Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Psychiatric Quarterly
Published in: Psychiatric Quarterly 4/2012

01-12-2012 | Original Paper

Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness

Authors: Jack Tsai, Rani A. Desai, Robert A. Rosenheck

Published in: Psychiatric Quarterly | Issue 4/2012

Login to get access

Abstract

This study examined racial differences among male outpatients with severe mental illness on therapeutic support, mental health service utilization, and service satisfaction. A total of 530 participants (289 White, 179 Black, and 62 of another race) across three large mental health centers (two state funded and one federally funded) in Connecticut were examined cross-sectionally. No racial differences were found in therapeutic support, and there were essentially no racial differences in service satisfaction. Black clients reported greater use of substance abuse inpatient services than White clients and clients of other racial minorities reported greater use of mental health inpatient services than White clients, but differences were small. These findings suggest there are few racial differences in the reported quality of mental health care and service utilization among male outpatients with severe mental illness. More research is needed on where and under what circumstances health disparities exist.
Literature
1.
Mueser KT, Bond GR, Drake RE, Resnick SG: Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin 24:37–74, 1998PubMedCrossRef
2.
Anthony WA: Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal 16:11–23, 1993
3.
U.S. Department of Health and Human Services: Mental Health: Culture, Race, and Ethnicity—A Supplement to Mental Health: A Report of the Surgeon General. Rockville, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, 2001
4.
Kessler RC, McGonagle KA, Zhao S, Nelson C, Hughes M, Eschleman S, et al.: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the US: Results from the National Comorbidity Survey. Archives of General Psychiatry 51(1):8–19, 1994PubMedCrossRef
5.
Center of Mental Health Services: Cultural Competence Standards in Managed Care Mental Health Services for Four Underserved/Underrepresented Racial/Ethnic Groups. Rockville, Center of Mental Health Services, 1998
6.
Wells KB, Klap R, Koike A, Sherbourne C: Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. American Journal of Psychiatry 158(12):2027–2032, 2001PubMedCrossRef
7.
Cook BL, McGuire T, Miranda J: Measuring trends in mental health care disparities, 2000–2004. Psychiatric Services 58(12):1533–1540, 2007PubMedCrossRef
8.
Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR: Race and trust in the health care system. Public Health Reports 118(4):358–365, 2003PubMed
9.
Gamble VN: Under the shadow of Tuskegee: African Americans and health care. American Journal of Public Health 87(11):1773–1778, 1997PubMedCrossRef
10.
Strakowski SM, Flaum M, Amador X, Bracha HS, Pandurangi AK, Robinson D, et al.: Racial differences in the diagnosis of psychosis. Schizophrenia Research 21(2):117–124, 1996PubMedCrossRef
11.
Neighbors HW, Jackson JS, Campbell L, Williams D: The influence of racial factors on psychiatric diagnosis: A review and suggestions for research. Community Mental Health Journal 25(4):301–311, 1989PubMedCrossRef
12.
Trierweiler SJ, Neighbors HW, Munday C, Thompson EE, Jackson JS, Binion VJ: Differences in patterns of symptom attribution in diagnosing schizophrenia between African American and non-African American clinicians. American Journal of Orthopsychiatry 76(2):154–160, 2006PubMedCrossRef
13.
Whaley AL: Cultural mistrust of White mental health clinicians among African Americans with severe mental illness. American Journal of Orthopsychiatry 71(2):252–256, 2001PubMedCrossRef
14.
Whaley AL: Ethnicity/race, paranoia, and hospitalization for mental health problems among men. American Journal of Public Health 94(1):78–81, 2004PubMedCrossRef
15.
Kuno E, Rothbard AB: The effect of income and race on quality of psychiatric care in community mental health centers. Community Mental Health Journal 41(5):613–622, 2005PubMedCrossRef
16.
Snowden LR, Thomas K: Medicaid and African American outpatient mental health treatment. Mental Health Services Research 2(2):115–120, 2000PubMedCrossRef
