This study examined racial/ethnic disparities in mental health service access and use at different poverty levels.We compared demographic clinical characteristics patterns of Whites, Blacks, Hispanics, Asians living low-poverty high-poverty areas. Logistic regression models were used to assess minority groups with Whites areas.Residence a neighborhood moderates the relationship between race/ethnicity use. Disparities using emergency inpatient services having coercive referrals more evident...

National data on psychiatric hospitalization point to marked ethnic-related differences. Blacks and Native Americans are considerably more likely than Whites be hospitalized; admitted as schizophrenic less diagnosed having an affective disorder; Asian Americans/Pacific Islanders admitted, but remain for a lengthier stay, at least in state county mental hospitals. These differences clear-cut, they ignore major source of care: placements other units Explanations observed minority-White can...

Limited English proficiency (LEP) may contribute to mental health care disparities, yet empirical data are limited. To quantify the language barriers by race/ethnicity using a direct measure of LEP is objective study. Cross-sectional analysis 2001 California Health Interview Survey study’s design. Adults aged 18 64 who provided (n = 41,984) were participants Participants categorized into three groups self-reported and spoken at home: (1) English-speaking only, (2) Bilingual, (3) Non-English...

BACKGROUND. Barriers to access and use of mental health care by Asians, Blacks, Hispanic Americans have been a source concern for many years. Limitations in our knowledge base persist regarding patterns public sector programs certain services. Using sample almost 27,000 persons, this study examined level ethnic minority groups emergency services, inpatient care, individual outpatient visit, case management. METHODS. Data from the management information systems San Francisco Santa Clara...

This study examines help seeking and utilization patterns of 161 Asian or Pacific Islander Americans 1332 White randomly selected in the Los Angeles area, based on first wave Epidemiological Catchment Area (ECA) study. Logistic regression analyses are performed to detect ethnic differences disclosing mental health problems utilizing services. Results show that more reticent than about distress regardless whether they speak with professionals family friends, unwilling use services any type....

Little is known about how stigma affects Black people receiving mental health treatment. For a project to develop consumer-based intervention, qualitative interviews were conducted with public-sector consumers (N=34). Primary themes from the regarding concerns, experiences, and coping strategies examined. Concerns prompted most initially avoid or delay treatment; once in treatment, commonly faced stigmatizing reactions others. Consumers identified numerous deal stigma, including seeking...

As the COVID-19 pandemic progresses, more African Americans than whites are falling ill and dying from virus losing livelihoods accompanying recession. The thereby exploits structural disadvantages, rooted partly in historical contemporary anti-Black sentiments, working against Americans. These include higher rates of comorbid illness limited health care access, disadvantageous labor market positioning community housing conditions, greater exposure to long-term residence, incarceration...

Importance Social determinants of health (SDOH) influence child health. However, most previous studies have used individual, small-set, or cherry-picked SDOH variables without examining unbiased computed patterns from high-dimensional factors to investigate associations with mental health, cognition, and physical Objective To identify estimate their children’s mental, cognitive, developmental outcomes. Design, Setting, Participants This population-based cohort study included children aged 9...

The present study examined racial differences in use of mental health services the specialty and general medical sectors care. Data came from household institutional surveys permitted estimation both population alone when supplemented with samples persons confined jails, prisons, hospitals. In uncontrolled analysis, African Americans community presented a mixed pattern under-, equal-, overrepresentation services. Weighting sample controlling for sociodemographic diagnoses yielded results...

The study examined the ethnic ratio of 16 DSM-III mental disorders among White, Black, Hispanic, and Asian Americans. A total 18,126 residents from 5 sites 2,939 Epidemiological Catchment Area's Los Angeles site were studied separately. Logistic regression analysis was performed. Results showed that Blacks significantly less likely than Whites to have major depressive episode, depression, dysthymia, obsessive-compulsive disorder, drug alcohol abuse or dependence, antisocial personality,...

We sought to examine relationships between sociodemographic indicators of risk and depression symptoms within the Black White populations.In a national probability sample, differences in sex, age, marital status, religion, social class, employment urbanicity, region were evaluated against Center for Epidemiological Studies Depression Scale score 16 or greater. Risk factors identified two populations compared them.For both races, females at greater than males, respondents who formerly married...

It is well documented that African Americans receive a disproportionate share of their mental health care in the emergency room. Yet this disparate and undesirable pattern service use has been inadequately examined remains poorly understood. The disparity often attributed to lack access outpatient low quality available services, but these explanations represent untested hypotheses. This Open Forum reviews data illustrate how white are differentially affected by broad range social community...

Numerous studies have documented overrepresentation of the black population in psychiatric inpatient settings, but none included certain important covariates or examined heterogeneity within population. After controlling for key social, demographic, and clinical factors, investigators sought to determine whether blacks are overrepresented settings; they differences by separately examining prevalence treatment African Americans U.S.- foreign-born Caribbean blacks.Secondary analysis was...

The authors examined the frequency and severity of arrests persons served by Medicaid as well public mental health treatment patterns before after arrest.A random sample 6,624 was drawn from claims system in Los Angeles County between July 1993 June 2001. Clients' were matched to criminal justice records 1991 Cross-tabulations logistic regression analyses used examine likelihood seriousness involvement, clients' involvement around time arrest.Twenty-four percent had at least one arrest over...

Policies generate accountability in that they offer a standard against which government performance can be assessed. A central question of this study is whether ideological imprint left by policy realized the time following its adoption. National mental health expressly promotes notion deinstitutionalization, mandates individuals cared for community rather than institutional environments. We investigate adoption induced transformation structure systems, namely psychiatric beds, using panel...