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Community Mental Health Journal
Published in: Community Mental Health Journal 4/2013

01-08-2013 | Brief Report

Barriers to Depression Treatment Among Low-Income, Latino Emergency Department Patients

Authors: Anjanette Wells, Isabel T. Lagomasino, Lawrence A. Palinkas, Jennifer M. Green, Diana Gonzalez

Published in: Community Mental Health Journal | Issue 4/2013

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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.
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Metadata
Title
Barriers to Depression Treatment Among Low-Income, Latino Emergency Department Patients
Authors
Anjanette Wells
Isabel T. Lagomasino
Lawrence A. Palinkas
Jennifer M. Green
Diana Gonzalez
Publication date
01-08-2013
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2013
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-012-9547-5

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