17.
Gillispie R, Williams E, Gillispie C: Hospitalized African American mental health consumers: Some antecedents to service satisfaction and intent to comply with aftercare. American Journal of Orthopsychiatry 75(2):254–261, 2005PubMedCrossRef
18.
Hampton MD, Chafetz L, White MC: Exploring the impact of race and mental health service utilization among African Americans and Whites with severe mental illness. Journal of the American Psychiatric Nurses Association 2010(16):2, 2010
19.
Ortega A, Rosenheck RA: Hispanic client-case manager matching: Differences in outcomes and service use in a program for homeless persons with severe mental illness. Journal of Nervous and Mental Disease 190(5):315–323, 2002PubMedCrossRef
20.
Chinman MJ, Rosenheck RA, Lam JA: Client-case manager racial matching in a program for homeless persons with serious mental illness. Psychiatric Services 51(10):1265–1272, 2000PubMedCrossRef
21.
Smedley BD, Stith AY, Nelson AR (Eds): Unequal Treatment: Confronting Racial & Ethnic Disparities in Health. Washington, DC, The National Academies Press, 2003
22.
Desai RA, Dausey D, Sernyak MJ, Rosenheck RA: A comparison of service delivery by the Department of Veterans Affairs and State providers: The role of academic affiliation. Administration and Policy in Mental Health and Mental Health Services Research 32(3):267–284, 2005PubMedCrossRef
23.
Burke-Miller JK, Cook JA, Grey DD, Razzano LA, Blyler CR, Leff HS, et al.: Demographic characteristics and employment among people with severe mental illness in a multisite study. Community Mental Health Journal 42(2):143–159, 2006PubMedCrossRef
24.
Tsai J, Stroup TS, Rosenheck RA: Housing arrangements among a national sample of adults with chronic schizophrenia living in the United States: A descriptive study. Journal of Community Psychology 39(1):76–88, 2011
25.
Overall JE, Gorham DR: The Brief Psychiatric Rating Scale. Psychological Reports 10:799–812, 1962CrossRef
26.
McLellan AT, Luborsky L, Woody GE, O’Brien CP: An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease 168:26–33, 1980PubMedCrossRef
27.
Derogatis LR, Spencer N: The Brief Symptom Inventory: Administration, Scoring, and Procedure Manual. Baltimore, Johns Hopkins, 1982
28.
Vaux A, Athanassopulou M: Social support appraisals and network resources. Journal of Community Psychology 15:537–556, 1987CrossRef
29.
Neale MS, Rosenheck RA: Therapeutic alliance and outcome in a VA intensive case management program. Psychiatric Services 46:719–723, 1995PubMed
30.
Newman SJ, Reschovsky JD, Kaneda K, Hendrick AM. The effects of independent living on persons with chronic mental illness: An assessment of the section 8 certificate program. Milbank Quarterly 72:171–198, 1994PubMedCrossRef
31.
Rosenheck RA, Leda C, Frisman L, Gallup P: Homeless mentally ill veterans: Race, service use, and treatment outcomes. American Journal of Orthopsychiatry 67(4):632–638, 1997PubMedCrossRef
32.
Rosenthal R: The file drawer problem and tolerance for null results. Psychological Bulletin 86(3):638–641, 1979CrossRef
Metadata
Title
Racial Comparison of Therapeutic Support, Service Use, and Satisfaction Among Male Outpatients with Severe Mental Illness
Authors
Jack Tsai
Rani A. Desai
Robert A. Rosenheck
Publication date
01-12-2012
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 4/2012
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-012-9219-1

Other articles of this Issue 4/2012

Psychiatric Quarterly 4/2012 Go to the issue

Original Paper

Perceived Emotional Intelligence and Clinical Symptoms in Mental Disorders

Original Paper

Quality of Life and Self-Stigma in Individuals with Schizophrenia

Original Paper

Anxiety in Predicting Suicide-Related Symptom of Typhoon Disaster Victims: A One-Year Follow-Up Study in Southern Taiwan

Original Paper

Demoralization in Mental Health Organizations: Leadership and Social Support Help

Original Paper

An Updated Model for the First-Time Hospitalization of Patients with Borderline Personality Disorder: Two Illustrative Case Reports

Original Paper

Chronic Idiopathic Urticaria, Psychological Co-morbidity and Posttraumatic Stress: The Impact of Alexithymia and Repression