Erschienen in:
01.08.2013 | Brief Report
Barriers to Depression Treatment Among Low-Income, Latino Emergency Department Patients
verfasst von:
Anjanette Wells, Isabel T. Lagomasino, Lawrence A. Palinkas, Jennifer M. Green, Diana Gonzalez
Erschienen in:
Community Mental Health Journal
|
Ausgabe 4/2013
Einloggen, um Zugang zu erhalten
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.