Skip to main content
Erschienen in: Journal of Immigrant and Minority Health 6/2011

01.12.2011 | Original Paper

Do Latino and Non-Latino White Medicaid-Enrolled Adults Differ in Utilization of Evidence-Based Treatment for Major Depressive Disorder?

verfasst von: Marion A. Becker, Dinorah Martinez-Tyson, Joshua DiGennaro, Ezra Ochshorn

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 6/2011

Einloggen, um Zugang zu erhalten

Abstract

Although evidence-based practice guidelines have been developed to achieve greater consistency and quality in mental health care, insufficient research exists on implementing these guidelines among different racial/ethnic groups and the impact of guideline adherence on treatment outcomes. This study compared mental health care received by community dwelling Latino and non-Latino White Medicaid enrollees in Florida with a diagnosis of major depressive disorder (MDD) and examined predictors of adherence to American Psychiatric Association (APA) guidelines for the treatment of MDD. Latinos were more likely than Whites to receive guideline adherent treatment (OR = 1.21, P < .0001). Enrollees receiving combination drug therapy were most likely to receive treatment consistent with APA guidelines (OR = 4.25, P < .0001). Despite research demonstrating the efficacy of evidence–based practices, many study participants did not receive guideline adherent treatment. Policies and practices targeted at increasing adherence to approved guidelines and improving treatment outcomes are recommended.
Literatur
1.
Zurück zum Zitat Alegria M, Chatterji P, Wells K, Cao Z, Cen CN, Takeuchi D. Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatr Serv. 2008;59:1264–72.PubMedCrossRef Alegria M, Chatterji P, Wells K, Cao Z, Cen CN, Takeuchi D. Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatr Serv. 2008;59:1264–72.PubMedCrossRef
2.
Zurück zum Zitat Dobalian A, Rivers PA. Racial and ethnic disparities in the use of mental health services. J Behav Health Serv Res. 2008;35:128–41.PubMedCrossRef Dobalian A, Rivers PA. Racial and ethnic disparities in the use of mental health services. J Behav Health Serv Res. 2008;35:128–41.PubMedCrossRef
3.
Zurück zum Zitat President’s New Freedom Commission on Mental Health. Achieving the promise: transforming mental health care in America. Rockville, MD: Department of Health and Human Services; 2003. President’s New Freedom Commission on Mental Health. Achieving the promise: transforming mental health care in America. Rockville, MD: Department of Health and Human Services; 2003.
4.
Zurück zum Zitat Stockdale SE, Lagomasino IT, Siddique J, McGuire T, Miranda J. Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995–2005. Med Care. 2008;46:668–77.PubMedCrossRef Stockdale SE, Lagomasino IT, Siddique J, McGuire T, Miranda J. Racial and ethnic disparities in detection and treatment of depression and anxiety among psychiatric and primary health care visits, 1995–2005. Med Care. 2008;46:668–77.PubMedCrossRef
5.
Zurück zum Zitat US Department of Health, Human Services. Mental health: culture, race, and ethnicity-a supplement to mental health: a report of the surgeon general. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services; 2001. US Department of Health, Human Services. Mental health: culture, race, and ethnicity-a supplement to mental health: a report of the surgeon general. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services; 2001.
6.
Zurück zum Zitat Gonzalez HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. Depression care in the United States: too little for too few. Arch Gen Psychiatry. 2010;67:37–46.PubMedCrossRef Gonzalez HM, Vega WA, Williams DR, Tarraf W, West BT, Neighbors HW. Depression care in the United States: too little for too few. Arch Gen Psychiatry. 2010;67:37–46.PubMedCrossRef
