriers to and Facilitators of Mental Health Treatment Engagement Among Latina Adolescents. Community Ment Health J 56, 662–669 (2020). https://doi.org/10.1007/s10597-019-00527-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-019-00527-0