Effects of Primary Care Depression Treatment on Minority Patients'Clinical Status and Employment

Jeanne M. Miranda · Michael Schoenbaum · Cathy Donald Sherbourne · Naihua Duan · Kenneth Brooks Wells

104 citations0/0 files storedArchives of General Psychiatry

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Mental Health Treatment and Access Migration, Health and Trauma Cultural Competency in Health Care

Abstract

BACKGROUND: The response of ethnic minorities to mental health care is largely unstudied. OBJECTIVE: To determine the effect of appropriate care for depression on ethnic minorities. DESIGN: Observational analysis of the effects of evidence-based depression care over 6 months on clinical outcomes and employment status is examined for ethnic minorities and nonminorities. Selection into treatment is accounted for using instrumental variables techniques, with randomized assignment to the quality improvement intervention as the identifying instrument. SETTING: Six managed care organizations across the United States. Patients One thousand three hundred fifty-six depressed adults, including 601 white, 258 Latino, 56 African American, and 24 Asian or Native American patients. Intervention Quality improvement interventions aimed at increasing guideline-concordant depression care. RESULTS: At 6 months, minority patients who received appropriate care, compared with those who did not receive it, had lower rates of probable depressive disorder (20.5% vs 70.5%); the findings were similar for nonminority patients (24.3% vs 71.2%). Nonminority patients who received appropriate care were found to have higher rates of employment than were those who did not receive appropriate care (71.4% vs 52.4%). This was not true of minority patients (68.2% vs 56.5%). CONCLUSIONS: Evidence-based care for depression is equally effective in reducing depressive disorders for minority and nonminority patients. However, functional outcomes of care, such as continued employment, may be more limited for minority than nonminority patients. Because minority members are less likely to get appropriate care, efforts should be made to engage minority members in effective care for depression.

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2003Including Ethnic Minorities in Mental Health Intervention Research: A Practical Approach to a Long-Standing Problem 2017Racial/ethnic differences in perception of need for mental health treatment in a US national sample 2007Integration of Mental Health Services Into Primary Care Overcomes Ethnic Disparities in Access to Mental Health Services Between Black and White Elderly

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