7.
Zurück zum Zitat Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication. Arch Gen Psychiatry. 2005;62:593–602.PubMedCrossRef Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication. Arch Gen Psychiatry. 2005;62:593–602.PubMedCrossRef
8.
Zurück zum Zitat Williams DR, Gonzalez HM, Neighbors H, Nesse R, Abelson JM, Sweetman J. Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and non-Hispanic Whites: results from the National Survey of american life. Arch Gen Psychiatry. 2007;64:305–15.PubMedCrossRef Williams DR, Gonzalez HM, Neighbors H, Nesse R, Abelson JM, Sweetman J. Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and non-Hispanic Whites: results from the National Survey of american life. Arch Gen Psychiatry. 2007;64:305–15.PubMedCrossRef
9.
Zurück zum Zitat Martinez Pincay IE, Guarnaccia PJ. “It’s like going through an earthquake”: anthropological perspectives on depression among Latino immigrants. J Immigr Minor Health. 2007;9:17–28.PubMedCrossRef Martinez Pincay IE, Guarnaccia PJ. “It’s like going through an earthquake”: anthropological perspectives on depression among Latino immigrants. J Immigr Minor Health. 2007;9:17–28.PubMedCrossRef
10.
Zurück zum Zitat Cabassa LJ, Zayas LH, Hansen MC. Latino adults’ access to mental health care: a review of epidemiological studies. Adm Policy Ment Health. 2006;33:316–30.PubMedCrossRef Cabassa LJ, Zayas LH, Hansen MC. Latino adults’ access to mental health care: a review of epidemiological studies. Adm Policy Ment Health. 2006;33:316–30.PubMedCrossRef
11.
Zurück zum Zitat Shattell MM, Hamilton D, Starr SS, Jenkins CJ, Hinderliter NA. Mental health service needs of a Latino population: a community-based participatory research project. Issues Ment Health Nurs. 2008;29:351–70.PubMedCrossRef Shattell MM, Hamilton D, Starr SS, Jenkins CJ, Hinderliter NA. Mental health service needs of a Latino population: a community-based participatory research project. Issues Ment Health Nurs. 2008;29:351–70.PubMedCrossRef
12.
Zurück zum Zitat McGuire TG, Miranda J. New evidence regarding racial and ethnic disparities in mental health: policy implications. Health Aff. 2008;27:393–403.CrossRef McGuire TG, Miranda J. New evidence regarding racial and ethnic disparities in mental health: policy implications. Health Aff. 2008;27:393–403.CrossRef
13.
Zurück zum Zitat Wang PS, Simon G, Kessler RC. The economic burden of depression and the cost-effectiveness of treatment. Int J Methods Psychiatr Res. 2003;12:22–33.PubMedCrossRef Wang PS, Simon G, Kessler RC. The economic burden of depression and the cost-effectiveness of treatment. Int J Methods Psychiatr Res. 2003;12:22–33.PubMedCrossRef
14.
Zurück zum Zitat Olfson M, Marcus SC, Druss B, Elinson L, Tanielian T, Tanielian T, Pincus HA. National trends in the outpatient treatment of depression. JAMA. 2002;287:203–9.PubMedCrossRef Olfson M, Marcus SC, Druss B, Elinson L, Tanielian T, Tanielian T, Pincus HA. National trends in the outpatient treatment of depression. JAMA. 2002;287:203–9.PubMedCrossRef
15.
Zurück zum Zitat Azocar F, Cuffel BD, Goldman W, McCulloch J. Best practices: dissemination of guidelines for the treatment of major depression in a managed behavioral health care network. Psychiatr Serv. 2001;52:1014–6.PubMedCrossRef Azocar F, Cuffel BD, Goldman W, McCulloch J. Best practices: dissemination of guidelines for the treatment of major depression in a managed behavioral health care network. Psychiatr Serv. 2001;52:1014–6.PubMedCrossRef
16.
