TY - JOUR
AU - S. R. Patel
AU - R. Schnall
AU - V. Little
AU - R. Lewis-Fernandez
AU - H. A. Pincus
A1 - 
AB - Increasing interest has been shown in shared decision making (SDM) to improve mental health care communication between underserved immigrant minorities and their providers. Nonetheless, very little is known about this process. The following is a qualitative study of fifteen primary care providers at two Federally Qualified Health Centers in New York and their experience during depression treatment decision making. Respondents described a process characterized in between shared and paternalistic models of treatment decision making. Barriers to SDM included discordant models of illness, stigma, varying role expectations and decision readiness. Respondents reported strategies used to overcome barriers including understanding illness perceptions and the role of the community in the treatment process, dispelling stigma using cultural terms, orienting patients to treatment and remaining available regarding the treatment decision. Findings from this study have implications for planning SDM interventions to guide primary care providers through treatment engagement for depression.
BT - Journal of immigrant and minority health / Center for Minority Public Health
C5 - Education & Workforce; Healthcare Disparities
CP - 6
CY - United States
DO - 10.1007/s10903-013-9903-8
IS - 6
JF - Journal of immigrant and minority health / Center for Minority Public Health
N2 - Increasing interest has been shown in shared decision making (SDM) to improve mental health care communication between underserved immigrant minorities and their providers. Nonetheless, very little is known about this process. The following is a qualitative study of fifteen primary care providers at two Federally Qualified Health Centers in New York and their experience during depression treatment decision making. Respondents described a process characterized in between shared and paternalistic models of treatment decision making. Barriers to SDM included discordant models of illness, stigma, varying role expectations and decision readiness. Respondents reported strategies used to overcome barriers including understanding illness perceptions and the role of the community in the treatment process, dispelling stigma using cultural terms, orienting patients to treatment and remaining available regarding the treatment decision. Findings from this study have implications for planning SDM interventions to guide primary care providers through treatment engagement for depression.
PP - United States
PY - 2014
SN - 1557-1920; 1557-1912
SP - 1262
EP - 1270
EP - 
T1 - Primary care professional's perspectives on treatment decision making for depression with African Americans and Latinos in primary care practice
T2 - Journal of immigrant and minority health / Center for Minority Public Health
TI - Primary care professional's perspectives on treatment decision making for depression with African Americans and Latinos in primary care practice
U1 - Education & Workforce; Healthcare Disparities
U2 - 24104206
U3 - 10.1007/s10903-013-9903-8
VL - 16
VO - 1557-1920; 1557-1912
Y1 - 2014
ER -