Document Detail


Frequency and scope of mental health service delivery to African Americans in primary care.
MedLine Citation:
PMID:  12385565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examines whether African Americans with mental health complaints visit primary care physicians more than psychiatrists, and whether they demonstrate this preference more than do Whites. It addresses also whether when presenting with mental health concerns, African Americans and Whites receive a comparable range of interventions, including psychotropic medications. National estimates using the National Ambulatory Medical Care Surveys conducted in 1995 and 1996 confirmed the first hypothesis: African American did make more mental health-related office visits to primary care physicians than did psychiatrists and they did so more than Whites. Mental health interventions on behalf of African Americans and Whites proved to be similar, except that African Americans were less likely to be provided a psychotropic medication. Because African Americans are especially likely to receive outpatient mental health services from primary care physicians, the lower quality of mental health care occurring in primary care disproportionately affects African Americans. Fewer African American visits resulted in prescribing psychotropic medications, and this corroborated findings by other researchers. More research is needed to understand this disparity.
Authors:
Lonnie R Snowden; David Pingitore
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Mental health services research     Volume:  4     ISSN:  1522-3434     ISO Abbreviation:  Ment Health Serv Res     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-10-18     Completed Date:  2003-02-20     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9815815     Medline TA:  Ment Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  123-30     Citation Subset:  IM    
Affiliation:
Center for Mental Health Services Research and School of Social Welfare, University of California, Berkeley 94720, USA. snowden@uclink4.berkeley.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / psychology,  statistics & numerical data*
Aged
Female
Health Behavior*
Humans
Linear Models
Male
Mental Health Services / utilization*
Middle Aged
Multivariate Analysis
Patient Acceptance of Health Care / ethnology*
Primary Health Care / utilization*
United States
Grant Support
ID/Acronym/Agency:
5P50MH43694-12/MH/NIMH NIH HHS; MH 18828-13/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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