Zurück zum Zitat Berto P, D’Ilario D, Ruffo P, Di Virgilio R, Rizzo F. Depression: cost-of-illness studies in the international literature, a review. J Ment Health Policy Econ. 2000;3:3–10.PubMedCrossRef Berto P, D’Ilario D, Ruffo P, Di Virgilio R, Rizzo F. Depression: cost-of-illness studies in the international literature, a review. J Ment Health Policy Econ. 2000;3:3–10.PubMedCrossRef
17.
Zurück zum Zitat Wells KB, Schoenbaum M, Unutzer J, Lagomasino IT, Lagomasino IT, Rubenstein LV. Quality of care for primary care patients with depression in managed care. Arch Fam Med. 1999;8:529–36.PubMedCrossRef Wells KB, Schoenbaum M, Unutzer J, Lagomasino IT, Lagomasino IT, Rubenstein LV. Quality of care for primary care patients with depression in managed care. Arch Fam Med. 1999;8:529–36.PubMedCrossRef
18.
Zurück zum Zitat Aos S, Mayfield J, Miller M, Yen W. Evidence-based treatment of alcohol, drug, and mental health disorders: potential benefits, costs, and fiscal impacts for Washington State. Olympia, WA: Washington State Institute for Public Policy; 2006. Aos S, Mayfield J, Miller M, Yen W. Evidence-based treatment of alcohol, drug, and mental health disorders: potential benefits, costs, and fiscal impacts for Washington State. Olympia, WA: Washington State Institute for Public Policy; 2006.
19.
Zurück zum Zitat Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 2001;58:55–61.PubMedCrossRef Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United States. Arch Gen Psychiatry. 2001;58:55–61.PubMedCrossRef
20.
Zurück zum Zitat Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
21.
Zurück zum Zitat Cook BL, McGuire T, Miranda J. Measuring trends in mental health care disparities, 2000–2004. Psychiatr Serv. 2007;58:1533–40.PubMedCrossRef Cook BL, McGuire T, Miranda J. Measuring trends in mental health care disparities, 2000–2004. Psychiatr Serv. 2007;58:1533–40.PubMedCrossRef
22.
Zurück zum Zitat Alegría M, Canino G, Ríos R, et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino Whites. Psychiatr Serv. 2002;53:1547–55.PubMedCrossRef Alegría M, Canino G, Ríos R, et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino Whites. Psychiatr Serv. 2002;53:1547–55.PubMedCrossRef
23.
Zurück zum Zitat Harman JS, Edlund MJ, Fortney JC. Disparities in the adequacy of depression treatment in the United States. Psychiatr Serv. 2004;55:1379–85.PubMedCrossRef Harman JS, Edlund MJ, Fortney JC. Disparities in the adequacy of depression treatment in the United States. Psychiatr Serv. 2004;55:1379–85.PubMedCrossRef
24.
Zurück zum Zitat Vega WA, Karno M, Alegria M, et al. Research issues for improving treatment of US Hispanics with persistent mental disorders. Psychiatr Serv. 2007;58:385–94.PubMedCrossRef Vega WA, Karno M, Alegria M, et al. Research issues for improving treatment of US Hispanics with persistent mental disorders. Psychiatr Serv. 2007;58:385–94.PubMedCrossRef
25.
Zurück zum Zitat Barrio C, Yamada AM, Hough RL, Hawthorne W, Garcia P, Jeste DV. Ethnic disparities in use of public mental health case management services among patients with schizophrenia. Psychiatr Serv. 2003;54:1264–70.PubMedCrossRef Barrio C, Yamada AM, Hough RL, Hawthorne W, Garcia P, Jeste DV. Ethnic disparities in use of public mental health case management services among patients with schizophrenia. Psychiatr Serv. 2003;54:1264–70.PubMedCrossRef
27.
Zurück zum Zitat Alegría M, Canino G, Shrout PE, et al. Prevalence of mental illness in immigrant and non-immigrant US Latino groups. Am J Psychiatry. 2008;165:359–69.PubMedCrossRef Alegría M, Canino G, Shrout PE, et al. Prevalence of mental illness in immigrant and non-immigrant US Latino groups. Am J Psychiatry. 2008;165:359–69.PubMedCrossRef
28.
