Barriers to depression treatment among low-income, Latino emergency department patients.

Abstract:

:Low-income and Latinos use the emergency department (ED) as a primary source of care. Also, the depression prevalence in ED patients is high, making the ED a compelling venue for depression screening and intervention. This study examined barriers and facilitators to depression treatment among low-income, predominantly Latino ED patients. We conducted telephone interviews with 24 ED patients (18-62 years of age, 79 % female) who dropped out of a depression treatment intervention. Using grounded theory, we analyzed perceptions of depression and treatment, and barriers and facilitators to mental health treatment. Although most patients acknowledged signs of depression, there was a lack of readiness to seek help. Patients reported negative perceptions about anti-depressant medication, even if they had no previous use. Barriers to treatment included transportation concerns, employment/unemployment, patient-provider issues, and immigrant documentation. Identified facilitators included consistent provider advice and "talking." This study introduced new misunderstanding and miscommunication barriers.

authors

Wells A,Lagomasino IT,Palinkas LA,Green JM,Gonzalez D

doi

10.1007/s10597-012-9547-5

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

412-8

issue

4

eissn

0010-3853

issn

1573-2789

journal_volume

49

pub_type

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