Racial/Ethnic Disparities in Mental Health Treatment in Six Medicaid Programs

2008 ◽  
Vol 20 (1) ◽  
pp. 165-176 ◽  
Author(s):  
Mihail Samnaliev ◽  
Mark P. McGovern ◽  
Robin E. Clark
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Ethnic Disparities ◽  
Health Treatment ◽  
Racial Ethnic

scholarly journals Examining ethnic disparities in provider and parent in-session participation engagement

2017 ◽  
Vol 12 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Kelsey S. Dickson ◽  
Sasha M. Zeedyk ◽  
Jonathan Martinez ◽  
Rachel Haine-Schlagel
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Parent Participation ◽  
Ethnic Disparities ◽  
Treatment Engagement ◽  
Latino Families ◽  
Observational Coding ◽  
Community Based ◽  
Health Treatment ◽  
Content Type

Purpose Well-documented ethnic disparities exist in the identification and provision of quality services among children receiving community-based mental health services. These disparities extend to parent treatment engagement, an important component of effective mental health services. Currently, little is known about differences in how providers support parents’ participation in treatment and the degree to which parents actively participate in it. The purpose of this paper is to examine potential differences in both provider and parent in-session participation behaviours. Design/methodology/approach Participants included 17 providers providing standard community-based mental health treatment for 18 parent-child dyads, with 44 per cent of the dyads self-identifying as Hispanic/Latino. In-session participation was measured with the parent participation engagement in child psychotherapy and therapist alliance, collaboration, and empowerment strategies observational coding systems. Findings Overall, results indicate significantly lower levels of parent participation behaviours among Hispanic/Latino families compared to their Non-Hispanic/Non-Latino counterparts. No significant differences were seen in providers’ in-session behaviours to support parent participation across Hispanic/Latino and Non-Hispanic/Non-Latino families. Research limitations/implications These findings contribute to the literature on ethnic differences in parent treatment engagement by utilising measures of in-session provider and parent behaviours and suggest that further investigation is warranted to documenting and understanding ethnic disparities in parents’ participation in community-based child mental health treatment. Originality/value This paper contributes to the evaluation of differences in parent treatment engagement through demonstrating the utility of an in-session observational coding system as a measure of treatment engagement.

scholarly journals Racial/ethnic differences in perception of need for mental health treatment in a US national sample

2017 ◽  
Vol 52 (8) ◽  
pp. 929-937 ◽  
Author(s):  
Joshua Breslau ◽  
Matthew Cefalu ◽  
Eunice C. Wong ◽  
M. Audrey Burnam ◽  
Gerald P. Hunter ◽  
...  
Keyword(s):  
Mental Health ◽  
Ethnic Differences ◽  
Mental Health Treatment ◽  
National Sample ◽  
Health Treatment ◽  
Racial Ethnic

Racial/Ethnic Differences in Predictors of Mental Health Treatment in Persons with Comorbid Diabetes and Depression

2016 ◽  
Vol 31 (6) ◽  
pp. 511-519 ◽  
Author(s):  
Jaclynn Hawkins ◽  
Daphne C. Watkins ◽  
Timethia Bonner ◽  
Terry L. Thompson
Keyword(s):  
Mental Health ◽  
Ethnic Differences ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
Racial Ethnic

Racial-ethnic differences in access, diagnosis, and outcomes in public-sector inpatient mental health treatment.

2015 ◽  
Vol 12 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Miriam E. Delphin-Rittmon ◽  
Elizabeth H. Flanagan ◽  
Raquel Andres-Hyman ◽  
Jose Ortiz ◽  
Mona M. Amer ◽  
...  
Keyword(s):  
Mental Health ◽  
Public Sector ◽  
Ethnic Differences ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
Inpatient Mental Health ◽  
Racial Ethnic

scholarly journals Distress, Impairment, and Racial/Ethnic Differences in Perceived Need for Mental Health Treatment in a Nationally Representative Sample

Psychiatry ◽  
2020 ◽  
Vol 83 (2) ◽  
pp. 149-160
Author(s):  
Joshua Breslau ◽  
Eunice C. Wong ◽  
M. Audrey Burnam ◽  
Ryan K. McBain ◽  
Matthew Cefalu ◽  
...  
Keyword(s):  
Mental Health ◽  
Ethnic Differences ◽  
Mental Health Treatment ◽  
Representative Sample ◽  
Health Treatment ◽  
Perceived Need ◽  
Nationally Representative ◽  
Racial Ethnic

Do Racial and Ethnic Disparities in Mental Health Treatment Vary With Underlying Mental Health?

2020 ◽  
pp. 107755872090358
Author(s):  
Adam I. Biener ◽  
Samuel H. Zuvekas
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Mental Health Treatment ◽  
Ethnic Disparities ◽  
Medical Expenditure ◽  
Racial And Ethnic Disparities ◽  
Health Treatment ◽  
Treatment Use ◽  
Distress Scale ◽  
Different Levels

A long line of studies document substantial and persistent racial and ethnic disparities in the use of mental health services. Many recent studies follow the Institute of Medicine’s definition of disparities, adjusting only for differences in health and mental health status across groups. However, controlling for mental health may mask important changes in the magnitudes of disparities at different levels of mental health need. We extend the previous literature by explicitly estimating how differences in treatment use across groups change at different levels of psychological distress. We used detailed data on sociodemographic characteristics, health insurance coverage, treatment, and the K6 psychological distress scale from the 2010 to 2015 Medical Expenditure Panel Survey to estimate nonlinear models of ambulatory and prescription drug mental health treatment. We find that in contrast to physical health treatment, Black–White and Hispanic–White disparities in any mental health treatment use widen with higher levels of psychological distress.

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