Zurück zum Zitat Lanouette NM, Folsom DP, Sciolla A, Jeste DV. Psychotropic medication nonadherence among United States Latinos: a comprehensive literature review. Psychiatr Serv. 2009;60:157–74.PubMedCrossRef Lanouette NM, Folsom DP, Sciolla A, Jeste DV. Psychotropic medication nonadherence among United States Latinos: a comprehensive literature review. Psychiatr Serv. 2009;60:157–74.PubMedCrossRef
29.
Zurück zum Zitat Perez JE, Munoz RF. Prevention of depression in Latinos. In: Alarcon RD, editor. Depression in Latinos: assessment, treatment and prevention. New York: Springer; 2008. p. 117–40. Perez JE, Munoz RF. Prevention of depression in Latinos. In: Alarcon RD, editor. Depression in Latinos: assessment, treatment and prevention. New York: Springer; 2008. p. 117–40.
30.
Zurück zum Zitat Padgett DK, Patrick C, Burns BJ, Schlesinger HJ. Ethnicity and the use of outpatient mental health services in a national insured population. Am J Public Health. 1994;84:222–6.PubMedCrossRef Padgett DK, Patrick C, Burns BJ, Schlesinger HJ. Ethnicity and the use of outpatient mental health services in a national insured population. Am J Public Health. 1994;84:222–6.PubMedCrossRef
31.
Zurück zum Zitat Sirey JA, Meyers BS, Bruce ML, Alexopoulos GS, Perlick DA, Raue P. Predictors of antidepressant prescription and early use among depressed outpatients. Am J Psychiatry. 1999;156:690–6.PubMed Sirey JA, Meyers BS, Bruce ML, Alexopoulos GS, Perlick DA, Raue P. Predictors of antidepressant prescription and early use among depressed outpatients. Am J Psychiatry. 1999;156:690–6.PubMed
32.
Zurück zum Zitat Skaer TL, Sclar DA, Robison LM, Galin RS. Trends in the rate of depressive illness and use of antidepressant pharmacotherapy by ethnicity/race: an assessment of office-based visits in the United States, 1992–1997. Clin Ther. 2000;22:1575–89.PubMedCrossRef Skaer TL, Sclar DA, Robison LM, Galin RS. Trends in the rate of depressive illness and use of antidepressant pharmacotherapy by ethnicity/race: an assessment of office-based visits in the United States, 1992–1997. Clin Ther. 2000;22:1575–89.PubMedCrossRef
33.
Zurück zum Zitat Wang J, Noel JM, Zuckerman IH, Miller NA, Shaya FT, Mullins CD. Disparities in access to essential new prescription drugs between non-Hispanic whites, non-Hispanic blacks, and Hispanic whites. Med Care Res Rev. 2006;63:742–63.PubMedCrossRef Wang J, Noel JM, Zuckerman IH, Miller NA, Shaya FT, Mullins CD. Disparities in access to essential new prescription drugs between non-Hispanic whites, non-Hispanic blacks, and Hispanic whites. Med Care Res Rev. 2006;63:742–63.PubMedCrossRef
34.
Zurück zum Zitat Bravo G, Dubois M, Hebert R, De Wals P, Messier L. A prospective evaluation of the Charlson Comorbidity Index for use in long-term care patients. J Am Geriatr Soc. 2002;50:740–5.PubMedCrossRef Bravo G, Dubois M, Hebert R, De Wals P, Messier L. A prospective evaluation of the Charlson Comorbidity Index for use in long-term care patients. J Am Geriatr Soc. 2002;50:740–5.PubMedCrossRef
35.
Zurück zum Zitat Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic co-morbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–83.PubMedCrossRef Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic co-morbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–83.PubMedCrossRef
36.
Zurück zum Zitat Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–9.PubMedCrossRef Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–9.PubMedCrossRef
37.
Zurück zum Zitat American Psychiatric Association. Practice guidelines for the treatment of psychiatric disorders: compendium. Washington, DC: American Psychiatric Association; 2002. American Psychiatric Association. Practice guidelines for the treatment of psychiatric disorders: compendium. Washington, DC: American Psychiatric Association; 2002.
