TY - JOUR
KW - Attitude to Health
KW - Depression/ethnology/psychology/therapy
KW - Female
KW - Focus Groups
KW - Healthcare Disparities
KW - Hispanic Americans/psychology
KW - Humans
KW - Male
KW - Medicaid
KW - Mental Health Services/organization & administration
KW - Patient Care Management/methods
KW - Primary Health Care/methods
KW - Qualitative Research
KW - Telephone
KW - Treatment Outcome
KW - United States
AU - L. A. Uebelacker
AU - B. A. Marootian
AU - P. A. Pirraglia
AU - J. Primack
AU - P. M. Tigue
AU - R. Haggarty
AU - L. Velazquez
AU - J. J. Bowdoin
AU - Z. Kalibatseva
AU - I. W. Miller
A1 - 
AB - We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy. We conducted qualitative analyses of four focus groups (n = 30 participants) composed of Latinos who endorsed having been depressed themselves or having had a close friend or family member with depression, stress, nervios, or worries. Within the area of barriers and facilitators of receiving care for depression, we identified the following themes: vulnerability, social connection and engagement, language, culture, insurance/money, stigma, disengagement, information, and family. Participants discussed attitudes toward: importance of seeking help for depression, specific types of treatments, healthcare providers, continuity and coordination of care, and phone calls. Improved understanding of barriers and facilitators of depression treatment in general and depression care management in particular for Latinos enrolled in Medicaid should lead to interventions better able to meet the needs of this particular group.
BT - Community mental health journal
C5 - Healthcare Disparities
CP - 1
CY - United States
DO - 10.1007/s10597-011-9388-7
IS - 1
JF - Community mental health journal
N2 - We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and tested in primary care settings as a way of assisting physicians with caring for their depressed patients. It consists of regular brief contacts between the care manager and the patient; the care manager educates, tracks, and monitors patients with depression, coordinates care between the patient and primary care physician, and may provide short-term psychotherapy. We conducted qualitative analyses of four focus groups (n = 30 participants) composed of Latinos who endorsed having been depressed themselves or having had a close friend or family member with depression, stress, nervios, or worries. Within the area of barriers and facilitators of receiving care for depression, we identified the following themes: vulnerability, social connection and engagement, language, culture, insurance/money, stigma, disengagement, information, and family. Participants discussed attitudes toward: importance of seeking help for depression, specific types of treatments, healthcare providers, continuity and coordination of care, and phone calls. Improved understanding of barriers and facilitators of depression treatment in general and depression care management in particular for Latinos enrolled in Medicaid should lead to interventions better able to meet the needs of this particular group.
PP - United States
PY - 2012
SN - 1573-2789; 0010-3853
SP - 114
EP - 126
EP - 
T1 - Barriers and facilitators of treatment for depression in a latino community: a focus group study
T2 - Community mental health journal
TI - Barriers and facilitators of treatment for depression in a latino community: a focus group study
U1 - Healthcare Disparities
U2 - 21267653
U3 - 10.1007/s10597-011-9388-7
VL - 48
VO - 1573-2789; 0010-3853
Y1 - 2012
ER -