How Integrated Care Addresses Mental Health Disparities in Latinx Primary Care Patients: Rationale and Evidence
Thursday, August 20th, 2020 | 2 PM EDT
Research consistently shows ethnic, racial, and cultural minorities experience disparities in behavioral health care utilization and quality of care, even when controlling for differences in prevalence rates of mental health difficulties. When care is sought, outcomes are often worse for these populations than for non-Latinx Whites. Disparities underserved populations experience are due to myriad factors, including concerns about cost of services, lack of insurance coverage, lack of linguistically and racially diverse providers, fear of deportation or other social consequences of help seeking, and cultural appropriateness of interventions. Integrating psychologists into primary healthcare teams can ameliorate many of these barriers and holds promise as a way of reducing disparities for underserved patients. In this presentation, I begin by describing a conceptual model of help seeking. I then review research evaluating the benefits of integrated behavioral health services for reducing barriers to treatment access and improving behavioral health equity, focusing primarily on studies my lab has conducted with a largely Latinx, immigrant, and socioeconomically disadvantaged group of patients. I conclude with a set of recommendations for program developers in primary care clinics who want to improve treatment access and quality of care for underserved populations.
- Describe a conceptual model of behavioral health disparities.
- Review research evaluating the promise of integrated primary care to reduce disparities in underserved populations.
- Provide recommendations for the design of integrated care services to promote health equity in culturally, ethnically, and racially diverse patients.
| ||AnaBridges, PhD, is a professor in the Department of Psychological Science at the University of Arkansas and the director of the Diversity Research and Enhanced Access for Minorities (DREAM) lab. Her research focuses on understanding and ameliorating mental health disparities in vulnerable and underserved populations.|
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Family Caregiver Stress: How to Measure it and Why
Thursday, August 27th, 2020 | 1 PM EDT
Nearly 1 in 4 Americans provide caregiving for a loved one, a service estimated at $470 billion per year and 21 work hours per week. Many of these caregivers are unpaid and often experience stress and health complications. Human service agencies and healthcare systems are incentivized to help patients by identifying and supporting their family caregivers. However, the quality and feasibility of screening tools to measure caregiver quality of life are unclear, making it difficult for healthcare providers to effectively screen family caregivers. In this webinar we will discuss general properties of effective quality of life measures and share results of a systematic review to catalogue and evaluate existing measures.
- Review the rationale for screening caregiver quality of life
- Discuss general properties of effective quality of life measures
- Shares results of a systematic review of existing caregiver measures
- Discuss potential screening tools for use in healthcare settings
Matt Martin PhD, LMFT, is Clinical Assistant Professor in the Doctor of Behavioral Health Program at Arizona State University where he teaches courses on healthcare quality improvement, interprofessional consultation, and motivational interviewing. Research interests include integrated care measurement, medical workforce development, and population health strategies in primary care. He has research affiliate appointments with the Cart T. Hayden Veterans Medical Center and the Mayo Clinic in Scottsdale. Prior to ASU, he served as Director of Behavioral Medicine at the Duke family medicine residency program in Fayetteville, North Carolina. Matt has 10 years of clinical experience including several years of practicing and managing integrated behavioral health services.
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Mindy McEntee, PhD is a postdoctoral scholar in the College of Health Solutions at Arizona State University. She earned her PhD in Clinical Psychology at the University of New Mexico, having completed her clinical internship at the New Mexico VA. Her research interests include the adaptation of empirically supported behavioral treatments for use in medical settings and the dissemination and implementation of interventions that facilitate health behavior change and enhance quality of life among adults with chronic illness.
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