38.
Zurück zum Zitat Ables AZ, Baughman OL 3rd. Antidepressants: update on new agents and indications. Am Fam Physician. 2003;67:547–54.PubMed Ables AZ, Baughman OL 3rd. Antidepressants: update on new agents and indications. Am Fam Physician. 2003;67:547–54.PubMed
39.
Zurück zum Zitat Cabana MD, Rushton JL, Rush AJ. Implementing practice guidelines for depression: applying a new framework to an old problem. Gen Hosp Psychiatry. 2002;24:35–42.PubMedCrossRef Cabana MD, Rushton JL, Rush AJ. Implementing practice guidelines for depression: applying a new framework to an old problem. Gen Hosp Psychiatry. 2002;24:35–42.PubMedCrossRef
40.
Zurück zum Zitat Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999;282:1458–65.PubMedCrossRef Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999;282:1458–65.PubMedCrossRef
41.
Zurück zum Zitat Henke RM, McGuire TG, Zaslavsky AM, Ford DE, Meredith LS, Arbelaez JJ. Clinician and organizational level factors in adoption of evidence-based care for depression in primary care. Health Care Manage Rev. 2008;33:289–99.PubMed Henke RM, McGuire TG, Zaslavsky AM, Ford DE, Meredith LS, Arbelaez JJ. Clinician and organizational level factors in adoption of evidence-based care for depression in primary care. Health Care Manage Rev. 2008;33:289–99.PubMed
42.
Zurück zum Zitat Wells K, Sherbourne C, Schoenbaum M, et al. Five-year impact of quality improvement for depression: results of a group-level randomized controlled trial. Arch Gen Psychiatry. 2004;61:378–86.PubMedCrossRef Wells K, Sherbourne C, Schoenbaum M, et al. Five-year impact of quality improvement for depression: results of a group-level randomized controlled trial. Arch Gen Psychiatry. 2004;61:378–86.PubMedCrossRef
43.
Zurück zum Zitat Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8:1–72. Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8:1–72.
44.
Zurück zum Zitat Foy R, MacLennan G, Grimshaw J, Penney G, Campbell M, Grol R. Attributes of clinical recommendations that influence change in practice following audit and feedback. J Clin Epidemiol. 2002;55:717–22.PubMedCrossRef Foy R, MacLennan G, Grimshaw J, Penney G, Campbell M, Grol R. Attributes of clinical recommendations that influence change in practice following audit and feedback. J Clin Epidemiol. 2002;55:717–22.PubMedCrossRef
45.
Zurück zum Zitat Katon W, Von Korff M, Lin E, et al. Collaborative management to achieve treatment guidelines: impact on depression in primary care. JAMA. 1995;273:1026–31.PubMedCrossRef Katon W, Von Korff M, Lin E, et al. Collaborative management to achieve treatment guidelines: impact on depression in primary care. JAMA. 1995;273:1026–31.PubMedCrossRef
46.
Zurück zum Zitat Diamond RJ, Scheifler PL. Treatment collaboration: improving the therapist, prescriber, client relationship. New York: Norton & Company; 2007. Diamond RJ, Scheifler PL. Treatment collaboration: improving the therapist, prescriber, client relationship. New York: Norton & Company; 2007.
47.
Zurück zum Zitat DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42:200–9.PubMedCrossRef DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42:200–9.PubMedCrossRef
Metadaten
Titel
Do Latino and Non-Latino White Medicaid-Enrolled Adults Differ in Utilization of Evidence-Based Treatment for Major Depressive Disorder?
verfasst von
Marion A. Becker
Dinorah Martinez-Tyson
Joshua DiGennaro
Ezra Ochshorn
Publikationsdatum
01.12.2011
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 6/2011
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-011-9508-z

Weitere Artikel der Ausgabe 6/2011

Journal of Immigrant and Minority Health 6/2011 Zur Ausgabe